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Nutrition Evaluation Screening Tool: An Easy to Use Screening Tool for Hospitalised Children
Kitt Dokal1, Nadia Asmar1, Rita Shergill-Bonner2
1Faculty of Life Science and Medicine, King's College London, London, UK.
Pediatric Gastroenterology, Hepatology & Nutrition
|January 28, 2021
Summary
The Nutrition Evaluation Screening Tool (NEST) shows moderate agreement with other validated tools, making it a reliable nutrition screening method for hospitalized children. Compliance was high, with 87.2% of patients screened within 24 hours.
Area of Science:
- Pediatric Nutrition
- Clinical Assessment Tools
Background:
- Effective nutrition screening is crucial for managing hospitalized patients.
- A universally accepted nutrition screening tool for pediatrics is lacking.
- The Nutrition Evaluation Screening Tool (NEST) was developed for hospitalized children.
Purpose of the Study:
- Evaluate the compliance of the NEST.
- Assess the agreement between NEST and established tools: STRONGkids, STAMP, and SGNA.
Main Methods:
- Retrospective review of 102 patient episodes.
- Utilized electronic records for NEST compliance and tool completion.
- Employed Cohen's kappa to determine inter-tool agreement.
Main Results:
- Moderate agreement observed between NEST and STRONGkids (κ=0.472) and STAMP (κ=0.416).
- NEST demonstrated the strongest correlation with the SGNA tool.
- NEST compliance reached 87.2% within 24 hours of admission.
Conclusions:
- Moderate agreement supports NEST's validity as a pediatric screening tool.
- NEST is a user-friendly option for hospitalized children's nutrition screening.
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