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Malnutrition screening tools for hospitalized children
Corina Hartman1, Raanan Shamir, Christina Hecht
1Institute of Gastroenterology, Nutrition and Liver Diseases, Sackler Faculty of Medicine, Tel-Aviv University, Schneider Children's Medical Center of Israel, Clalit Health Services, Petach Tikva, Israel. corinahartman@gmail.com
Insights
Hospitalized children frequently experience malnutrition. This review examines five screening tools and European research efforts to standardize malnutrition diagnosis and screening in pediatric patients.
Area of Science:
- Pediatric Nutrition
- Clinical Malnutrition Assessment
Background:
- Malnutrition is common in hospitalized children, impacting clinical outcomes.
- Current pediatric nutrition screening lacks standardization despite recommendations.
Purpose of the Study:
- To review five existing nutrition screening tools for hospitalized children.
- To describe European Society for Parenteral and Enteral Nutrition (ESPEN) research for standardized malnutrition criteria.
Main Methods:
- Literature review of nutrition screening tools.
- Analysis of ESPEN research initiatives.
Main Results:
- Five nutrition screening tools have been developed but lack independent validation.
- These tools are not yet widely adopted in standard pediatric care.
Conclusions:
- A standardized approach to nutritional screening for pediatric inpatients is currently lacking.
- Future research and comparative data are expected to establish a standard for pediatric nutrition screening.
Purpose Of Review:
Malnutrition is highly prevalent in hospitalized children and has been associated with relevant clinical outcomes. The scope of this review is to describe the five screening tools and the recent European Society for Parenteral and Enteral Nutrition (ESPEN) research project aimed at establishing agreed, evidence-based criteria for malnutrition and screening tools for its diagnosis in hospitalized children.
Recent Findings:
Five nutrition screening tools have recently been developed to identify the risk of malnutrition in hospitalized children. These tools have been tested to a limited extent by their authors in the original published studies but have not been validated by other independent studies. So far, such screening tools have not been established widely as part of standard pediatric care.
Summary:
Although nutrition screening and assessment are recommended by European Society for Parenteral and Enteral Nutrition and the European Society for Pediatric Gastroenterology Hepatology and Nutrition and are often accepted to be required by healthcare facilities, there is no standardized approach to nutritional screening for pediatric inpatients. The near future will provide us with comparative data on the existing tools which may contribute to delineating a standard for useful nutrition screening in pediatrics.
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