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Introduction: Hospital malnutrition increases morbidity and mortality in critically illness paediatrics. They are doubled in malnutrition during hospitalized as hemodynamic and metabolic conditions. Malnutrition defencelessness is higher and will raise impaired growth and development, therefore it requires individualized nutrition therapy. The aim of study is to analyze nutrition therapy effectiveness in improving malnutrition and LOS during PICU hospitalized. Method: It was cross-sectional study collecting data from 2016 PICU admission. Inclusion criteria were all PICU admitted, age ≥1month, hospitalized ≥7days and received various nutrition therapies. Nutritional status was assessed by WHO-NCHS. Hospital malnutrition was analyzed by anthropometrics indexes decreasing of W/H or MUAC/A with ≥2% per week. Results: There were 109 subjects completed inclusion criteria (58.7% boys and 41.3% girls), majority was infants (47.7%), post-operative as basis of PICU admission (40.4%) and LOS was 19.3 days. Most of subjects received enteral (56.9%), following by parenteral (22.9%), oral (14.7%) and enteral parenteral combination (5.5%). The occurrence of hospital malnutrition was only 7.3% subjects while 11% subjects managed improving their nutritional status and 81.7% subjects were remained in the same status when discharged. Conclusion: Modified individualized nutritional therapy are proven effective to prevent and combat hospital malnutrition occurrence for PICU patients. The prevalence in Indonesia PICU tertiary hospital is relatively lower than others with longer LOS though.
Keywords: Nutritional therapy, hospital malnutrition, PICU