RISK FACTOR OF MALNUTRITION IN ANORECTAL

MALFORMATIONS

Natasya Andamari, JC Susanto, Maria Mexitalia

Department of Pediatrics, Faculty of Medicine, Diponegoro University/Dr. Kariadi Hospital, Semarang

Methods
Background
• A retrospective study using medical records
• Anorectal malformations occur in
in Dr. Kariadi Hospital between January 2014
approximately 1 newborn per 5000 live
and December 2016
births
• Inclusion criteria were children diagnosed
• Recurrent hospitalizations and surgical
with anorectal malformations and had
procedures for major malformations may
undergone surgery.
result in episodes of acute malnutrition.
• Malnutrition criteria use WHO Anthro with
WHZ <-2SD.
Objective • The association between malnutrition and
To correlate age, gender, length of stay and age (0-1 year old & 1-3 years old), gender
fistula location as the risk factor of (male & female), length of stay (LOS) (≥7
malnutrition in anorectal malformations days & <7 days) and fistula location (retro-
undergone surgery. urinary & retro-genital) was analyzed using
Chi-Square.

Results
Table 1. Demographic of Risk Factors
WHZ
Variabel ≤-2 SD > -2 SD OR CI 95% p
n % n %
Age
0 – 1 year old 5 38.5 34 63 0.368 0.106 – 1.279 0.108
1 – 3 years old 8 61.5 20 37
Gender
Male 7 46.2 18 33.3 1.714 0.502 – 5.856 0.521
Female 7 53.8 36 66.7
Length of Stay
≤ 7 days 1 7.7 18 33.3 0.167 0.020 – 1.384 0.090
> 7 days 12 92.3 36 66.7
Fistula Location
Recto-urinary 2 15.4 6 11.1 1.455 0.258 – 8.198 0.647
Recto-genital 2 15.4 9 16.7 0.909 0.171 – 4.819 1.000

Conclusion Keywords
No correlation among age, gender, length of children, malnutrition, anorectal malformations,
stay, fistula location with malnutrition. surgery

Presented in: