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STRONGkids validation: tool accuracy.
Juliana Rolim Vieira Maciel1, Eduardo Yoshio Nakano2, Kênia Mara Baiocchi de Carvalho1
1Universidade de Brasília, Departamento de Nutrição, Programa de Pós-Graduação em Nutrição Humana, Brasília, DF, Brazil.
Jornal De Pediatria
|April 28, 2019
Summary
The STRONGkids screening tool accurately identifies nutritional risk in hospitalized children, demonstrating high sensitivity for early detection. This validation supports its use in pediatric populations to assess malnutrition prevalence.
Area of Science:
- Pediatric Nutrition
- Clinical Assessment Tools
- Public Health
Background:
- Malnutrition and nutritional risk are significant concerns in hospitalized children.
- Accurate and efficient screening tools are crucial for timely intervention.
- The Screening Tool for Risk on Nutritional status and Growth (STRONGkids) is a potential tool for this purpose.
Purpose of the Study:
- To validate the accuracy of the STRONGkids tool in hospitalized children.
- To estimate the prevalence of malnutrition and nutritional risk in this population.
Main Methods:
- A cross-sectional study was conducted in ten pediatric emergency rooms.
- Anthropometric measurements (weight, height, arm circumference) and Z-scores were collected.
- The STRONGkids tool was applied, and its accuracy was tested against anthropometric data using sensitivity, specificity, and predictive values.
Main Results:
- The study evaluated 271 children; 12.18% had malnutrition and 33.95% were at nutritional risk based on anthropometry.
- The STRONGkids tool identified 78.60% of children as being at nutritional risk.
- The tool demonstrated a sensitivity of 84.8%, specificity of 26.7%, PPV of 49.8%, and NPV of 67.2%.
Conclusions:
- The STRONGkids tool's accuracy was validated, showing high sensitivity.
- This suggests the tool is effective for the early identification of nutritional risk in hospitalized children.
- The findings support the use of STRONGkids in similar pediatric populations.
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