A Review of Nutritional Screening Tools for Hospitalized Children

2020 ◽  
Vol 16 (7) ◽  
pp. 1005-1014
Author(s):  
Meryem E. Öztürk ◽  
Nurcan Y. Ayhan
Keyword(s):  
Intensive Care Unit ◽  
Screening Tool ◽  
Hospital Costs ◽  
Age Groups ◽  
Screening Tools ◽  
Growth Charts ◽  
Hospitalized Children ◽  
Nutritional Screening ◽  
Severe Morbidity ◽  
Duration Of Hospitalization

Malnutrition is highly prevalent in hospitalized children and it is associated with severe morbidity and mortality outcomes. In addition malnutrition increases duration of hospitalization and hospital costs. Because of these reasons, so as to prevent the malnutrition several nutritional screening tools have been developed for hospitalized children in the last years. There are nine screening tools available in the literature. The screening tools should be valid and reliable. Beside this it is important that screening tools should be simple and take less time. Currently, there is no standardized nutritional screening tool for pediatric inpatients like adult inpatients. Tools should be revised and reevaluated with using anthropometric measurements, according to WHO growth charts. Besides, the accuracy of screening tools may improve if screening tools are standardized for certain diseases (cancer, kidney failure etc.), certain states (intensive care unit patients) or age groups.

scholarly journals Validity of Nutritional Screening Tools for Hospitalized Children

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Nathania Wonoputri ◽  
Julistio T. B. Djais ◽  
Ina Rosalina
Keyword(s):  
Screening Tool ◽  
Assessment Tool ◽  
Screening Tools ◽  
Severe Malnutrition ◽  
Diagnostic Study ◽  
Hospitalized Children ◽  
Nutritional Screening ◽  
Strong Kids ◽  
Sensitivity Specificity ◽  
Simple Screening

Background. Malnutrition in hospitalized children can be prevented if children with risk of malnutrition are identified. Every hospital is recommended to have a standard nutritional screening tool. Numerous simple screening tools have been developed, namely Paediatric Yorkhill Malnutrition Score (PYMS), Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP), and Screening Tool for Risk on Nutritional Status and Growth (STRONG-kids). None has been accepted as a universal tool. Our study aims to determine the best screening tools compared to Subjective Global Nutrition Assessment (SGNA), an assessment tool which is more complex as our gold standard.Methods. This diagnostic study involved 116 patients aged 1–15 years. Three screening tools and SGNA were examined to each subject. Statistical analysis was used to determine sensitivity, specificity, and likelihood ratio (LR) by results from screening tools divided into low and moderate-high risk of malnutrition compared to results from SGNA divided into no and moderate-severe malnutrition.Results. PYMS showed superior agreement to SGNA resulting in sensitivity 95.32%, specificity 76.92%, positive LR 4.13, and negative LR 0.061. STAMP resulted in sensitivity, specificity, positive LR, and negative LR, respectively, as 100%, 11.54%, 1.13, and 0 and STRONG-kids resulted in 100%, 7.7%, 1.083, and 0.Conclusion. PYMS was the most reliable screening tool.

scholarly journals Perioperative Nutritional Screening Tools Are Not Associated with Poor Outcomes After Musculoskeletal Trauma

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1136-1136
Author(s):  
Aspen Miller ◽  
John Davison ◽  
Nathan Hendrickson ◽  
Erin Wilson ◽  
Natalie Glass ◽  
...  
Keyword(s):  
Screening Tool ◽  
Screening Method ◽  
Screening Tools ◽  
Nutritional Deficiencies ◽  
Screening Methods ◽  
Complication Rates ◽  
Nutritional Screening ◽  
Patient Reported ◽  
Poor Outcomes ◽  
Musculoskeletal Trauma

