Comparison of four nutritional screening tools for Korean hospitalized children
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
BACKGROUND/OBJECTIVES: Several nutritional screening tools were recently developed to screen the risk of malnutrition in hospitalized children, but have not been validated in Asia. We compared four nutritional screening tools for pediatric patients in evaluating nutritional risks in newly hospitalized children. SUBJECTS/METHODS: Medical records of newly admitted pediatric patients between June 2016 and May 2017 at two tertiary hospitals were reviewed. Initial information by nurses and hospital records by doctors on baseline demographic, clinical, and anthropometric data at admission were collected in all subjects. Nutritional risks were evaluated using four nutritional screening tools including the pediatric nutritional risk score (PNRS), the screening tool for the assessment of malnutrition in pediatrics (STAMP), the paediatric Yorkhill malnutrition score (PYMS), and the screening tools for risk of nutritional status and growth (STRONGkids). RESULTS: A total of 559 patients (310 boys and 249 girls, mean age 6.3 ± 5.5 years) were recruited. Patients in medical and surgical departments were 469 (83.9%) and 90 (16.1%), respectively. The prevalence of patients at risk of malnutrition were 31.1% for low risk, 52.2% for medium risk, and 16.6% for high risk by PNRS; 11.4%, 39.7%, and 48.8% by STAMP; 26.5%, 25.4%, and 48.1% by PYMS; and 35.6%, 58.9%, and 5.5% by STRONGkids. PNRS versus STRONGkids and STAMP versus PYMS showed moderate agreement (kappa = 0.566 and kappa = 0.495, respectively). PYMS and STAMP revealed a relatively high sensitivity of 87.8% and 77.6% for wasting. CONCLUSION: Different nutritional screening tools revealed considerably different results in evaluating nutritional risks in newly hospitalized children. Since pediatric patients are at risk of malnutrition at admission and during hospitalization, screening tools should be applied properly according to the situation of each hospital.
Abstract
BACKGROUND/OBJECTIVES: Several nutritional screening tools were recently developed to screen the risk of malnutrition in hospitalized children, but have not been validated in Asia. We compared four nutritional screening tools for pediatric patients in evaluating nutritional risks in newly hospitalized children. SUBJECTS/METHODS: Medical records of newly admitted pediatric patients between June 2016 and May 2017 at two tertiary hospitals were reviewed. Initial information by nurses and hospital records by doctors on baseline demographic, clinical, and anthropometric data at admission were collected in all subjects. Nutritional risks were evaluated using four nutritional screening tools including the pediatric nutritional risk score (PNRS), the screening tool for the assessment of malnutrition in pediatrics (STAMP), the paediatric Yorkhill malnutrition score (PYMS), and the screening tools for risk of nutritional status and growth (STRONGkids). RESULTS: A total of 559 patients (310 boys and 249 girls, mean age 6.3 ± 5.5 years) were recruited. Patients in medical and surgical departments were 469 (83.9%) and 90 (16.1%), respectively. The prevalence of patients at risk of malnutrition were 31.1% for low risk, 52.2% for medium risk, and 16.6% for high risk by PNRS; 11.4%, 39.7%, and 48.8% by STAMP; 26.5%, 25.4%, and 48.1% by PYMS; and 35.6%, 58.9%, and 5.5% by STRONGkids. PNRS versus STRONGkids and STAMP versus PYMS showed moderate agreement (kappa = 0.566 and kappa = 0.495, respectively). PYMS and STAMP revealed a relatively high sensitivity of 87.8% and 77.6% for wasting. CONCLUSION: Different nutritional screening tools revealed considerably different results in evaluating nutritional risks in newly hospitalized children. Since pediatric patients are at risk of malnutrition at admission and during hospitalization, screening tools should be applied properly according to the situation of each hospital.
참고문헌 (22)
- Joosten KF, "Prevalence of malnutrition in pediatric hospital patients", Curr Opin Pediatr, 20, pp.590~596 (2008)
- Mărginean O, "Prevalence and assessment of malnutrition risk among hospitalized children in Romania", J Health Popul Nutr, 32, pp.97~102 (2014)
- 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)
- Nasab MH, "Prevalence of malnutrition risk based on three nutritional risk scores in hospitalized Iranian children", Int Res J Appl Basic Sci, 10, pp.438~ (2016)
- Eun Ha Hwang, "Prevalence and Risk Factors for the Weight Loss during Hospitalization in Children: A Single Korean Children’s Hospital Experience", Pediatric Gastroenterology, Hepatology & Nutrition, 19(4), pp.269~275 (2016), 대한소아소화기영양학회
- Lee DG, "Assessment of nutritional status in hospitalized pediatric patients", Korean J Pediatr Gastroenterol Nutr, 4, pp.83~91 (2001)
- Kondrup J, "ESPEN guidelines for nutrition screening 2002", Clin Nutr, 22, pp.415~421 (2003)
- Reilly HM, "Nutritional screening--evaluation and implementation of a simple nutrition risk score", Clin Nutr, 14, pp.269~273 (1995)
- Detsky AS, "Evaluating the accuracy of nutritional assessment techniques applied to hospitalized patients: methodology and comparisons", JPEN J Parenter Enteral Nutr, 8, pp.153~159 (1984)
- Guigoz Y, "Assessing the nutritional status of the elderly: the mini nutritional assessment as part of the geriatric evaluation", Nutr Rev, 54, pp.S59~S65 (1996)
- Durán Alert P, "Assessing risk screening methods of malnutrition in geriatric patients: mini nutritional assessment (MNA) versus geriatric nutritional risk index (GNRI)", Nutr Hosp, 27, pp.590~598 (2012)
- Abd Aziz NAS, "Assessing the nutritional status of hospitalized elderly", Clin Interv Aging, 12, pp.1615~1625 (2017)
- Håkonsen SJ, "Diagnostic test accuracy of nutritional tools used to identify undernutrition in patients with colorectal cancer: a systematic review", JBI Database System Rev Implement Rep, 13, pp.141~187 (2015)
- 이연주, "Nutritional Screening Tools among Hospitalized Children: from Past and to Present", Pediatric Gastroenterology, Hepatology & Nutrition, 21(2), pp.79~85 (2018), 대한소아소화기영양학회
- Sermet-Gaudelus I, "Simple pediatric nutritional risk score to identify children at risk of malnutrition", Am J Clin Nutr, 72, pp.64~70 (2000)
- Secker DJ, "Subjective global nutritional assessment for children", Am J Clin Nutr, 85, pp.1083~1089 (2007)
- Gerasimidis K, "A four-stage evaluation of the Paediatric Yorkhill Malnutrition Score in a tertiary paediatric hospital and a district general hospital", Br J Nutr, 104, pp.751~756 (2010)
- Hulst JM, "Dutch national survey to test the STRONGkids nutritional risk screening tool in hospitalized children", Clin Nutr, 29, pp.106~111 (2010)
- 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)
- White M, "Simple nutrition screening tool for pediatric inpatients", JPEN J Parenter Enteral Nutr, 40, pp.392~398 (2016)
- 문진수, "2007 한국 소아 청소년 성장도표 : 개발 과정과 전망", Clinical and Experimental Pediatrics, 51(1), pp.1~25 (2008), 대한소아청소년과학회
- Thomas PC, "Outcome of nutritional screening in the acute paediatric setting", Arch Dis Child, 101, pp.1119~1124 (2016)