scholarly journals New screening tool for neonatal nutritional risk in China: a validation study

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e042467
Author(s):  
Mei Zhou ◽  
Yuwei Li ◽  
Huaying Yin ◽  
Xianhong Zhang ◽  
Yan Hu
Keyword(s):  
Validation Study ◽  
Head Circumference ◽  
Predictive Value ◽  
Screening Tool ◽  
Nutritional Risk ◽  
Risk Level ◽  
Spearman Correlation ◽  
Nutrition Risk ◽  
Sensitivity Specificity ◽  
Nutritional Risk Screening

ObjectiveA neonatal nutritional risk screening tool (NNRST) was developed by using Delphi and analytic hierarchy processes in China. We verified the accuracy of this tool and analysed whether it effectively screened neonates with nutritional risk.DesignProspective validation study.Setting and participantsIn total, 338 neonates who were admitted to the neonatal unit of Children’s Hospital of Chongqing Medical University from May–July 2016 completed the study. Nutritional risk screening and length and head circumference measurements were performed weekly. Weight was measured every morning, and other relevant clinical data were recorded during hospitalisation.Main outcome measuresWe evaluated the sensitivity, specificity, validity, reliability, and positive and negative predictive value of the screening tool. Various characteristics of neonates in different risk groups were analysed to determine the rationality of the nutritional risk classification.ResultsThe sensitivity, specificity, and positive and negative predictive values were 85.11%, 91.07%, 60.61% and 97.43%, respectively. The criterion validity was texted by the Spearman correlation analysis (r=0.530) and independent samples non-parametric tests (p=0.000). The content validity (Spearman correlation coefficient) was 0.321–0.735. The inter-rater reliability (kappa value) was 0.890. Among the neonatal clinical indicators, gestational age, birth weight, length, admission head circumference, admission albumin, admission total proteins, discharge weight, discharge length and head circumference decreased with increasing nutrition risk level; the length of stay and the rate of parenteral nutrition support increased with increasing nutrition risk level. In the comparison of complications during hospitalisation, the incidence of necrotising enterocolitis and congenital gastrointestinal malformation increased with increasing nutrition risk level.ConclusionThe validation results for the NNRST are reliable. The tool can be used to preliminarily determine the degree of neonatal nutritional risk, but its predictive value needs to be determined in future large-sample studies.Trial registration numberChiCTR2000033743.

scholarly journals Triagem nutricional em adultos hospitalizados

2008 ◽  
Vol 21 (5) ◽  
pp. 589-601 ◽  
Author(s):  
Mariur Gomes Beghetto ◽  
Bibiana Manna ◽  
Andréia Candal ◽  
Elza Daniel de Mello ◽  
Carisi Anne Polanczyk
Keyword(s):  
Screening Tool ◽  
Nutritional Assessment ◽  
Risk Index ◽  
Mini Nutritional Assessment ◽  
Nutritional Risk ◽  
Nutritional Screening ◽  
Nutrition Risk ◽  
Nutritional Risk Index ◽  
Assessment Questionnaire ◽  
Nutritional Risk Screening

Em hospitais, o objetivo de um procedimento de triagem nutricional é identificar indivíduos desnutridos ou em risco de desnutrição, possibilitando intervenção nutricional precoce e melhor alocação de recursos. Diferentes métodos são apresentados na literatura para esta finalidade: Malnutrition Screening Tool, Short Nutritional Assessment Questionnaire, Nutritional Risk Index, Nutrition Risk Score, Nutritional Risk Screening, Mini Nutritional Assessment, Malnutrition Universal Screening Tool, Nutritional Screening Tool, Nutritional Screening Equation. No entanto, o emprego de muitos destes instrumentos está limitado pela inadequada metodologia empregada na derivação e/ou validação, pela seleção de grupos específicos de pacientes, pela pouca praticidade ou por necessidade de um especialista para seu emprego. Na ausência de um padrão de referência para emitir o diagnóstico nutricional, desfechos clínicos relevantes devem balizar a derivação e a validação de novos instrumentos. Este trabalho descreve os instrumentos de triagem nutricional acima referidos e apresenta considerações quanto ao seu emprego para adultos hospitalizados não selecionados.

