scholarly journals Studi komparasi beberapa metode skrining penilaian status gizi pada pasien dewasa rawat inap rumah sakit

2017 ◽  
Vol 14 (2) ◽  
pp. 64 ◽  
Author(s):  
Rizki Andini ◽  
Susetyowati Susetyowati ◽  
Dian Caturini Sulistyoningrum
Keyword(s):  
At Risk ◽  
Screening Tool ◽  
Risk Group ◽  
Mean Difference ◽  
Screening Tools ◽  
Nutrition Screening ◽  
Nrs 2002 ◽  
The Mean ◽  
Nutrition Screening Tool ◽  
Not At Risk

Background: It is necessary to diagnose level of malnutrition in hospitalized patient to give optimal nutrition support. Many different nutrition screening assessment have been developed. In Indonesia, Simple Nutrition Screening Tool (SNST) that had been used in same hospital and the result was good enough in validity-realibility.Objective: To assessed that SNST were simple and practical nutrition screening tool for detecting level of malnutrition in different type of hospitalized patient.Method: Observational cross-sectional design with total of sampling two hundred and eighty seven adult patients from 2nd and 3rd class of surgical, internal, or neurology ward of RSUD Sleman. Independent variables are SNST, Nutritional Risk Screening (NRS) 2002, Malnutrition Screening Tool (MST), and Malnutrition Universal Screening Tool (MUST). Dependent variables are Subjective Global Assessment (SGA), body mass index (BMI), mid upper arm circumference (MUAC), and hemoglobin (Hb). Receive Operating Curve (ROC) were used for measuring validity of each screening tools. The proportion difference between at-risk group and not at-risk group was assessed by Chi-square test. The mean difference of BMI, MUAC, and Hb between both of group was assessed by independent sample t-test.Results: SNST has highest validity compared to NRS-2002, MST, and MUST with Sensitivity 99,0%, Specificity 84,5 and Area Under Curve (AUC) 0,917. Based on SNST, the proportion difference of at-risk group and not at-risk group between surgical patients and internal-neurology patients was statistically significant (p<0,05); the proportion difference of at-risk group and not at-risk group between young adult, adult, and elderly patients was statistically significant (p<0,05); the mean difference of BMI, MUAC, and Hb between at-risk group and not at-risk group was also statistically significant (p<0,05).Conclusion: All of the nutrition screening tools can be used as predictor of malnutrition in hospitalized patients but, the SNST has the best validity as a nutrition screening to predict malnutrition.

scholarly journals Pengembangan metode skrining gizi untuk pasien dewasa rawat inap

2012 ◽  
Vol 8 (4) ◽  
pp. 188
Author(s):  
Susetyowati Susetyowati ◽  
Hamam Hadi ◽  
Muhammad Hakimi ◽  
Ahmad Husein Asdie
Keyword(s):  
At Risk ◽  
Screening Tool ◽  
Nutritional Assessment ◽  
Healing Process ◽  
Screening Tools ◽  
Nutrition Support ◽  
Cross Sectional ◽  
Nutrition Screening ◽  
Patients At Risk ◽  
Nutrition Screening Tool

Background: A comprehensive nutrition assessment needs to be done on all hospitalized patients. The accuracy of nutritional assessment are necessary to ensure the provision of optimal nutrition support for the patient to prevent iatrogenic malnutrition and speed up the healing process. The nutrition screening tools has limited ability to be used as a valid indicator for comprehensive nutritional assessment. Thus, it is necessary to develop a new nutrition screening tool.Objective: To develop a simple, quick and valid malnutrition screening tool that can be used to identify adult patients at risk of malnutrition.Methods: This is an observational study with cross sectional design. The subjects were 495 patients admitted to Sardjito General Hospital, excluding paediatric, maternity, and psychiatric patients. All patients were screened using the Nutrition Screening Tool of University Gadjah Mada (NST-UGM). The validity of the NST-UGM will be tested by measuring the sensitivity and specifi city value compared to Subjective Global Assessment (SGA).Result: The newly developed nutrition screening tool consisted of 6 questions with a cut-off of 0-2 classifi ed as not at risk of malnutrition and > 2 classifi ed as at risk of malnutrition. The sensitivity and specifi city value of the new screening tool compared with SGA were 91.28 and 79.78 respectively. Therefore, the convergent and predictive validity of NSTUGM was established. Conclusion: The NST-UGM is a simple, quick and valid tool which can be used to identify patients at risk of malnutrition. 

