Nutritional Risk Screening-a Cross-sectional Study in a Tertiary Pediatric Hospital

Overview

Journal J Health Popul Nutr

Publisher Biomed Central

Specialties Nutritional Sciences
Public Health

Date 2019 Mar 27

PMID 30909976

Citations 5

Authors

J Tuokkola

J Hilpi

K-L Kolho

H Orell

L Merras-Salmio

Affiliations

Soon will be listed here.

Abstract

Background: All hospitalized patients should be screened for malnutrition risk. No universal method exists for pediatric patients.

Methods: We performed a cross-sectional study comparing three published malnutrition risk screening tools (PYMS, STAMP, and STRONG), applying them to each inpatient aged 1 month to 17 years over a period of five consecutive weekdays in Helsinki University Hospital, Finland.

Results: Of the eligible patients, 67% (n = 69) participated. We found that 6.2% of the children were acutely malnourished and accurately categorized by the three tools. STRONG showed the highest specificity (100%) and positive predictive value (36%). Acute malnutrition seemed to be associated with longer hospital stay (p = 0.051).

Conclusion: STRONG was the most accurate screening tool for detecting acute malnutrition and was therefore chosen as the screening method in our hospital. Routine screening for the risk of malnutrition in pediatric inpatients is important in detecting at-risk children who would otherwise be left without dietary intervention.

Citing Articles

The Validity of the Original and the Saudi-Modified Screening Tools for the Assessment of Malnutrition in Pediatrics: A Cross-Sectional Study.

Alqahtani S, Aldubayan K, Alshehri S, Almuhareb G, Mahnashi A Diagnostics (Basel). 2024; 14(20).

PMID: 39451579 PMC: 11505708. DOI: 10.3390/diagnostics14202256.

Value of Nutritional Screening Tools Versus Anthropometric Measurements in Evaluating Nutritional Status of Children in a Low/Middle-Income Country.

Sayed S, El-Shabrawi M, Abdelmonaem E, Koofy N, Tarek S Pediatr Gastroenterol Hepatol Nutr. 2023; 26(4):213-223.

PMID: 37485030 PMC: 10356972. DOI: 10.5223/pghn.2023.26.4.213.

Importance of underweight in childhood bacterial meningitis in Finland, Latin America and Angola.

Roine I, Kallio M, Peltola H, Pelkonen T Sci Rep. 2022; 12(1):10929.

PMID: 35768574 PMC: 9243085. DOI: 10.1038/s41598-022-15131-8.

The role of Chinese clinical pharmacists in parenteral nutrition for children using the Screening Tool Risk on Nutrititional Status and Growth (STRONGkids).

Zhu M, Chen F, Xu J, Yuan L, Zhang Y, Ji X Int J Clin Pharm. 2020; 43(3):518-523.

PMID: 32996075 DOI: 10.1007/s11096-020-01156-4.

Assessment of Two Nutritional Screening Tools in Hospitalized Children.

Perez-Solis D, Larrea-Tamayo E, Menendez-Arias C, Molinos-Norniella C, Bueno-Pardo S, Jimenez-Trevino S Nutrients. 2020; 12(5).

PMID: 32357543 PMC: 7281986. DOI: 10.3390/nu12051221.

References

Huysentruyt K, Alliet P, Muyshont L, Rossignol R, Devreker T, Bontems P . The STRONG(kids) nutritional screening tool in hospitalized children: a validation study. Nutrition. 2013; 29(11-12):1356-61. DOI: 10.1016/j.nut.2013.05.008. View

Huysentruyt K, Goyens P, Alliet P, Bontems P, Van Hautem H, Philippet P . More training and awareness are needed to improve the recognition of undernutrition in hospitalised children. Acta Paediatr. 2015; 104(8):801-7. DOI: 10.1111/apa.13014. View

Hecht C, Weber M, Grote V, Daskalou E, DellEra L, Flynn D . Disease associated malnutrition correlates with length of hospital stay in children. Clin Nutr. 2014; 34(1):53-9. DOI: 10.1016/j.clnu.2014.01.003. View

Agostoni C, Axelson I, Colomb V, Goulet O, Koletzko B, Michaelsen K . The need for nutrition support teams in pediatric units: a commentary by the ESPGHAN committee on nutrition. J Pediatr Gastroenterol Nutr. 2005; 41(1):8-11. DOI: 10.1097/01.mpg.0000163735.92142.87. View

