Assessment of Two Nutritional Screening Tools in Hospitalized Children.
Malnutrition
STAMP
STRONGkids
child
hospitalization
nutrition assessment
risk assessment
Journal
Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595
Informations de publication
Date de publication:
26 Apr 2020
26 Apr 2020
Historique:
received:
17
03
2020
revised:
23
04
2020
accepted:
24
04
2020
entrez:
3
5
2020
pubmed:
3
5
2020
medline:
16
2
2021
Statut:
epublish
Résumé
to evaluate validity and concordance of Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) and Screening Tool for Risk On Nutritional status and Growth (STRONGkids) screening tools for assessment of nutritional risk in pediatric inpatients. Prospective longitudinal observational multicenter study in children aged 1 month or older admitted as inpatients. Weight, height, cause of admission, demographic data, length of stay, and nutritional interventions were recorded. STAMP and STRONGkids were applied within the first 72 h of admission. Anthropometric measurements were recorded again 12-18 months after admission. Eighty-one patients with median age of 4.1 years completed the study. Agreement between tools was moderate (κ = 0.47). STAMP had a greater tendency to classify patients as high risk (12.3% vs. 2.5%). Both tools showed very weak correlation with height for age. All undernourished patients at the beginning and the end of the study were classified as medium or high risk by STAMP and STRONGkids (100% sensitivity), although specificity was below 50% in all cases. There were no differences in length of stay based on nutritional risk with any of the tools. STAMP and STRONGkids demonstrated moderate agreement, with high sensitivity but low specificity for the diagnosis of undernutrition. Further studies are required to analyze cost-effectiveness of these tools and nutritional interventions derived from them.
Identifiants
pubmed: 32357543
pii: nu12051221
doi: 10.3390/nu12051221
pmc: PMC7281986
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Déclaration de conflit d'intérêts
The authors declare no conflict of interest
Références
An Pediatr (Barc). 2017 May;86(5):270-276
pubmed: 26880417
J Pediatr (Rio J). 2016 Jul-Aug;92(4):343-52
pubmed: 26859247
Nutr Hosp. 2012 Sep-Oct;27(5):1429-36
pubmed: 23478688
Clin Nutr. 2015 Feb;34(1):53-9
pubmed: 24461472
Nutr Hosp. 2018 Oct 08;35(5):1221-1228
pubmed: 30307308
Nutrients. 2019 Jan 22;11(2):
pubmed: 30678232
Am J Clin Nutr. 2000 Jul;72(1):64-70
pubmed: 10871562
Clin Nutr. 2013 Oct;32(5):737-45
pubmed: 23260602
Nutrition. 2015 Nov-Dec;31(11-12):1385-93
pubmed: 26429660
Pediatr Gastroenterol Hepatol Nutr. 2018 Apr;21(2):79-85
pubmed: 29713604
Br J Nutr. 2010 Sep;104(5):751-6
pubmed: 20398432
J Pediatr Gastroenterol Nutr. 2015 Aug;61(2):159-66
pubmed: 25885879
Clin Nutr. 1995 Oct;14(5):269-73
pubmed: 16843942
BMJ Open. 2019 May 27;9(5):e025444
pubmed: 31138579
JPEN J Parenter Enteral Nutr. 2015 May;39(4):418-25
pubmed: 24718785
Clin Nutr. 2010 Feb;29(1):106-11
pubmed: 19682776
J Pediatr Gastroenterol Nutr. 2017 Mar;64(3):e65-e70
pubmed: 27262137
J Pediatr Gastroenterol Nutr. 2005 Jul;41(1):8-11
pubmed: 15990621
Nutr Hosp. 2013 May-Jun;28(3):709-18
pubmed: 23848094
Nutr Clin Pract. 2008 Aug-Sep;23(4):366-72
pubmed: 18682587
Clin Nutr. 2014 Feb;33(1):1-5
pubmed: 24050847
Nutr Hosp. 2009 Sep-Oct;24(5):622-3
pubmed: 19893875
Acta Paediatr. 2013 Sep;102(9):e419-23
pubmed: 23692547
J Hum Nutr Diet. 2012 Aug;25(4):311-8
pubmed: 22568534
Am J Clin Nutr. 2007 Apr;85(4):1083-9
pubmed: 17413109
Am J Clin Nutr. 2016 May;103(5):1301-10
pubmed: 27099244
J Health Popul Nutr. 2019 Mar 25;38(1):8
pubmed: 30909976