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The Pediatric Yorkhill Malnutrition Score Is a Reliable Malnutrition Screening Tool

Nur Eni Lestari1, Nani Nurhaeni1, Dessie Wanda1

  • 1a Faculty of Nursing , Universitas Indonesia, Jalan Bahder Djohan Campus , Depok , Indonesia.

Comprehensive Child and Adolescent Nursing
|November 23, 2017
PubMed

Insights

The Pediatric Yorkhill Malnutrition Score (PYMS) is a highly sensitive and specific tool for identifying malnutrition in hospitalized children. This malnutrition screening tool is recommended for policy implementation.

Area of Science:

  • Pediatric Nutrition
  • Clinical Assessment
  • Healthcare Policy

Background:

  • Hospitalized children are at high risk of malnutrition.
  • Effective nutritional management requires accurate malnutrition screening tools.
  • Existing tools need validation for optimal clinical use.

Purpose of the Study:

  • To compare the sensitivity and specificity of the Pediatric Yorkhill Malnutrition Score (PYMS) and the Screening Tool for the Risk of Impaired Nutritional Status and Growth (STRONGkids).
  • To evaluate these tools against the Subjective Global Nutritional Assessment for Children (SGNA) in a pediatric population.
  • To determine the most effective malnutrition screening tool for clinical policy.

Main Methods:

  • A comparative study involving 81 pediatric patients aged 1-16 years.
  • Administration and assessment of PYMS, STRONGkids, and SGNA for each participant.
  • Statistical analysis of sensitivity and specificity for PYMS and STRONGkids against SGNA.

Main Results:

  • The PYMS demonstrated high sensitivity (95.7%) and moderate specificity (66.7%).
  • The STRONGkids tool showed lower sensitivity (52.2%) and specificity (41.7%).
  • PYMS significantly outperformed STRONGkids in identifying pediatric malnutrition.

Conclusions:

  • The Pediatric Yorkhill Malnutrition Score (PYMS) is a reliable and effective tool for malnutrition screening in hospitalized children.
  • PYMS is recommended for integration into hospital malnutrition screening policies.
  • Accurate and timely malnutrition screening is crucial for improving pediatric patient outcomes.

Keywords:
MalnutritionPYMSPediatric Yorkhill Malnutrition Scorescreening

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