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STRONGkids: Predictive Validation in Brazilian Children

Mara Alves da Cruz Gouveia1, Rafael Miranda Tassitano2, Gisélia Alves Pontes da Silva1

  • 1Mother and Child Department, Universidade Federal de Pernambuco, Recife, Brazil.

Journal of Pediatric Gastroenterology and Nutrition
|May 16, 2018
PubMed

Insights

The STRONGkids tool has limited accuracy in predicting weight loss in hospitalized children, showing low sensitivity. Clinical data should supplement this preliminary evaluation tool for better patient assessment.

Area of Science:

  • Pediatric Nutrition
  • Clinical Assessment Tools

Background:

  • Nutritional status is critical for pediatric patient outcomes.
  • Accurate prediction of weight loss and hospital stay duration is essential for effective pediatric care.

Purpose of the Study:

  • To evaluate the STRONGkids tool's efficacy in predicting weight loss and hospital stay in children.
  • To determine the association between anthropometric nutritional status at admission and weight loss/hospital stay.

Main Methods:

  • A methodological study involving 245 children aged 1-10 years admitted to a tertiary hospital.
  • Daily weighing of participants until discharge to track weight changes.
  • Validation of the STRONGkids tool using sensitivity, specificity, and predictive values, alongside anthropometric assessments.

Main Results:

  • Over half of the children (52.7%) experienced weight loss during hospitalization.
  • The STRONGkids tool demonstrated 55.8% sensitivity and 38.8% specificity for identifying weight loss.
  • Anthropometric assessment showed 26.5% sensitivity and 75.9% specificity for weight loss prediction.

Conclusions:

  • The STRONGkids tool, primarily based on clinical evaluation, exhibits low sensitivity and a high false-positive rate for predicting weight loss.
  • It is recommended as a preliminary tool, necessitating supplementation with clinical data for comprehensive patient evaluation.
Abstract

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