Gerasimidis K, Macleod I, Finlayson L, McGuckin C, Wright C, Flynn D . Introduction of Paediatric Yorkhill Malnutrition Score--challenges and impact on nursing practice. J Clin Nurs. 2012; 21(23-24):3583-6. DOI: 10.1111/j.1365-2702.2012.04164.x. View

Sorva R, Tolppanen E, Perheentupa J . Variation of growth in length and weight of children. I. Years 1 and 2. Acta Paediatr Scand. 1990; 79(5):490-7. DOI: 10.1111/j.1651-2227.1990.tb11502.x. View

Cao J, Peng L, Li R, Chen Y, Li X, Mo B . Nutritional risk screening and its clinical significance in hospitalized children. Clin Nutr. 2013; 33(3):432-6. DOI: 10.1016/j.clnu.2013.06.009. View

Moeeni V, Walls T, Day A . Nutritional status and nutrition risk screening in hospitalized children in New Zealand. Acta Paediatr. 2013; 102(9):e419-23. DOI: 10.1111/apa.12299. View

Wonoputri N, Djais J, Rosalina I . Validity of nutritional screening tools for hospitalized children. J Nutr Metab. 2014; 2014:143649. PMC: 4178907. DOI: 10.1155/2014/143649. View

10.

Becker P, Carney L, Corkins M, Monczka J, Smith E, Smith S . Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: indicators recommended for the identification and documentation of pediatric malnutrition (undernutrition). Nutr Clin Pract. 2014; 30(1):147-61. DOI: 10.1177/0884533614557642. View

11.

Moeeni V, Walls T, Day A . The STRONGkids nutritional risk screening tool can be used by paediatric nurses to identify hospitalised children at risk. Acta Paediatr. 2014; 103(12):e528-31. DOI: 10.1111/apa.12768. View

12.

Saari A, Sankilampi U, Hannila M, Kiviniemi V, Kesseli K, Dunkel L . New Finnish growth references for children and adolescents aged 0 to 20 years: Length/height-for-age, weight-for-length/height, and body mass index-for-age. Ann Med. 2010; 43(3):235-48. DOI: 10.3109/07853890.2010.515603. View

13.

Gerasimidis K, Keane O, Macleod I, Flynn D, Wright C . A four-stage evaluation of the Paediatric Yorkhill Malnutrition Score in a tertiary paediatric hospital and a district general hospital. Br J Nutr. 2010; 104(5):751-6. DOI: 10.1017/S0007114510001121. View

14.

Huysentruyt K, Devreker T, Dejonckheere J, De Schepper J, Vandenplas Y, Cools F . Accuracy of Nutritional Screening Tools in Assessing the Risk of Undernutrition in Hospitalized Children. J Pediatr Gastroenterol Nutr. 2015; 61(2):159-66. DOI: 10.1097/MPG.0000000000000810. View

15.

Galera-Martinez R, Morais-Lopez A, Rivero de la Rosa M, Escartin-Madurga L, Lopez-Ruzafa E, Ros-Arnal I . Reproducibility and Inter-rater Reliability of 2 Paediatric Nutritional Screening Tools. J Pediatr Gastroenterol Nutr. 2016; 64(3):e65-e70. DOI: 10.1097/MPG.0000000000001287. View

16.

Sorva R, LANKINEN S, Tolppanen E, Perheentupa J . Variation of growth in height and weight of children. II. After infancy. Acta Paediatr Scand. 1990; 79(5):498-506. DOI: 10.1111/j.1651-2227.1990.tb11503.x. View

17.

McCarthy H, Dixon M, Crabtree I, Eaton-Evans M, McNulty H . The development and evaluation of the Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP©) for use by healthcare staff. J Hum Nutr Diet. 2012; 25(4):311-8. DOI: 10.1111/j.1365-277X.2012.01234.x. View

18.

Moeeni V, Walls T, Day A . Assessment of nutritional status and nutritional risk in hospitalized Iranian children. Acta Paediatr. 2012; 101(10):e446-51. DOI: 10.1111/j.1651-2227.2012.02789.x. View

19.

Chourdakis M, Hecht C, Gerasimidis K, Joosten K, Karagiozoglou-Lampoudi T, Koetse H . Malnutrition risk in hospitalized children: use of 3 screening tools in a large European population. Am J Clin Nutr. 2016; 103(5):1301-10. DOI: 10.3945/ajcn.115.110700. View

20.

Grek J, Puntis J . Nutritional assessment of acute medical admissions is still done badly despite 'nutrition screening'. Arch Dis Child. 2013; 98(11):922-3. DOI: 10.1136/archdischild-2013-304883. View