Nutritional risk screening and its clinical significance in hospitalized children

Chen, Jia; Lü, Peng; Li, Rong; Chen, Yinhua; Li, Xiaomei; Bao-qing, MO; Li, Xiaonan

doi:10.1016/j.clnu.2013.06.009

Cited by 71 publications

(71 citation statements)

References 25 publications

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“…However in contrast to past studies indicating a significant correlation of STRONGkids risk scores to WFH, HFA and BMI, no correlation was noted between anthropometric measures other than HZA and risk categories in our study population (6,25,26).…”

Section: Discussioncontrasting

confidence: 53%

The Prevalence of Malnutrition and Effectiveness of STRONGkids Tool in the Identification of Malnutrition Risks among Pediatric Surgical Patients

et al. 2015

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Nutritional status in children has been considered an indicator of health and well-being at the individual and population levels (1). Both the malnutrition prevalence and the risk for development of malnutrition have been consistently reported as high in hospitalised children (2, 3). However, this problem remains largely unrecognised by healthcare workers. Due to the likelihood of the prevention of nutrition-associated complications, such as the slowing of growth and increased susceptibility to various infections, as well as prolonged hospitalisation, early detection of the risk for malnutrition among hospitalised children has been considered essential (3, 4).The importance of identifying those children at increased nutritional risk has led to the development of a number of nutritional risk screening (NRS) tools. However, there is a paucity of data on their application in clinical practice and the degree of inter-tool agreement and a consensus regarding which screening tool to use has not yet been reached (3,5). The most recent instrument, STRONGkids, has been developed accordBackground: High prevalence of malnutrition along with the risk for the development of malnutrition in hospitalised children has been reported. However, this problem remains largely unrecognised by healthcare workers. Aims: To determine the prevalence of malnutrition and effectiveness of STRONGkids nutritional risk screening (NRS) tool in the identification of malnutrition risk among pediatric surgical patients. Study Design: Cross-sectional study. Methods: A total of 494 pediatric surgical patients (median age 59 months, 75.8% males) were included in this prospective study conducted over 3 months. SD-scores <-2 for Body Mass Index (BMI) for age or weight-for-height (WFH) and height-for-age (HFA) were considered to indicate acute and chronic malnutrition, respectively. The STRONGkids NRS tool was used to determine risk for malnutrition. Results: Malnutrition was detected in 13.4% in this group of pediatric surgical patients. Acute malnutrition was identified in 10.1% of patients and more commonly in patients aged ≤60 months than aged >60 months (13.4 vs. 6.6%, p=0.012). Chronic malnutrition was identified in 23 (4.6%) of patients with no significant difference between age groups. There were 7 (1.4%) children with coexistent acute and chronic malnutrition. The STRONGkids tool revealed that 35.7% of patients were either in the moderate or high risk group for malnutrition. Malnutrition, as revealed by anthropometric measurements, was more likely in the presence of gastrointestinal (26.9%, p=0.004) and inguinoscrotal/penile surgery (4.0%, p=0.031), co-morbidities affecting nutritional status (p<0.001) and inpatient admissions (p=0.014). Among patients categorized as low risk for malnutrition, there were more outpatients than inpatients (89.3 vs. 10.7%, p<0.001) and more elective surgery cases than emergency surgery cases (93.4 vs. 6.6%, p<0.001). Conclusion: Providing data on the prevalence of malnutrition and risk of malnutrition in a prospect...

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Section: Discussioncontrasting

confidence: 53%

The Prevalence of Malnutrition and Effectiveness of STRONGkids Tool in the Identification of Malnutrition Risks among Pediatric Surgical Patients

et al. 2015

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“…In the study by Cao et al [6], nutritional support during hospitalization was given to 62.8% of the patients with severe malnutrition, 18.6% with moderate malnutrition, and 8.9% with mild malnutrition. In the study, 13.8% (183) of the patients were supported by parenteral nutrition, and 3.5% hospitalization.…”

Section: Resultsmentioning

confidence: 99%

“…The prevalence of malnutrition in hospitalized children has not decreased over the last 20 years [6]. Therefore, the Committee on Nutrition of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) has recommended the establishment of a nutritional support unit, especially in children's hospitals; the implementation of nutritional risk screening and providing adequate nutritional management to identify patients who require nutritional support; and the education of hospital staff and checking them regularly [7].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of malnutrition in a tertiary hospital in Turkey: overlooked subject?

