Lora Sri Nofi
Cipto Mangunkusumo Hospital, Indonesia
Title: SGNA re-scoring method implementation determining malnutrition prevalence of pediatric cancer in Indonesia’s tertiary level hospital
Biography
Biography: Lora Sri Nofi
Abstract
The re-scoring method of Subjective Global Nutrition Assessment (SGNA) has 5 categories in defining malnutrition. Recently, it has been validated with Registered Dietitians’ assessment as standard and effectively has shown comparable agreements. The re-scoring method was applied noticing malnutrition and its prevalence in various conditions. The objective of study was determining malnutrition prevalence in pediatric cancer inpatient using SGNA re-scoring method. A cross-sectional study was conducted in a tertiary level non-infection pediatric ward hospital during January to May 2018. Cancer patient in critical illness were excluded. There were 307 subjects pleased inclusion criteria with majority was children-age group (60%) followed by adolescent (34.5%) and infant (5.5%). Composition between genders was relatively comparable (boys 55%, girls 45%). Based on cancer type, most of subjects had solid tumor (59.3%) tailed by leukemia (35.2%) and lymphoma (5.5%). SGNA identified 40.2% subjects were malnutrition (moderate 33.2%, severe 7%), while SGNA re-scoring method classified 36.2% subjects were normal, 37.1% mild, 20.8% mild-moderate, 5.6% moderate and 0.3% severe malnutrition. Malnutrition prevalence in pediatric cancer is relatively high on admission. Classification using the re-scoring method of SGNA is more featured to differentiate between mild and moderate malnutrition compared with SGNA. This will assist Registered Dietitians to prioritize patient and their progressive nutrition therapy which will be delivered in preventing worse conditions in time as early as possible.