1. Malnutrition among Hospitalized Children in the
RESEARCH
Malnutrition among Hospitalized Children in the
United States: Changing Prevalence, Clinical
Correlates, and Practice Patterns between
2002 and 2011
Jennifer Carvalho-Salemi, MPH, RDN, LD, CNSC; Jason L. Salemi, PhD, MPH; Molly R. Wong-Vega, MS, RDN, LD; Kiara K. Spooner, DrPH, MPH; Marisa D. Juarez, MPH, RDN, LD; Stacey S. Beer, MPH, RDN, LD; Nicki L. Canada, MS, RDN, LD, CNSC
Carvalho-Salemi, et al.
J Acad Nutr Diet. 2018;118(1).

2. Increased from 1.9% in 2002 to 3.7% in 2011
RESEARCH
Patient and hospital characteristics of inpatient discharges with a coded diagnosis of pediatric malnutrition (CDM), in patients aged 1 month to 17 years, Nationwide Inpatient Sample,
Of the 2.1 million pediatric patients hospitalized annually, more than 54,600 had CDM, a national prevalence of 2.6% ( ).
Increased from 1.9% in 2002 to 3.7% in 2011
Average annual percent change: 8.0 ( )*
Highest rates of CDM
Children younger than age 1 year (4.1%)
Children receiving care in urban teaching hospitals (3.2%)
Lowest rates of CDM
Children receiving care in rural or urban nonteaching hospitals (1.4%)
Children aged 5 years and older (1.6%)
*Average annual percent change estimated using joinpoint regression modeling
Carvalho-Salemi, et al.
J Acad Nutr Diet. 2018;118(1).

3. RESEARCH
Principal diagnoses associated with the highest volume and highest rates of a coded diagnosis of pediatric malnutrition (CDM) among inpatient discharges in children aged 1 month to 17 years, Nationwide Inpatient Sample,
Carvalho-Salemi, et al.
J Acad Nutr Diet. 2018;118(1).

4. RESEARCH
Relative annual distribution of subtypes of coded diagnoses of pediatric malnutrition (CDM) in children aged 1 month to 17 years, Nationwide Inpatient Sample,
Carvalho-Salemi, et al.
J Acad Nutr Diet. 2018;118(1).

5. [Insert slide contents here]
RESEARCH
Rate of selected clinical outcomes, and hospital use among inpatient discharges with and without a coded diagnosis of pediatric malnutrition (CDM) among patients aged 1 month to 17 years, Nationwide Inpatient Sample,
Outcome
No CDM
Any CDM
Major/extreme loss of function (%)
13.0 ( )
49.1 ( )
In-hospital death (per 1,000)
4.1 ( )
9.2 ( )
Parenteral/enteral infusion (%)
2.8 ( )
15.7 ( )
Length of stay (days)
5.4 ( )
10.2 ( )
Costs (thousands of dollars)a
11.6 ( )
21.7 ( )
[Insert slide contents here]
a Charges and costs were adjusted for inflation and expressed in 2011 US dollars represent third-party institutional inpatient hospitalization charges/costs of medical care. Costs were estimated from charges using year- and hospital-specific cost-to-charge ratios.
Carvalho-Salemi, et al.
J Acad Nutr Diet. 2018;118(1).