scholarly journals Development and Validation of Self-screening Tool for Nutrition Risk in Patients With Gastric Cancer After Gastrectomy: A STUDY PROTOCOL

2021 ◽  
Author(s):  
Zhiming Chen ◽  
Haichi Yu ◽  
Hua Yuan ◽  
Jia Wang ◽  
Qiuchen Wang ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Screening Tool ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Health Measurement ◽  
Risk Screening ◽  
Nutrition Risk ◽  
Verification Methods ◽  
Nutritional Risk Screening ◽  
At Home

Abstract Background: The incidence of malnutrition in patients with gastric cancer after surgery is 59%. The main reason for the high incidence of malnutrition is untimely nutrition screening and low compliance with nutrition treatment. In order to enable home patients to know their nutritional status in time, we have developed and validated nutritional risk screening tools for patients with gastric cancer to help patients’ at home find nutritional risks in time and seek medical help. This article introduces the development and verification methods and statistical methods of the tool.Methods: The development of self-nutrition risk screening tool for patients with gastric cancer after gastrectomy (SNRSGC) is divided into four parts：Steps1Identification of a potential referred nutritional risk screening; Steps2Item generation and scoring are selected through literature review methods to screen sensitive indicators that can reflect the nutritional characteristics of patients after gastric cancer surgery, establish the frame and update according to the latest guidelines ；Steps3Item reduction is determined by the rating of SNRSGC items by an expert panel and piloting method to determine the final item; Steps4 In the validation stage, we conducted research design based on the Consensus-based Standards for the selection of health Measurement Instruments checklist to evaluate the content validity, structure validity, interpretability, and retest validity of SNRSGC.Discussion: SNRSGC is the first screening tool specifically to predict nutrition risk for stay-at-home postoperative patients with gastric cancer.SNRSGC may provide action guidelines and knowledge guidance for patients with gastric cancer at home.Trial registration: Identifier on Chinese Clinical Trials Registry : ChiCTR2100041809 , registered January 06, 2021.

StrongKids for pediatric nutritional risk screening in Brazil: a validation study

2020 ◽  
Vol 74 (9) ◽  
pp. 1299-1305 ◽  
Author(s):  
Carolina Araújo dos Santos ◽  
Carla de Oliveira Barbosa Rosa ◽  
Sylvia do Carmo Castro Franceschini ◽  
Joice da Silva Castro ◽  
Izabella Bianca Magalhães Costa ◽  
...  
Keyword(s):  
Validation Study ◽  
Nutritional Risk ◽  
Risk Screening ◽  
Nutritional Risk Screening

scholarly journals Tele-Oncology: A Validation Study of Choroidal and Iris Nevi

2018 ◽  
Vol 5 (4) ◽  
pp. 298-302 ◽  
Author(s):  
Kelsey Roelofs ◽  
Ezekiel Weis
Keyword(s):  
Positive Predictive Value ◽  
Standardized Tests ◽  
Clinical Examination ◽  
Validation Study ◽  
Predictive Value ◽  
Primary Study ◽  
Standard Testing ◽  
Common Diagnosis ◽  
Sensitivity Specificity ◽  
Growth Methods

Background/Aims: To evaluate teleophthalmological assessment of choroidal and iris nevi (tele-oncology) compared to traditional in-person clinical evaluation for detection of either axial or basal growth. Methods: This is a validation study. All 97 eyes of 99 patients were evaluated with an in-person ocular oncology visit utilizing standard testing, and subsequently had a tele-oncology evaluation with the standardized tests. The tele-oncology reviewer was blinded to the in-person examination findings. The primary study outcome was detection of nevus growth on tele-oncology compared to in-person clinical examination. Results: Patients had a mean age of 61 years and the majority had nevi located in the choroid (n = 87; 88%). The most common diagnosis was a low-risk nevus (n = 38; 44%). By tele-oncology assessment, 11 eyes showed growth. Ten of these patients had growth confirmed on in-person clinical examination. Resultantly, tele-oncology assessment of choroidal and iris nevi growth had a sensitivity of 100%, specificity of 99%, positive predictive value (PPV) of 91%, and negative predictive value (NPV) of 100%. Conclusions: The results of this study suggest that tele-oncology is a safe platform for monitoring choroidal and iris nevi for growth, with excellent sensitivity, specificity, PPV, and NPV.

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