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[Validation of a nutritional screening tool for hospitalized pediatric patients]
R A Lama More1, A Moráis López, M Herrero Álvarez
1Unidad de Nutrición Infantil y Enfermedades Metabólicas, Hospital Universitario La Paz, Madrid, España. rlama.hulp@salud.madrid.org
Insights
The Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) effectively identifies hospitalized children at nutritional risk. This validated tool simplifies early detection, improving patient care and outcomes in pediatric settings.
Area of Science:
- Pediatric Nutrition
- Clinical Assessment
- Healthcare Management
Background:
- Hospital malnutrition poses significant clinical challenges.
- Effective screening tools are needed for pediatric patients.
- No universal nutrition screening tool exists for children.
Purpose of the Study:
- Validate the Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) in Spain.
- Assess STAMP's utility for identifying pediatric malnutrition risk.
- Compare STAMP results with comprehensive nutritional assessments.
Main Methods:
- Cross-sectional study of 250 pediatric patients in a tertiary hospital.
- Applied STAMP within 24 hours of admission.
- Validated STAMP against specialist nutritional assessment (clinical, anthropometric, body composition data).
Main Results:
- Nutritional assessment identified 25.6% at risk, 16% malnourished.
- STAMP flagged 48.4% at nutritional risk.
- STAMP demonstrated 75% sensitivity and 60.8% specificity for identifying at-risk patients; 90% sensitivity and 59.5% for malnourished patients.
Conclusions:
- STAMP is a simple, effective tool for pediatric nutritional screening.
- Validates STAMP's use in the Spanish pediatric population.
- Facilitates targeted nutritional assessments, optimizing resource allocation.
Background:
Malnutrition among hospitalized patients has clinical implications, and interest has arisen to find screening tools able to identify subjects under risk. At present, there is no consensus about the most suitable nutrition screening tool for pediatric patients.
Aim:
To validate STAMP (Screening Tool for the Assessment of Malnutrition in Pediatrics) pediatric screening tool in Spain.
Methods:
Descriptive cross-sectional study of patients admitted to a 3rd level children's hospital with both medical and surgical specialities. During the first 24 hours of admission, STAMP screening tool was applied. For its validation, results were compared with those obtained from a nutritional assessment performed by specialist staff, which included clinical, anthropometric and body composition data.
Results:
A sample of 250 children was studied. Nutritional assessment identified 64 patients (25.6%) under risk, 40 of whom were malnourished (16%). STAMP classified 48.4% of the patients as being under nutritional risk. This tool showed 75% sensitivity and 60.8% specificity when identifying patients under risk according to nutritional assessment. It showed 90% sensitivity and 59.5% specificity when identifying malnourished patients.
Comments:
Malnutrition was less frequent than that reported in other European countries, although diagnosis technique was different. STAMP is a simple and useful tool for nutritional screening, avoiding the need to assess all patients on admission in order to identify those under nutritional risk.
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