Validation of Paediatric Nutrition Screening Tool (PNST) among Hospitalized Malaysian Children

2020 ◽  
Vol 66 (5) ◽  
pp. 461-469
Author(s):  
Shu Hwa Ong ◽  
Seong Ting Chen
Keyword(s):  
At Risk ◽  
Screening Tool ◽  
Nutritional Assessment ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Hospitalized Children ◽  
Cross Sectional ◽  
Nutrition Screening ◽  
Dietary History ◽  
Nutrition Screening Tool

Abstract Background It is recommended to screen hospitalized children to identify those at risk of malnutrition. Constricted schedule in tertiary care settings calls for the needs of a less burdensome yet effective nutrition screening tool. This study aimed to validate the use of Paediatric Nutrition Screening Tool (PNST) among hospitalized children in a Malaysian tertiary hospital. Methods This cross-sectional study recruited children below 18 years old admitting into general paediatric ward in a public hospital. The PNST and Subjective Global Nutritional Assessment (SGNA) were performed on 100 children (64 boys and 36 girls). The objective measurements include anthropometry (z-scores for weight, height and body mass index), dietary history and biochemical markers were measured. These were used to classify malnutrition as per Academy of Nutrition and Dietetics/American Society of Parental and Enteral Nutrition (AND/ASPEN) Consensus Statement for identification of paediatric malnutrition and WHO growth standards for children. Cohen’s kappa was computed to report the level of agreement. Results The PNST identified 57% of hospitalized children as being at risk of malnutrition. In this study, there was a stronger agreement between PNST with AND/ASPEN malnutrition classification (k = 0.602) as when PNST was compared with WHO (k = 0.225) and SGNA (k = 0.431). The PNST shows higher specificity (85.29%) and sensitivity (78.79%) when compared with AND/ASPEN than with WHO malnutrition criteria (55.81% specificity and 66.67% sensitivity). Conclusion This study showed the usefulness of routine use of PNST for screening the malnutrition risk of hospitalized children in Malaysian tertiary hospital settings.

scholarly journals Agreement and Reliability of Parental Reports and Direct Screening of Developmental Outcomes in Toddlers at Risk

2021 ◽  
Vol 12 ◽  
Author(s):  
Juan Giraldo-Huertas ◽  
Graham Schafer
Keyword(s):  
At Risk ◽  
Low Income ◽  
Screening Tool ◽  
Screening Tools ◽  
Developmental Screening ◽  
Characteristic Analysis ◽  
Low Income Families ◽  
Developmental Domains ◽  
Not At Risk ◽  
At Home

Developmental screening is a practice that directly benefits vulnerable and low-income families and children when it is regular and frequently applied. A developmental screening tool administered by parents called CARE is tested. CARE contains a compilation of activities to report and enhance development at home. Hundred and fifty-seven families in Bogotá (Colombia) initially responded to a call to participate in developmental screening tools’ validation and reliability study. All children (Average: 42.7 months old; SD: 9.4; Min: 24, Max: 58) were screened directly by trained applicants using a Spanish version of the Denver Developmental Screening test [i.e., the Haizea-Llevant (HLL) screening table]. After a first screening, 61 dyads were positive for follow-up and received a second HLL screening. Fifty-two out of 61 dyads use and returned CARE booklet after 1-month screening at home. The comparative analysis for parent reports using CARE and direct screening observation included (a) the effects of demographic variables on overall and agreement, (b) agreement and congruence between the CARE report classification and direct screening classification (“At risk” or “Not at risk”), (c) receiver operating characteristic analysis, (d) item-Level agreement for specific developmental domains, and (e) acceptability and feasibility analysis. Results and conclusions show the parental report using the CARE booklet as a reliable screening tool that has the potential to activate alerts for an early cognitive delay that reassure clinicians and families to further specialized and controlled developmental evaluations and act as a screen for the presence of such delay in four developmental dimensions.

