The malnutrition screening tool STRONGKIDS performed better than other screening tools for children hospitalised in Egypt

Aim To compare the accuracy of three different screening tools, namely, the Paediatric Yorkhill Malnutrition Score (PYMS), Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP), and Screening Tool for Risk on Nutritional Status and Growth (STRONGKIDS), in assessing malnutrition ri...

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Veröffentlicht in:Acta Paediatrica 2024-05, Vol.113 (5), p.1006-1012
Hauptverfasser: Omar, Omneya Magdy, Tayel, Dalia I., Saleh, Radwa Mohamed, Ramadan, Magdy Abdelfatah
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container_end_page 1012
container_issue 5
container_start_page 1006
container_title Acta Paediatrica
container_volume 113
creator Omar, Omneya Magdy
Tayel, Dalia I.
Saleh, Radwa Mohamed
Ramadan, Magdy Abdelfatah
description Aim To compare the accuracy of three different screening tools, namely, the Paediatric Yorkhill Malnutrition Score (PYMS), Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP), and Screening Tool for Risk on Nutritional Status and Growth (STRONGKIDS), in assessing malnutrition risk in hospitalised children. Methods A cross‐sectional study was conducted on 300 children aged 6 months to 15 years at Alexandria University Children's Hospital, Egypt. The sensitivity and specificity of each tool were calculated to detect acute and chronic malnutrition, and an agreement test was conducted between the nutritional screening tools. The patients were classified into different nutritional risk groups, and their classification was compared with anthropometric measures and clinical variables, such as the length of hospital stay (LOS). Results The prevalence of stunting and wasting on admission was found to be 3% and 6.6%, respectively. Children categorised as high‐risk on admission had a longer LOS than those at low risk. The agreement test between the STAMP score and STRONGKIDS score on admission showed the most significant agreement, and STRONGKIDS had the best accuracy in detecting acute and chronic malnutrition. Conclusion The comparison of the three screening tools revealed that STRONGKIDS exhibited the best accuracy in detecting acute and chronic malnutrition.
doi_str_mv 10.1111/apa.17123
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Methods A cross‐sectional study was conducted on 300 children aged 6 months to 15 years at Alexandria University Children's Hospital, Egypt. The sensitivity and specificity of each tool were calculated to detect acute and chronic malnutrition, and an agreement test was conducted between the nutritional screening tools. The patients were classified into different nutritional risk groups, and their classification was compared with anthropometric measures and clinical variables, such as the length of hospital stay (LOS). Results The prevalence of stunting and wasting on admission was found to be 3% and 6.6%, respectively. Children categorised as high‐risk on admission had a longer LOS than those at low risk. The agreement test between the STAMP score and STRONGKIDS score on admission showed the most significant agreement, and STRONGKIDS had the best accuracy in detecting acute and chronic malnutrition. Conclusion The comparison of the three screening tools revealed that STRONGKIDS exhibited the best accuracy in detecting acute and chronic malnutrition.</description><identifier>ISSN: 0803-5253</identifier><identifier>ISSN: 1651-2227</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.17123</identifier><identifier>PMID: 38291548</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>Accuracy ; Child ; Children ; Cross-Sectional Studies ; Egypt - epidemiology ; Humans ; Malnutrition ; Malnutrition - diagnosis ; Malnutrition - epidemiology ; Mass Screening ; Nutrition Assessment ; Nutritional Status ; PYMS ; Risk groups ; STAMP ; STRONGKIDS</subject><ispartof>Acta Paediatrica, 2024-05, Vol.113 (5), p.1006-1012</ispartof><rights>2024 Foundation Acta Paediatrica. Published by John Wiley &amp; Sons Ltd</rights><rights>2024 Foundation Acta Paediatrica. 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Methods A cross‐sectional study was conducted on 300 children aged 6 months to 15 years at Alexandria University Children's Hospital, Egypt. The sensitivity and specificity of each tool were calculated to detect acute and chronic malnutrition, and an agreement test was conducted between the nutritional screening tools. The patients were classified into different nutritional risk groups, and their classification was compared with anthropometric measures and clinical variables, such as the length of hospital stay (LOS). Results The prevalence of stunting and wasting on admission was found to be 3% and 6.6%, respectively. Children categorised as high‐risk on admission had a longer LOS than those at low risk. The agreement test between the STAMP score and STRONGKIDS score on admission showed the most significant agreement, and STRONGKIDS had the best accuracy in detecting acute and chronic malnutrition. 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Methods A cross‐sectional study was conducted on 300 children aged 6 months to 15 years at Alexandria University Children's Hospital, Egypt. The sensitivity and specificity of each tool were calculated to detect acute and chronic malnutrition, and an agreement test was conducted between the nutritional screening tools. The patients were classified into different nutritional risk groups, and their classification was compared with anthropometric measures and clinical variables, such as the length of hospital stay (LOS). Results The prevalence of stunting and wasting on admission was found to be 3% and 6.6%, respectively. Children categorised as high‐risk on admission had a longer LOS than those at low risk. The agreement test between the STAMP score and STRONGKIDS score on admission showed the most significant agreement, and STRONGKIDS had the best accuracy in detecting acute and chronic malnutrition. 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subjects Accuracy
Child
Children
Cross-Sectional Studies
Egypt - epidemiology
Humans
Malnutrition
Malnutrition - diagnosis
Malnutrition - epidemiology
Mass Screening
Nutrition Assessment
Nutritional Status
PYMS
Risk groups
STAMP
STRONGKIDS
title The malnutrition screening tool STRONGKIDS performed better than other screening tools for children hospitalised in Egypt
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