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Exploring nutritional screening tools for hospitalized children: a narrative review
Pankaj Soni1, Amit Agrawal2, Gaurav Jadon3
1Department of Neonatology, Thumbay University Hospital, and Clinical Lecturer, Department of Clinical Sciences (Pediatric Neonatology), College of Medicine, Gulf Medical University, Ajman, UAE.
Clinical and Experimental Pediatrics
|October 22, 2025
Summary
Identifying malnutrition in hospitalized children is crucial for recovery. This review examines nutritional screening tools (NSTs), finding no single best option, suggesting combined or adapted approaches for better outcomes.
Area of Science:
- Pediatric Nutrition
- Clinical Assessment
- Healthcare Outcomes
Background:
- Malnutrition is prevalent in hospitalized children, particularly the critically ill.
- Nutritional status significantly impacts recovery and clinical outcomes in pediatric patients.
- Standard monitoring includes anthropometry, body composition, and nutritional assessment.
Purpose of the Study:
- To review the adequacy of current nutritional screening tools (NSTs) for hospitalized children.
- To assess the validation and implementation of NSTs in pediatric populations based on recent reports.
Main Methods:
- Literature review of recently published reports on pediatric NSTs.
- Discussion of specific tools: Subjective Global Nutritional Assessment (SGNA), Pediatric Yorkhill Malnutrition Score (PYMS), Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP), and Screening Tool for Risk of Nutritional Status and Growth (STRONGkids).
Main Results:
- Existing NSTs exhibit variable sensitivities and specificities.
- No single NST is universally recommended for all hospitalized pediatric groups.
- Implementation of NSTs can enhance clinical outcomes for children.
Conclusions:
- A combination of NSTs or adapted tools validated in diverse contexts may be optimal.
- Further research is needed to develop more robust and comprehensive pediatric screening tools.
- Effective nutritional screening is vital for improving hospitalized children's health.
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