Nutrition Evaluation Screening Tool: An Easy to Use Screening Tool for Hospitalised Children
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Purpose: Nutrition screening is vital to ensure patients are appropriately managed in hospital. In paediatrics there is currently no universally accepted nutrition screening tool. The Nutrition Evaluation Screening Tool (NEST) was developed as an easy to use and practical screening tool for hospitalised children. We aim to evaluate compliance of the NEST and assess agreement of the NEST with the already validated nutrition screening tools, Screening Tool for Risk on Nutritional Status and Growth (STRONGkids), Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP) and the Subjective Global Nutritional Assessment (SGNA) tool. Methods: Retrospective review of 102 patient episodes at the Evelina London Children's Hospital. Electronic records were used to assess NEST compliance and to complete the nutrition tools for each patient episode. Cohen's kappa was used to determine the level of agreement between each nutrition tool. Results: There was moderate agreement between the NEST and the two screening tools, STRONGkids (κ=0.472) and STAMP (κ=0.416) for patients on initial screening at admission. 87.2% of patient episodes were NEST compliant within 24 hours of admission to hospital. Conclusion: The moderate agreement between these two already validated screening tools enhances the NEST's validity as a paediatric screening tool. The NEST had the strongest correlation with the SGNA tool compared to other screening tools. The NEST is user friendly screening tool for hospitalised children.
Abstract
Purpose: Nutrition screening is vital to ensure patients are appropriately managed in hospital. In paediatrics there is currently no universally accepted nutrition screening tool. The Nutrition Evaluation Screening Tool (NEST) was developed as an easy to use and practical screening tool for hospitalised children. We aim to evaluate compliance of the NEST and assess agreement of the NEST with the already validated nutrition screening tools, Screening Tool for Risk on Nutritional Status and Growth (STRONGkids), Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP) and the Subjective Global Nutritional Assessment (SGNA) tool. Methods: Retrospective review of 102 patient episodes at the Evelina London Children's Hospital. Electronic records were used to assess NEST compliance and to complete the nutrition tools for each patient episode. Cohen's kappa was used to determine the level of agreement between each nutrition tool. Results: There was moderate agreement between the NEST and the two screening tools, STRONGkids (κ=0.472) and STAMP (κ=0.416) for patients on initial screening at admission. 87.2% of patient episodes were NEST compliant within 24 hours of admission to hospital. Conclusion: The moderate agreement between these two already validated screening tools enhances the NEST's validity as a paediatric screening tool. The NEST had the strongest correlation with the SGNA tool compared to other screening tools. The NEST is user friendly screening tool for hospitalised children.
참고문헌 (29)
- Joosten KF, "National malnutrition screening days in hospitalised children in The Netherlands", Arch Dis Child, 95, pp.141~145 (2010)
- Chen MY, "Being underweight is an independent risk factor for poor outcomes among acutely critically ill children", Nutr Clin Pract 2018;, 33, pp.433~438 (2018)
- Hecht C, "Disease associated malnutrition correlates with length of hospital stay in children", Clin Nutr, 34, pp.53~59 (2015)
- Cederholm T, "ESPEN guidelines on definitions and terminology of clinical nutrition", Clin Nutr, 36, pp.49~64 (2017)
- Mueller C, "Ellen DMAmerican Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors. A.S.P.E.N. clinical guidelines: nutrition screening, assessment, and intervention in adults", JPEN J Parenter Enteral Nutr, 35, pp.16~24 (2011)
- National Institute for Health and Care Excellence (NICE), "Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition", NICE, ~ (2006)
- Mehta NM, "Defining pediatric malnutrition : a paradigm shift toward etiology-related definitions", JPEN J Parenter Enteral Nutr, 37, pp.460~481 (2013)
- Eglseer D, "Is the presence of a validated malnutrition screening tool associated with better nutritional care in hospitalized patients?", Nutrition, 37, pp.104~111 (2017)
- Teixeira AF, "Nutritional screening in hospitalized pediatric patients : a systematic review", J Pediatr(Rio J), 92, pp.343~352 (2016)
- Elia M, "Considerations for screening tool selection and role of predictive and concurrent validity", Curr Opin Clin Nutr Metab Care, 14, pp.425~433 (2011)
- Kovacevich DS, "Nutrition risk classification : a reproducible and valid tool for nurses", Nutr Clin Pract, 12, pp.20~25 (1997)
- Chourdakis M, "Malnutrition risk in hospitalized children : use of 3 screening tools in a large European population", Am J Clin Nutr, 103, pp.1301~1310 (2016)
- Wiskin AE, "Paediatric nutrition risk scores in clinical practice : children with inflammatory bowel disease", J Hum Nutr Diet, 25, pp.319~322 (2012)
- Bodenheimer T, "High and rising health care costs. Part 4: can costs be controlled while preserving quality?", Ann Intern Med, 143, pp.26~31 (2005)
- Huysentruyt K, "The STRONG(kids)nutritional screening tool in hospitalized children : a validation study", Nutrition, 29, pp.1356~1361 (2013)
- McCarthy 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, 25, pp.311~318 (2012)
- Secker DJ, "Subjective Global Nutritional Assessment for children", Am J Clin Nutr, 85, pp.1083~1089 (2007)
- Bland JM, "Statistical methods for assessing agreement between two methods of clinical measurement", Lancet, 1, pp.307~310 (1986)
- Beer SS, "Pediatric malnutrition : putting the new definition and standards into practice", Nutr Clin Pract, 30, pp.609~624 (2015)
- Joosten KF, "Malnutrition in pediatric hospital patients : current issues", Nutrition, 27, pp.133~137 (2011)
- Costa CA, "Association between nutritional status and outcomes in critically-ill pediatric patients-a systematic review", J Pediatr(Rio J), 92, pp.223~229 (2016)
- Grippa RB, "Nutritional status as a predictor of duration of mechanical ventilation in critically ill children", Nutrition, 33, pp.91~95 (2017)
- Elia M, "An analytic appraisal of nutrition screening tools supported by original data with particular reference to age", Nutrition, 28, pp.477~494 (2012)
- Bell KL, "Prediction of height from knee height in children with cerebral palsy and non-disabled children", Ann Hum Biol, 33, pp.493~499 (2006)
- Stevenson RD, "Use of segmental measures to estimate stature in children with cerebral palsy", Arch Pediatr Adolesc Med, 149, pp.658~662 (1995)
- Reber E, "Nutritional risk screening and assessment", J Clin Med, 8, pp.1065~ (2019)
- Weekes CE, "The development, validation and reliability of a nutrition screening tool based on the recommendations of the British Association for Parenteral and Enteral Nutrition (BAPEN)", Clin Nutr, 23, pp.1104~1112 (2004)
- Carter LE, "Screening for pediatric malnutrition at hospital admission: which screening tool is best?", Nutr Clin Pract, 35, pp.951~958 (2020)
- Ong SH, "Validation of Paediatric Nutrition Screening Tool(PNST)among hospitalized Malaysian children", J Trop Pediatr, 66, pp.461~469 (2020)