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Original Article
- Epidemiological data on nutritional disorders and outcomes in hospitalized Thai children: an analysis of data from the National Health Database 2015-2019
- Suchaorn Saengnipanthkul, Jeeraparn Phosuwattanakul, Kaewjai Thepsuthammarat, Nalinee Chongviriyaphan
- Epidemiol Health. 2022;44:e2022047. Published online May 16, 2022
- DOI: https://doi.org/10.4178/epih.e2022047
- 26,387 View
- 351 Download
- 7 Web of Science
- 7 Crossref
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Abstract
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AbstractOBJECTIVES
Malnutrition in hospitalized patients is a frequently overlooked health issue. We aimed to assess the prevalence and pattern of nutritional disorders in hospitalized Thai children from the National Health Database.METHODSHospitalized children aged 1 month to 18 years diagnosed with nutritional disorders between 2015 and 2019 were retrospectively reviewed using the National Health Security Office data. Based on the International Classification of Diseases, 10th revision, Clinical Modification, nutritional disorders were classified into 3 major forms of malnutrition: undernutrition (E40-E46), overweight and obesity (E66), and micronutrient deficiencies (D50-D53, E50-E56, E58, E60-E61, and E63).RESULTSOut of 5,188,033 hospitalized children, malnutrition was identified in 115,254 (2.2%). Protein-energy malnutrition (PEM), overweight and obesity, and micronutrient deficiencies were prevalent in 0.21%, 0.27%, and 1.81%, respectively. Among those with micronutrient deficiencies, 95.0% had iron deficiency anemia, 2.2% had vitamin D deficiency, and 0.7% had zinc deficiency. Children aged under 5 years mostly had PEM, followed by iron deficiency anemia. Teenagers commonly had obesity and vitamin D deficiency. Patients with PEM who were admitted with common diseases had significantly longer hospital stays and higher hospital costs and mortality rates than those without PEM.CONCLUSIONSHospitalized children had various nutritional disorders, particularly PEM, which was associated with higher morbidity and mortality. Nutritional screening tools should be utilized for the early detection and treatment of malnutrition. Specific International Classification of Diseases codes for nutritional care services and intervention should be available. Additionally, nutritional interventions should be reimbursed, along with nutritional education and empowerment of healthcare providers, to improve hospital care service and improve patient outcomes. -
SummaryKey Message
Malnutrition is common among hospitalized Thai children, particularly protein energy malnutrition; it increases mortality, length of hospital stay, and hospital costs as well as exerts long-term effects on growth and development. Prevalence of overweight and obesity is increasing over the past 5 years, the vast majority involved patients 5 – 13 years of age.Citations
Citations to this article as recorded by
- Validation of Four Malnutrition Risk Screening Tools (PNST, PYMS, STAMP, and STRONGkids) for Hospitalized Children
Thi My Thuc Luu, Thi Thu Lieu Nguyen, Thu Huyen Doan, Thi Phuong Duong, Thi Huong Le, Thi Thanh Xuan Le
Journal of Pediatric Health Care.2026; 40(3): 385. CrossRef - Global prevalence of iron deficiency anaemia among children aged 5–12 years: a systematic review and meta-analysis
Pattarapan Sukwuttichai, Nattapong Tidwong, Natapohn Chaipichit, Teerapon Dhippayom, Witoo Dilokthornsakul, Piyameth Dilokthornsakul
Journal of Global Health.2026;[Epub] CrossRef - The Performance of the STRONGkids Nutrition Screening Tool Following Nurse Training in a Tertiary Care Setting
Punthita Ngamboriruk, Oraporn Dumrongwongsiri, Phanphen Phoonlapdacha
Journal of Paediatrics and Child Health.2026;[Epub] CrossRef - Prevalence and associated factors of at risk of anemia among children under five in Northeast Thailand using noninvasive hemoglobin screening in a cross sectional study
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Scientific Reports.2025;[Epub] CrossRef - Accuracy of noninvasive total haemoglobin measurement for detecting anaemia in infants: a cross-sectional study in a well-child care clinic, Khon Kaen, Thailand
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BMJ Open.2024; 14(12): e083356. CrossRef -
СКРИНИНГ НУТРИТИВНОГО СТАТУСА ГОСПИТАЛИЗИРОВАННОГО РЕБЕНКА: ОБЗОР ЛИТЕРАТУРЫ
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University therapeutic journal.2024; 6(4): 54. CrossRef - The Low Sensitivity and Specificity of a Nutrition Screening Tool in Real Circumstances in a Tertiary Care Hospital Setting
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Children.2023; 10(4): 747. CrossRef
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