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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.
None:
Malnutrition is common among hospitalized children, especially those who are critically ill. Routine measures, such as anthropometric measurements, body composition, and nutritional assessment, comprise the basics of monitoring. This review discusses the adequacy of nutritional screening tools (NSTs) such as the SGNA (Subjective Global Nutritional Assessment), PYMS (Pediatric Yorkhill Malnutrition Score), STAMP (Screening Tool for the Assessment of Malnutrition in Paediatrics), and STRONGkids (Screening Tool for Risk of Nutritional Status and Growth). This review included recently published reports supporting the validation and implementation of NSTs in pediatric populations. A child's nutritional status during hospitalization is of great importance for their recovery, while the implementation of screening tools enhances their clinical outcomes. Current tools have varying sensitivities and specificities, and no single tool can be recommended for all groups of hospitalized children. A combination of tools or adaptation of existing tools with validation in different contexts might be ideal. Further studies are required to develop more robust and comprehensive screening tools.
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