title: [Value of nutritional risk screening in evaluating adverse clinical outcomes in children with severe pneumonia].
abstract: OBJECTIVE
  To investigate the nutritional risk in children with severe pneumonia using the Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP) and the association between nutritional risk and adverse clinical outcomes.
  
  
  METHODS
  According to the STAMP score, 216 children with severe pneumonia were classified into high nutritional risk group (HR group; n=98), moderate nutritional risk group (MR group; n=65), and low nutritional risk group (LR group; n=53). Fasting blood samples were collected to measure the levels of insulin-like growth factor-1 (IGF-1), adiponectin, leptin, non-esterified fatty acid (NEFA), albumin, transferrin, prealbumin, and retinol binding protein (RBP). The adverse clinical outcomes were recorded.
  
  
  RESULTS
  Compared with the MR and LR groups, the HR group had significantly lower serum levels of IGF-1, leptin, adiponectin, prealbumin, and RBP, as well as a significantly higher serum level of NEFA (P<0.05). Compared with the MR and LR groups, the HR group had a significantly higher proportion of children admitted to the intensive care unit and a significantly longer duration of mechanical ventilation (P<0.05). The HR group had a significantly longer mean hospital stay and a significantly higher incidence rate of complications compared with the LR and MR groups (P<0.05).
  
  
  CONCLUSIONS
  Nutritional risk screening has an important value in evaluating the clinical outcome of children with severe pneumonia, and children at a higher nutritional risk tend to have more adverse clinical outcomes.
authors.affiliation: Department of Pediatrics, The People's Hospital of Binzhou, Binzhou, Shandong 256610, China. p197907@163.com.
authors.forename: Xiao-Hui
authors.initials: XH
authors.lastname: Guo
authors.forename: Yan-Feng
authors.initials: YF
authors.lastname: Sun
authors.forename: Jiang-Bo
authors.initials: JB
authors.lastname: Wang
authors.forename: Shu-Zhen
authors.initials: SZ
authors.lastname: Han
authors.forename: Jing
authors.initials: J
authors.lastname: Miao
authors.forename: Min
authors.initials: M
authors.lastname: Cui
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D044342:Malnutrition / Q000209:etiology*; D011014:Pneumonia / Q000150:complications*; D012306:Risk