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Nutritional risk screening-a cross-sectional study in a tertiary pediatric hospital

J Tuokkola1,2, J Hilpi3, K-L Kolho4

  • 1Children's Hospital, Helsinki University Hospital and University of Helsinki, P.O. Box 281, FI-00029 HUH, Helsinki, Finland. jetta.tuokkola@iki.fi.

Journal of Health, Population, and Nutrition
|March 27, 2019
PubMed

Insights

Pediatric malnutrition screening is crucial. The STRONGkids tool demonstrated the highest accuracy in identifying acute malnutrition among hospitalized children, improving early dietary interventions.

Area of Science:

  • Pediatric Nutrition
  • Clinical Assessment
  • Hospital Medicine

Background:

  • Hospitalized patients require malnutrition risk screening.
  • A universal screening method for pediatric patients is lacking.
  • Early identification of malnutrition is vital for effective treatment.

Purpose of the Study:

  • To compare the efficacy of three distinct malnutrition risk screening tools in pediatric inpatients.
  • To identify the most accurate tool for detecting acute malnutrition in children.
  • To inform the selection of a standardized malnutrition screening protocol.

Main Methods:

  • A cross-sectional study was conducted at Helsinki University Hospital, Finland.
  • Three malnutrition risk screening tools (PYMS, STAMP, STRONGkids) were applied to inpatients aged 1 month to 17 years.
  • Data were collected over five consecutive weekdays.

Main Results:

  • A 67% participation rate was achieved among eligible pediatric inpatients.
  • 6.2% of children were identified as acutely malnourished and correctly categorized by the tools.
  • The STRONGkids tool exhibited the highest specificity (100%) and positive predictive value (36%), with a trend towards longer hospital stays for malnourished children (p=0.051).

Conclusions:

  • The STRONGkids tool was identified as the most accurate for detecting acute malnutrition in pediatric inpatients.
  • STRONGkids was adopted as the standard malnutrition screening method at the hospital.
  • Routine screening is essential for identifying at-risk children and ensuring timely dietary interventions.
Abstract

Keywords:
MalnutritionNutritional risk screeningPediatric hospital inpatient

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