Research Article StatisticalRiskCharacteristicsandRiskScoringof Hospital-AcquiredMalnutritionforPediatricPatients KhreshnaSyuhada , 1 DessieWanda , 2 RistiNur’aini, 1 ChairunArdiantari, 2 andAyuSusilo 1 1 Statistics Research Division, Institut Teknologi Bandung, Bandung, Indonesia 2 Faculty of Nursing, Universitas Indonesia, Depok, Indonesia CorrespondenceshouldbeaddressedtoDessieWanda;dessie@ui.ac.id Received 29 September 2019; Revised 27 April 2020; Accepted 12 May 2020; Published 9 June 2020 AcademicEditor:MohammedS.Razzaque Copyright©2020KhreshnaSyuhadaetal.isisanopenaccessarticledistributedundertheCreativeCommonsAttribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properlycited. Background.Malnutritionisaglobalhealthproblemandchallengeforeverycountry.Itmayoccurinanyformandaffectalllevels of age including children. We pay particular attention to the so-called hospital-acquired malnutrition (HaM) for pediatric patients.Ouraimwastoexplorestatisticalriskfactorsorcharacteristicsaswellastoforecastriskscoringforsuchmalnutrition. Methods.isstudyemployedacross-sectionaldesigninvolvingchildrenfrom1monthto18yearsofagewhowerehospitalized foratleast72hours.Weusedsecondarydatafrom308medicalrecordsofpediatricpatientswhowereadmittedtothehospitalin 2017.Weexcludedthedataifthepatienthadtumorsororganomegaly,fluidretention,anddehydration.HaMwasdetermined basedonaweightlosseachdayduringhospitalizationuntilthedayofdischarge.Statisticaldataanalysisiscarriedoutforboth descriptiveandinferentialstatistics.Ourpredictivemodelisyieldedbylinearregression,andriskscoringisobtainedthrough logistic regression. Results. e findings showed several risk factors or characteristics for HaM prevalence: sex, age, medical diagnosis, diet, nutrition route, and NEWS score. e early warning system to pediatric patients is conducted by calculating malnutrition-at-riskinwhichavaluebeyond100.5isconsideredashavinghighpotentialriskforHaM. Conclusion.Nursesare expectedtomonitorpediatricpatients’condition,includingmeasuringtheanthropometryregularly,inordertoidentifytheinitial signsofHaM. 1.Background Malnutritionisabroadtermtodescribeanyimbalancein nutrition,eitherovernutritionorundernutrition.ecaseof malnutritionmayoccurtopeopleintheresidential,see,for example, Pal [1]; Yang et al. [2]; Headey et al. [3]; and EkbrandandHaller¨ od[4],and/ortopatientsatthehospital, e.g.,deAquinoandPhilippi[5];Barkeretal.[6];Joostenand Hulst[7];Curtisetal.[8];GouveiaandSilva[9];Beseretal. [10];Maiaetal.[11];andSanzetal.[12].Itisaninteresting topicandstatisticallychallengingfromhealthpractitioners’, includingnurses,andstatisticians’viewpoints.Inthisstudy, wepayparticularattentiontotheso-calledhospital-acquired malnutrition (HaM) for pediatric patients in a top referral hospital in Indonesia. Malnutrition, including malnutrition in hospital set- tings,remainsaglobalissue.AstudyconductedbyPacheco- Acostaetal.[13]showedthat50%ofpatientsinahospital suffered from malnutrition. Malnutrition may occur when patientsarefirstadmittedandmayworsenduringtheirstay. According to one study conducted in Canada, 39.6% of patientsfrom1monthto19yearsofagewhowereadmitted toahospitalweremalnourished[14].Suchconditionscould cause a deterioration of nutritional status during hospitalization. Moeenietal.[15,16]haveconductedstudiesinIranand New Zealand and found that pediatric patients with good nutritional status tend to have malnutrition. In addition, pe- diatricpatientswithlow-moderatemalnutritionwillhavehigh riskofhavingseveremalnutritionduringhospitalization.is Hindawi Journal of Nutrition and Metabolism Volume 2020, Article ID 4305487, 8 pages https://doi.org/10.1155/2020/4305487