Validity and reliability of a nutrition screening tool in hospitalized patients

Nutrition ◽  
2011 ◽  
Vol 27 (6) ◽  
pp. 647-652 ◽  
Author(s):  
Parvin Mirmiran ◽  
Somayeh Hosseinpour-Niazi ◽  
Homeira Hamayeli Mehrabani ◽  
Foorough Kavian ◽  
Fereidoun Azizi
Keyword(s):  
Screening Tool ◽  
Hospitalized Patients ◽  
Validity And Reliability ◽  
Nutrition Screening ◽  
Nutrition Screening Tool

scholarly journals Low Body Mass Index Can Identify Majority of Osteoporotic Inflammatory Bowel Disease Patients Missed by Current Guidelines

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Ashish Atreja ◽  
Ashish Aggarwal ◽  
Angelo A. Licata ◽  
Bret A. Lashner
Keyword(s):  
Risk Factors ◽  
Inflammatory Bowel Disease ◽  
At Risk ◽  
Risk Factor ◽  
Risk Group ◽  
Low Bmi ◽  
Inflammatory Bowel ◽  
Provider Adherence ◽  
Not At Risk ◽  
Current Guidelines

Background. Patients with inflammatory bowel disease (IBD) are at high risk of developing osteoporosis. Our objective was to determine the usefulness of IBD guidelines in identifying patients at risk for developing osteoporosis.Methods. We utilized institutional repository to identify patients seen in IBD center and extracted data on demographics, disease history, conventional, and nonconventional risk factors for osteoporosis and Dual Energy X-ray Absorptiometry (DXA) findings.Results. 59% of patients (1004/1703) in our IBD cohort had at least one risk factor for osteoporosis screening. DXA was documented in 263 patients with indication of screening (provider adherence, 26.2%), and of these, 196 patients had DXA completed (“at-risk” group). Ninety-five patients not meeting guidelines-based risk factors also had DXA completed (“not at-risk” group). 139 (70.9%) patients in “at-risk” group had low BMD, while 51 (53.7%) of “not-at-risk” patients had low BMD. Majority of the patients with osteoporosis (83.3%) missed by the current guidelines had low BMI. Multivariate logistic regression analysis showed that low BMI was the strongest risk factor for osteoporosis (OR 3.07; 95% CI, 1.47–6.42;P=0.003).Conclusions. Provider adherence to current guidelines is suboptimal. Low BMI can identify majority of the patients with osteoporosis that are missed by current guidelines.

scholarly journals The LEAF questionnaire is a good screening tool for the identification of the Female Athlete Triad/Relative Energy Deficiency in Sport among young football players

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e12118
Author(s):  
Edyta Łuszczki ◽  
Pawel Jagielski ◽  
Anna Bartosiewicz ◽  
Maciej Kuchciak ◽  
Katarzyna Dereń ◽  
...  
Keyword(s):  
At Risk ◽  
Body Composition ◽  
Energy Intake ◽  
Female Athlete ◽  
Relative Energy ◽  
Screening Tools ◽  
Football Players ◽  
Female Athlete Triad ◽  
Energy Deficiency ◽  
Not At Risk

Background It has been noticed that Female Athlete Triad (Fat) and Relative Energy Deficiency (Red-S) in Sport are characterized by the symptoms of impaired endocrine-metabolic function and bone health in female athletes. In addition, it may be evaluated with a qualitative tool, such as Low Energy Availability in Females questionnaire (LEAF-Q) and quantitative measurements: bone mineral density (BMD), resting energy expenditure (REE), body composition, 24-hour dietary recall. Methods The aim of this study was to assess the prevalence of Triad and Red-S using the LEAF-Q in youth female football players. Additionally, the difference in the BMD, body composition, REE and energy intake (EI) were assessed between the Triad/Red-S risk and not at-risk groups. Results Almost two thirds (64.7%) of participants are classified as being at-risk for the triad according to their LEAF-Q scores. There were no statistically significant differences (p > 0.05) between most of the values among children from the analyzed groups. There was a statistically significant difference (p < 0.001) between the EI values among girls from the two analyzed groups: at-risk (1,773.18 kcal ±  232.57) and not at-risk (2,054.00 kcal ±  191.39). Girls who did not meet the energy intake recommendations were 10.00 as likely to be in the Triad/Red-S risk group. Conclusion Early identification of Fat/Red-S symptoms by screening tools such as the LEAF questionnaire is important in protecting young athletes from long-term damage due to the progression of the risk factors associated with the Fat/Red-S.

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