@entity3147 in hospitalized pediatric XXXX . Current prevalence.

@entity1 @entity7493 @entity2313 @entity28 @entity102 @entity3147
OBJECTIVE: To document the current prevalence of @entity7493 compared with that reported from the same institution in 1976. DESIGN: All inpatients of this tertiary-care facility were assessed by anthropometric, laboratory, and clinical nutrition assessment methods in a 1-day cross-sectional survey. The comparison study from 1976 was also a 1-day cross-sectional survey. SETTING: A tertiary-care facility in Boston, Mass. @entity1 : The entire inpatient population was assessed on a single weekday in September 1992. MAIN OUTCOME MEASURES: Prevalence of acute and chronic @entity3147 as judged by anthropometric and laboratory data. Data on demographics, admission classification, underlying disease, route of nutrition, and global nutritional status were also assessed. RESULTS: The prevalence of acute @entity7493 (weight for height) based on the Waterlow criteria was as follows: severe, 1.3%; moderate, 5.8%; mild, 17.4%; and none, 75.5%. The prevalence of chronic @entity7493 (height for age) was as follows: severe, 5.1%; moderate, 7.7%; mild, 14.5%; and none, 72.8%. Although the prevalence of acute and chronic @entity7493 was significantly less in 1992 than in 1976 (P = .03 and P < .001, respectively), the numbers are still alarmingly high. @entity1 younger than 2 years and older than 18 years and those with chronic medical conditions had a higher prevalence of @entity7493 . Twenty-four percent of @entity1 had a serum @entity2313 level less than 30 g/L, 34.8% had a total lymphocyte count less than 1.5 x 10(9)/L, and 24.9% had a hemoglobin concentration less than 105 g/L. One fourth of all @entity1 were @entity28 (> 120% weight for height), with the greatest prevalence in @entity1 aged 2 to 18 years. CONCLUSIONS: Acute and chronic @entity7493 remains common in hospitalized pediatric @entity1 in the United States. Important risk factors may be underlying @entity102 , periods of normally rapid growth, and recognized need for nutrition intervention.
