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Validity and reliability analysis of the Turkish version of pediatric nutritional risk score scale
Onur Taşcı1, Özlem Bekem Soylu2, Ezgi Kıran Taşcı1
1Department of Pediatrics, Dr. Behcet Uz Children's Hospital, İzmir, Turkey.
Insights
The Turkish version of the Pediatric Nutritional Risk Score (PNRS) is a valid and reliable tool for assessing malnutrition risk in hospitalized children. Its good consistency indicates successful validation for clinical use.
Area of Science:
- Pediatric Nutrition
- Clinical Assessment Tools
- Medical Validity Studies
Background:
- Malnutrition is a significant concern in hospitalized pediatric patients.
- Accurate nutritional risk assessment is crucial for timely intervention.
- The Pediatric Nutritional Risk Score (PNRS) is a tool used to identify children at risk of malnutrition.
Purpose of the Study:
- To validate and assess the reliability of the Turkish version of the Pediatric Nutritional Risk Score (PNRS).
- To determine the effectiveness of the Turkish PNRS in identifying nutritional risk in hospitalized children.
Main Methods:
- The study involved 149 pediatric patients (1 month to 18 years) hospitalized for at least 48 hours.
- Data collected included demographics, anthropometrics, length of stay, diagnosis, weight, food intake, and pain.
- The Turkish PNRS was translated and administered by two physicians; consistency, sensitivity, specificity, PPV, and NPV were calculated.
Main Results:
- The Kappa coefficient between physicians was 0.66, indicating good consistency.
- The hospital malnutrition rate was 31.5%.
- The Turkish PNRS demonstrated a sensitivity of 77.8%, specificity of 82.1%, PPV of 58.3%, and NPV of 92.0%.
Conclusions:
- The Turkish validation of the PNRS was successful, demonstrating good consistency.
- The PNRS is a valid and reliable tool for assessing malnutrition risk in hospitalized pediatric patients.
- The score is particularly effective in identifying moderate-to-low risk patients.
Background/Aims:
We aimed to perform the validity and reliability analysis of the Turkish version of the Pediatric Nutritional Risk Score (PNRS).
Materials And Methods:
The study group consisted of 149 patients aged between 1 month and 18 years who were admitted to the hospital for at least 48 h. The patients' age, gender, anthropometric measurements, length of stay, admission diagnosis, daily body weights, food consumption, and pain status were recorded. Backward and forward translations into Turkish were done. PNRS was performed by two different physicians. The consistency of the PNRS results was evaluated to determine the validity of PNRS. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated.
Results:
Of all patients, 69 (46.3%) were female and 80 (53.7%) were male. The mean length of the stay was 7.3±4.0 days. The mean age of the patients was 51.9±63.6 months. The Kappa coefficient between the two physicians was 0.66. Weight loss was observed in 65.2% of the patients in the high-risk group and 25.4% in the low-risk group. The hospital malnutrition rate was 31.5%. A higher risk was identified in those with <50% food intake and more severe disease. The specificity, sensitivity, NPV, and PPV of PNRS were 82.1%, 77.8%, 92.0%, and 58.3%, respectively.
Conclusion:
A good consistency suggests that the Turkish validation was achieved successfully. The power of PNRS to discriminate the patients with moderate-low risk of developing malnutrition is higher than the patients with high risk. PNRS is considered a valid and reliable tool to establish the risk of malnutrition in the hospitalized patients.
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