Şahin¹,

Goktepe²,

Ozen³

2017

Arch Clin Gastroenterol

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Aims: The study evaluated children's nutritional status at the moment of hospitalization. Patients and Methods:The nutritional status of 113 hospitalized patients was retrospectively evaluated at the time of hospitalization in the Clinic of Pediatric Gastroenterology between May 2013 and November 2014. During hospitalization, height for age, weight for age, and weight for height z scores were calculated. Results:Of the 113 patients in the study, 58 were female and 55 were male; the mean age was 59.59 ± 61.73 months and 67.87 ± 60.99 months, respectively. According to the World Health Organization standards, 33 (29.2%) underweight patients, 17 (15.0%) patients with acute malnourishment, and 21 (18.6%) patients with chronic malnourishment were detected. Based on weight for age data, 10 (8.8%) patients were severely malnourished, 22 (19.5%) patients were moderately malnourished, 27 (23.9%) patients were mildly malnourished, 40 (35.4) patients had normal weight, 8 (7.1%) patients were overweight, and 6 (5.3%) patients were obese. According to the Water low classifi cation, 14 (12.4%) children were stunted, 6 (5.3%) children were wasted-stunted, and 15 (13.3%) children were wasted. Conclusion:High rates of malnutrition were detected in hospitalized patients, therefore nutritional status should be carefully assessed at the moment of hospitalization to reduce the mortality rate, and patients should be given immediate nutritional support. The early diagnosis of mild or moderate malnutrition, and the timely start of treatment, will diminish the progression to severe malnutrition in developing countries like Turkey.

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“…A triagem nutricional é uma etapa que antecede a avaliação nutricional clássica, pois relaciona o estado nutricional atual às informações da doença clínica, podendo predizer um pior prognóstico clínico induzido pelo comprometimento do estado nutricional e pelo aumento do estresse causado por fatores metabólicos 4 . Consiste na realização de inquérito simples ao paciente ou familiares com o propósito de indicar o risco nutricional 5 gerando uma classificação que permita um plano de ação, ou seja, uma intervenção nutricional 6 .…”

Section: N T R O D U ç ã Ounclassified

“…Consiste em um exame físi-co e nutricional subjetivo que apresenta vários domínios importantes na avaliação do risco nutricional, classificando os pacientes em: bem nutrido, moderadamente desnutrido e gravemente desnutrido [3][4][5][6][7] . Assim, o objetivo deste estudo é realizar a equivalência semântica do questionário da ANSGP do inglês para o português brasileiro em crianças e adolescentes com câncer hospitalizados atendidos em um Instituto de Referência em Oncologia.…”

Section: N T R O D U ç ã Ounclassified

Equivalência semântica do Questionário Pediatric Subjective Global Nutritional Assessment para triagem nutricional em pacientes pediátricos com câncer

et al. 2016

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Objetivo: Realizar a equivalência semântica da Avaliação Nutricional Subjetiva Global Pediátrica e sua adaptação para a língua portuguesa para aplicação em pacientes pediátricos hospitalizados com câncer. Métodos: O processo de equivalência semântica envolveu as seguintes etapas: tradução, síntese das traduções, retrotradução, discussão com comitê de especialistas e pré-teste, etapas que aconteceram na Universidade Federal do Rio de Janeiro e no Instituto Nacional de Câncer José Alencar Gomes da Silva. O questionário foi pré-testado em 32 pacientes pediátricos com câncer, de 2 a 18 anos, para verificar sua adequação nessa população. Resultados: Todas as etapas fundamentaram a equivalência semântica do instrumento. Foram necessárias discretas alterações no instrumento Avaliação Nutricional Subjetiva Global Pediátrica para o contexto brasileiro. Na avaliação das 56 assertivas traduzidas para o português, 81% das respostas dos especialistas classificaram como "inalterado" o significado geral. Evidenciou-se uma boa equivalência semântica entre a tradução e a retrotradução e a versão original. Conclusão: A versão brasileira da Avaliação Nutricional Subjetiva Global Pediátrica foi bem compreendida pela população do estudo e mostrou-se adequada para seguir com as demais etapas de adaptação transcultural e validação da ferramenta para posterior aplicação na população pediátrica hospitalizada com câncer.

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Nutritional risk screening and its clinical significance in hospitalized children

Cited by 71 publications

References 25 publications

The Prevalence of Malnutrition and Effectiveness of STRONGkids Tool in the Identification of Malnutrition Risks among Pediatric Surgical Patients

The Prevalence of Malnutrition and Effectiveness of STRONGkids Tool in the Identification of Malnutrition Risks among Pediatric Surgical Patients

Prevalence of malnutrition in a tertiary hospital in Turkey: overlooked subject?

Equivalência semântica do Questionário Pediatric Subjective Global Nutritional Assessment para triagem nutricional em pacientes pediátricos com câncer

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