Abstract Objectives Malnutrition is predictive of poor outcomes after trauma. Side effects of both pain and narcotics often limit postoperative dietary intake increasing nutritional deficiencies and limiting wound healing. The purpose of this study was to compare the predictive ability of a dietician nutritional evaluation and a patient reported nutritional screening tool for post-operative complications after musculoskeletal trauma. Methods Adults with operative pelvis or long bone fractures were prospectively enrolled in a single-blinded RCT and included in this analysis. Subjects were evaluated with the Patient Generated Subjective Global Assessment (PG-SGA) survey at baseline. Dietician Nutritional Assessment Screening (NAS) was performed for patients ≥65 years with low Albumin or Vitamin D, or admitted to the ICU. Complication analysis included subjects having minimum 6-month follow-up and/or ≥1 complication within six months. Spearman's Correlation was used to evaluate agreement between screening methods. Comparison using X analysis was done of complications between pre-operative assignment of malnutrition for each screening tool. Results Agreement of NAS and self-reported PG-SGA for 265 subjects demonstrated a weak correlation of rho = 0.23, P = 0.0002. Neither screening method had significant correlation for rates of non-union, mortality, medical, or surgical complications between designations of malnutrition (all P > .05). Among study subjects, incidence of those having a medical or surgical complication not screened by a dietician was 31.3% and 37.7% respectively. Conclusions Results indicate inconsistency in methods for assigning malnutrition in trauma population. Additionally, designation of malnutrition by either method was not associated with post-operative complication rates. The high incidence of those with a complication who were not evaluated by a dietician during initial hospitalization (1/3rd) support the need to develop better methods for screening malnutrition after trauma. Funding Sources American Academy of Orthopaedic Surgeons, Board of Specialty Societies Quality and Patient Safety Action Fund.

scholarly journals Portuguese Early Literacy Screening Tool- RaLEPE: Pilot Study

2021 ◽  
Vol 11 (2) ◽  
pp. e71711
Author(s):  
Sara Pereira Sapage ◽  
Anabela Cruz-Santos
Keyword(s):  
Early Intervention ◽  
Pilot Study ◽  
Early Literacy ◽  
Screening Tool ◽  
Age Groups ◽  
Internal Validity ◽  
Academic Failure ◽  
Learning Disorders ◽  
Screening Tools ◽  
Analysis Of Results

Early literacy development is an indicator of a child’s overall cognitive-linguistic development and affects their academic, social, emotional and behavioural skills. Research suggests that early detection in preschool years can have an important role in the prevention of academic failure. There is a lack of early literacy screening tools for Portuguese preschool children. This study aims to present preliminary data results of the development and validation of the Preschool Early Literacy Screening Tool (Rastreio de Literacia Emergente Pré-escolar- RaLEPE). A pilot study was carried out with a sample of 128 screenings, answered by the parents/caregivers of the Portuguese children in the target age groups. The analysis of results shown the reliability of the tool, with a very good internal consistency for RaLEPE total scale and the different sections. Therefore, preliminary results of this study indicate internal validity of the RaLEPE and confirm this as screening tool usefulness for early intervention childhood, to provide early diagnosis and contribute to early intervention for children with language and learning disorders.

Accuracy of Nutritional Screening Tools in Assessing the Risk of Undernutrition in Hospitalized Children

2015 ◽  
Vol 61 (2) ◽  
pp. 159-166 ◽  
Author(s):  
Koen Huysentruyt ◽  
Thierry Devreker ◽  
Joachim Dejonckheere ◽  
Jean De Schepper ◽  
Yvan Vandenplas ◽  
...  
Keyword(s):  
Screening Tools ◽  
Hospitalized Children ◽  
Nutritional Screening

scholarly journals Screening for nutritional risk in hospitalized children: comparison of two instruments

2017 ◽  
Vol 57 (3) ◽  
pp. 117
Author(s):  
Dwi Novianti ◽  
Tiangsa Sembiring ◽  
Sri Sofyani ◽  
Tri Faranita ◽  
Winra Pratita
Keyword(s):  
Length Of Stay ◽  
Screening Tool ◽  
Negative Impact ◽  
Anthropometric Measurements ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Anthropometric Measurement ◽  
Hospitalized Children ◽  
Hospital Malnutrition ◽  
Level Of Agreement

