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The Validity of the Original and the Saudi-Modified Screening Tools for the Assessment of Malnutrition in Pediatrics:
Sheikha Alqahtani1,2, Khalid Aldubayan1, Saleh Alshehri3
1Department of Community Health Sciences, Collage of Applied Medical Sciences, King Saud University, Riyadh 11451, Saudi Arabia.
Insights
A modified Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) effectively identifies more hospitalized children at risk of malnutrition. This Saudi-modified STAMP shows higher sensitivity for pediatric malnutrition screening.
Area of Science:
- Pediatric Nutrition
- Clinical Assessment Tools
- Healthcare in Saudi Arabia
Background:
- Malnutrition screening is crucial for hospitalized children.
- The Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) is a validated tool.
- Adaptation of STAMP for the Saudi context was investigated.
Purpose of the Study:
- To modify the STAMP for Saudi pediatric patients.
- To evaluate the sensitivity and specificity of the original and modified STAMP.
- To compare the effectiveness of both tools in identifying malnutrition risk.
Main Methods:
- A cross-sectional study involving 307 hospitalized children.
- Application of both the original and Saudi-modified STAMP.
- Statistical analysis of anthropometric measurements and validity parameters using SPSS.
Main Results:
- The Saudi-modified STAMP identified 91.6% of children at high risk, versus 62.9% with the original STAMP.
- The modified tool demonstrated 94.3% sensitivity and 13.2% specificity.
- The Saudi-modified STAMP showed improved identification of malnutrition risk compared to the original.
Conclusions:
- The Saudi-modified STAMP exhibits excellent sensitivity for malnutrition screening in hospitalized children.
- The modified tool's effectiveness in the Saudi context suggests potential for improved pediatric malnutrition risk identification.
- Further evaluation of the negative predictive value is warranted.
Abstract:
Background: Screening for malnutrition among hospitalized children is essential, and the Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) is a validated tool for this purpose. The study aimed to modify STAMP for a Saudi context and assess the sensitivity and specificity of both the original and modified tools. Method: A cross-sectional study was conducted among 307 hospitalized children, where both the original and Saudi-modified STAMP were applied. Anthropometric measurements were also recorded, and statistical analysis using SPSS and validity parameters was used to assess the tools' validity. Results: The Saudi-modified STAMP identified a higher percentage of children at high risk of malnutrition compared to the original STAMP (91.6% vs. 62.9%). The sensitivity, specificity, positive predictive value, negative predictive value, accuracy, and agreement of the Saudi-modified STAMP compared to the original were 94.3%, 13.2%, 64.8%, 57.7%, 0.654, and 0.089, respectively. Conclusions: The Saudi-modified STAMP showed excellent sensitivity and varied negative predictive value, indicating its potential effectiveness in screening for the risk of malnutrition among hospitalized children compared to the original STAMP.
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