The Journal of Health, Population and Nutrition
Vol. 38, No. 1, 2019, pp. 1-4
Bioline Code: hn19001
Full paper language: English
Document type: Report
Document available free of charge
The Journal of Health, Population and Nutrition, Vol. 38, No. 1, 2019, pp. 1-4
© Copyright 2019 - The Author(s)
Nutritional risk screening—a cross-sectional study in a tertiary pediatric hospital|
Tuokkola, J.; Hilpi, J.; Kolho, K-L; Orell, H. & Merras-Salmio, L.
Background: All hospitalized patients should be screened for malnutrition risk. No universal method exists for
Methods: We performed a cross-sectional study comparing three published malnutrition risk screening tools (PYMS,
STAMP, and STRONGkids), applying them to each inpatient aged 1 month to 17 years over a period of five
consecutive weekdays in Helsinki University Hospital, Finland.
Results: Of the eligible patients, 67% (n = 69) participated. We found that 6.2% of the children were acutely
malnourished and accurately categorized by the three tools. STRONGkids showed the highest specificity (100%) and
positive predictive value (36%). Acute malnutrition seemed to be associated with longer hospital stay (p = 0.051).
Conclusion: STRONGkids was the most accurate screening tool for detecting acute malnutrition and was therefore
chosen as the screening method in our hospital. Routine screening for the risk of malnutrition in pediatric
inpatients is important in detecting at-risk children who would otherwise be left without dietary intervention.
Pediatric hospital inpatient; Malnutrition; Nutritional risk screening
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