Background Malnutrition in hospitalized children has negative impact on morbidity, mortality, length of stay, and health-care cost. A simple screening tool is needed to detect hospital malnutrition risk in children.Objective To compare the level of agreement of the Screening Tool for Malnutrition in Pediatrics (STAMP) and Pediatric Nutritional Risk Score (PNRS) with anthropometric measurements, as screening tools for hospital malnutrition in children.Methods A cross-sectional study was conducted from February to July 2014 in the Pediatric and Surgery Wards at H. Adam Malik Hospital, Medan, North Sumatera. Inclusion criteria were children aged 2 to 18 years who were hospitalized for more than 72 hours. Subjects were screened using STAMP and PNRS, and underwent anthropometric measurement on admission. The weight measurements were repeated on the 3rd and 7th days, and just before discharge. The STAMP and PNRS results were compared in terms of level of agreement with anthropometric measurements. Data were analyzed by Kappa value and Spearman’s correlation test.Results A total of 127 children were screened with both instruments. The PNRS had slight agreement with hospital malnutrition prevalence (κ=0.175; P=0.028), while STAMP had not  (κ=0.080; P=0.193). Both screening tools had weak positive correlations with length of stay, but the correlation was stronger for PNRS than for STAMP (r=0.218; P=0.014 vs. r=0.188; P=0.034, respectively). The prevalence of hospital malnutrition was 40.9%. Conclusions The PNRS screening tool has slight agreement with anthropometric measurement for identifying hospital malnutrition risk in children.

scholarly journals Development of a simple and valid nutrition screening tool for pediatric hospitalized patients with acute illness

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 173
Author(s):  
Hoda Atef ◽  
Rasha Abdel-Raouf ◽  
Ahmed S. Zeid ◽  
Eman H. Elsebaie ◽  
Shaimaa Abdalaleem ◽  
...  
Keyword(s):  
At Risk ◽  
Computer Games ◽  
Screening Tool ◽  
Nutritional Assessment ◽  
Acute Illness ◽  
Screening Tools ◽  
Nutritional Risk ◽  
Appetite Loss ◽  
Nutritional Screening ◽  
Watching Tv

Background: Nutritional screening, intervention and assessment in patients with undernutrition are key components of any nutritional care. The goal of any nutritional assessment is to determine the specific nutritional risk(s). Presently, there are no guidelines on any ideal screening tool to be used on admission for identification of children that are at risk of developing malnutrition during their hospital stay. The objective of the study was to develop a valid and simple nutritional screening tool which can be used on hospital admission to identify pediatric patients at risk of malnutrition. Methods: This study was cross sectional analytical that enrolled children (n:161) admitted with acute illness to the general wards at Cairo University Children Hospitals (CUCH). The answers to the developed questionnaire were compared to the Subjective Global Assessment (SGA), those with high accuracy (≥80%) were used for validity with anthropometric measures. Results: In the ‘less than two years of age’ group, the simple and valid nutritional screening tools were the following questions: (Is there a problem during breast-feeding?), (Is there scanty breast milk?), (Is there appetite loss?). The simple and valid nutritional screening tools during the ‘early childhood’ group were the following questions: (Is there appetite loss?), (Is there any skipping of meals?), (Are they watching TV, videotapes and/or playing computer games for more than two hours/day?). The simple and valid  nutritional screening tools during the ‘late childhood’ group were the following questions: (Is there appetite loss?), (Are they watching TV, videotapes and/or playing computer games for more than two hours/day?). Conclusion: The simple and valid nutritional screening tools differ according to age groups. The one which is valid in all ages is the question about the appetite loss.

scholarly journals Naphthalene Poisoning During a Decade: A Retrospective Clinical Study

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Hoda Memar ◽  
Peyman Erfan Talab Evini ◽  
Golnar Seirafi ◽  
Mitra Rahimi
Keyword(s):  
Intensive Care Unit ◽  
Medical Records ◽  
Clinical Characteristics ◽  
Average Length ◽  
Age Groups ◽  
Length Of Hospital Stay ◽  
Severe Morbidity ◽  
Gastrointestinal Problems ◽  
Retrospective Clinical Study

