Risks of undernutrition and malnutrition in hospitalized pediatric patients with spinal cord injury

Yj, Wang; Zhou, Hongyu; Pj, Liu; Gl, Liu; Zheng, Yan; Bian, Wei; Cx, Hao; Zhang, Y; Hq, Kang; Xl, Lu; Yuan, Yu

doi:10.1038/sc.2016.113

Cited by 14 publications

(16 citation statements)

References 24 publications

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“…SCAN with oncological patients and STAMP and STRONG kids with clinical patients showed the best results versus SGNA in terms of Se 39 56. Additionally, STAMP performed with 100% Se versus the anthropometric measurements for inpatients and outpatients with SCI 6. STAMP, STRONG kids , SPNRS and PYMS obtained 100% Se versus International Statistical Classification of Diseases and Related Health Problems (ICD)-10; however, the Sp was poor (0%), except for PYMS (53.5%) 59…”

Section: Resultsmentioning

confidence: 95%

“…Eleven studies (42.3%) excluded patients with length of hospital stay (LOS) of <24 hours 2 9 14 32 39 51–56. The studies often excluded children <1 year (57.7%),2 6 7 32 38–41 52 53 55–59 intensive care unit (ICU) patients (34.6%)2 14 38 51 52 58 60–62 and patients with unstable/specific conditions, such as oncology patients,53–55 61 conditions that affected hydration,9 39 cardiology, renal and orthopaedic specialties,7 fever, diarrhoea,6 obesity53 and others. Some of the studies included only patients with particular conditions, where a specially designed screening/assessment tool was usually used.…”

Section: Resultsmentioning

confidence: 99%

“…Some of the studies included only patients with particular conditions, where a specially designed screening/assessment tool was usually used. However, STAMP was designed for clinical and surgical patients and was validated also on patients with spinal cord injury (SCI)6 14 and with inflammatory bowel disease (IBD) 59. Additionally, STAMP was also used in outpatients in two studies 57 59.…”

Section: Resultsmentioning

confidence: 99%

“…The sensitivities of the screening/assessment tools ranged from 20%63 to 100% 6 39 52 56 59. SCAN with oncological patients and STAMP and STRONG kids with clinical patients showed the best results versus SGNA in terms of Se 39 56.…”

Section: Resultsmentioning

confidence: 99%

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Screening and assessment tools for early detection of malnutrition in hospitalised children: a systematic review of validation studies

et al. 2019

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ObjectiveThe aim of the present study was to identify all currently available screening and assessment tools for detection of malnutrition in hospitalised children, and to identify the most useful tools on the basis of published validation studies.DesignSystematic review.Data sourcesPubMed, CINAHL and MEDLINE were searched up to October 2017.Eligibility criteria for selecting studiesStudies in English that reported sensitivity, specificity and positive/negative predictive values (PPVs/NPVs) in the paediatric population were eligible for inclusion.Data extraction and synthesisTwo authors independently screened all of the studies identified, and extracted the data. The methodological qualities of the studies included were assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool.ResultsThe 26 validation studies that met the inclusion criteria for this systematic review used eight screening and three assessment tools. The number of participants varied from 32 to 14 477. There was considerable variability in the chosen reference standards, which prevented direct comparisons of the predictive performances of the tools. Anthropometric measurements were used as reference standards in 16 of the identified studies, and full nutritional assessment in 5. The Pediatric Yorkhill Malnutrition Score (PYMS) screening tool performed better than Screening Tool for the Assessment of Malnutrition and Screening Tool for Risk On Nutritional status and Growth when compared in terms of anthropometric measurements, especially for body mass index (Se=90.9, Sp=81.9) and triceps skinfold thickness (Se=80.0, Sp=75.0). However, low PPVs indicated the problem of overprediction of positive cases, which was typical for all of the studies that used anthropometric measurements as the reference standard.ConclusionsThis systematic review identifies the need for definition of the gold standard for validation of screening tools. Anthropometry measurements using WHO or Centers for Disease Control and Prevention growth charts should be considered as the possible reference standard in future validation studies. We would recommend the use of PYMS for hospitalised paediatric patients without chronic conditions, in combination with full nutritional assessment.PROSPERO registration numberCRD42017077477.

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Section: Resultsmentioning

confidence: 95%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Screening and assessment tools for early detection of malnutrition in hospitalised children: a systematic review of validation studies

et al. 2019

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“…Similarly, in a study by Chao et al [ 18 ] on cancer patients, the risk for undernutrition was three times higher among male patients than female patients. However, the assessment of the undernutrition risk based on the NLI and ASIA classification scale (completeness of injury) was published for pediatric SCI patients only [ 21 ]. Assessment using STAMP scores showed a higher undernutrition risk for the tetraplegia group compared to the paraplegia group (82.2% vs. 47.5%).…”

Section: Discussionmentioning

confidence: 99%

The Nutritional Status and the Clinical Outcomes of Patients With a Spinal Cord Injury Using Nutritional Screening Tools

et al. 2018

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ObjectiveTo assess the nutritional status of Korean patients with spinal cord injury (SCI), identify the predictors of undernutrition, and investigate the relationship between undernutrition and clinical outcomes.MethodsA retrospective study design was used to determine the nutritional status of 130 patients over 19 years old admitted to the rehabilitation hospital of Yonsei University Health System between June 2015 and February 2017. The nutritional status was assessed using the malnutrition universal screening tool (MUST) and the spinal nutrition screening tool (SNST). The relationship between undernutrition and clinical outcomes was examined by comparing a low-risk group with an at-risk group using a t-test.ResultsAmong the SCI patients, 70 (50.8%) were confirmed with undernutrition based on the MUST scores, while 60 (46.2%) had undernutrition based on the SNST scores. It was found that undernutrition has an effect on functional outcomes.ConclusionWe assessed the undernutrition risk in Korean SCI patients, and found that approximately 50% of the patients were at risk of undernutrition. We also found that undernutrition can affect functional recovery.

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Clinical Case Reports on the acceptability and tolerance of a High‐Energy whey peptide‐based Pediatric oral nutritional supplement in children aged over 12 months

Risks of undernutrition and malnutrition in hospitalized pediatric patients with spinal cord injury

Abstract: Nutritional screening in all pediatric SCI patients should be performed periodically. The decreasing trends in nutritional status and appetite level after SCI require special attention. The STAMP may be an alternative method for assessing nutritional status in Chinese children with SCI.

Cited by 14 publications

References 24 publications

Screening and assessment tools for early detection of malnutrition in hospitalised children: a systematic review of validation studies

Screening and assessment tools for early detection of malnutrition in hospitalised children: a systematic review of validation studies

The Nutritional Status and the Clinical Outcomes of Patients With a Spinal Cord Injury Using Nutritional Screening Tools

Clinical Case Reports on the acceptability and tolerance of a High‐Energy whey peptide‐based Pediatric oral nutritional supplement in children aged over 12 months

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