Nutritional Screening for Hospitalized Pediatric Patients By STRONGkids Compared with STAMP
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Abstract
Introduction: One third of hospitalized pediatric patients have malnutrition which results in complications and costly medical fee. Therefore, malnutrition screening is important for early detection and prevention of the aforementioned risks.
Objectives: To inspect the prevalence of malnutrition in hospitalized pediatric patients at Vajira Hospital and to identify sensitivity and specificity of STRONGkids and STAMP as screening tools for detection of malnutrition in these patients.
Methods: Cross - sectional study using questionnaire in 405 pediatric patients aged 1 month – 14 years old, who were admitted to pediatric ward at Vajira Hospital from October 2016 – May 2017, was performed. All patients were screened for malnutrition by STRONGkids and STAMP and assessed nutritional status by body weight and length/height.
Results: Of 405 patients, 210 (51.9%) were male. Mean age was 4.5 years old. (Prevalence of malnutrition in this study was 17.3%. There were 49 (12.1%) and 21 (5.2%) case of acute malnutrition and chronic malnutrition, respectively. For screening of malnutrition, STRONGkids had sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of 95.7%, 22.8%, 20.6%, and 96.2%, respectively. STAMP had sensitivity, specificity, PPV, and NPV of 94.3%, 25.7%, 21%, and 95.6%, respectively, which were not statistically different. However, STRONGkids took less time for screening than STAMP (1.1 minute and 3.2 minutes, respectively).
Conclusion: STRONGkids and STAMP can be used as nutritional screening of hospitalized pediatric patients with height and weight measurement for diagnosis reconfirmation of malnutrition due to low specificity and NPV
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References
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