: In this study, we investigated the naphthalene poisoning cases using the archived medical records of patients who were referred to Loghman-Hakim Hospital in Tehran, Iran, from 2008 to 2018. In the 52 studied cases, the highest prevalence was observed in the age groups of below five years and 20 - 25 years. Eighteen (34%) patients had no symptoms, and in others, gastrointestinal problems were the most common complaints. None of the patients needed intubation, and no one was admitted to the intensive care unit. Hemolysis was observed only in one patient with a background of G6PD deficiency. The average length of hospital stay was one day, and all patients improved without any complications. In general, naphthalene poisoning is not highly prevalent in Iran and usually does not cause severe morbidity and mortality. However, it is an available substance and can cause serious complications, especially in children. Therefore, it is necessary to investigate the clinical characteristics of these patients to improve the quality of health care.

scholarly journals Sensitivity and specificity test of alarm malnutrition for hospital-acquired malnutrition among pediatric patients

2021 ◽  
Vol 43 (s1) ◽  
Author(s):  
Yuni Maria Olviani Ndede ◽  
Dessie Wanda ◽  
Efa Apriyanti
Keyword(s):  
Sensitivity And Specificity ◽  
Screening Tool ◽  
Statistical Tests ◽  
Screening Tools ◽  
Nutritional Screening ◽  
Cross Sectional ◽  
Specificity Test ◽  
Cross Sectional Design ◽  
Hospital Acquired ◽  
Better Than

Detecting the risks for hospital-acquired malnutrition in children can be performed by using nutritional screening tools. One of the screening tools that has been created is Alarm Malnutrition. This study aimed to test the sensitivity and specificity of Alarm Malnutrition in detecting the risks for hospitalacquired malnutrition in comparison to Screening Tool for the Risk on Nutritional status and Growth (STRONGkids). This study employed cross sectional design and involved 168 hospitalized children (1 month to 18 years) at pediatric ward. The data were analyzed using diagnostic approach which resulted in sensitivity and specificity values. The statistical tests showed that the sensitivity and specificity values of Alarm Malnutrition and STRONGKids were 32,2% and 81,6% respectively. These results indicated that this screening tool was not better than STRONGkids which has been previously used in Indonesia. Alarm Malnutrition needs to be developed and improved in order to achieve better performance in detecting the risks for hospital-acquired malnutrition.

scholarly journals Antipsychotic Use in the Prevention and Treatment of Intensive Care Unit Delirium in Pediatric Patients

2020 ◽  
Vol 25 (2) ◽  
pp. 81-95
Author(s):  
Amanda C. Capino ◽  
Amber N. Thomas ◽  
Samantha Baylor ◽  
Kaitlin M. Hughes ◽  
Jamie L. Miller ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Qt Interval ◽  
Dosage Regimen ◽  
Pediatric Patients ◽  
Screening Tool ◽  
Drug Event ◽  
Future Research ◽  
Hospitalized Children ◽  
Prevention And Treatment ◽  
Intensive Care Unit Delirium

OBJECTIVES To describe the antipsychotics, route of administration, dosage regimen, and outcomes reported to prevent or treat delirium in hospitalized children. METHODS Medline, Embase, and International Pharmaceutical Abstracts were searched using the keywords “haloperidol,” “olanzapine,” “quetiapine,” “risperidone,” “ziprasidone,” and “delirium.” Articles evaluating the use of these agents to manage delirium in hospitalized children that were published between 1946 and August 2019 were included. Two authors independently screened each article for inclusion. Reports were excluded if they were published abstracts or included fewer than 3 patients in the report. RESULTS Thirteen reports that included 370 children receiving haloperidol, quetiapine, olanzapine, and/or risperidone for delirium treatment were reviewed. Most children received haloperidol (n = 131) or olanzapine (n = 125). Significant variability in dosing was noted. A total of 23 patients (6.2%) had an adverse drug event, including 13 (56.5%) who experienced dystonia and 3 (13.0%) with a prolonged corrected QT interval. Most reports described improvement in delirium symptoms; however, only 5 reports used a validated screening tool for PICU delirium to evaluate antipsychotic response. CONCLUSIONS Most reports noted efficacy with antipsychotics, but these reports were limited by sample size and lacked a validated PICU delirium tool. Future research is needed to determine the optimal agent and dosage regimen to treat PICU delirium.

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