Nutritional screening in hospitalized pediatric patients: a systematic review

Teixeira, Adriana Fonseca; Viana, Kátia Danielle Araújo Lourenço

doi:10.1016/j.jped.2015.08.011

Cited by 58 publications

(67 citation statements)

References 35 publications

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“…5 Data analysis was conducted using Stata version 14.2 (StataCorp, College Station, TX, USA). 5 Data analysis was conducted using Stata version 14.2 (StataCorp, College Station, TX, USA).…”

Section: Discussionmentioning

confidence: 99%

“…24 The SGNA is a comprehensive structured approach to nutrition assessment that combines a nutrition-focused medical history and physical examination to determine a global nutritional status rating using clinical judgement. 5 More recently, studies have utilized the SGNA as a structured version of a full nutritional assessment with an overall scoring system. The physical examination included assessment of subcutaneous fat and muscle stores at specified sites of the body using a head to toe approach as described elsewhere.…”

Section: Nutrition Outcomesmentioning

confidence: 99%

“…24 The nutrition-focused medical history includes current and historical anthropometric data, dietary intake assessment, presence and severity of gastrointestinal symptoms impacting on dietary intake, changes in functional capacity caused by undernutrition, and the metabolic demands of any underlying condition. 5 In addition, the SGNA has recently been tested in a population of children with CP. 24 The child's face, arms, and chest were examined for clearly defined, bony, or muscular outlines.…”

Section: Nutrition Outcomesmentioning

confidence: 99%

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Development and validation of a screening tool for feeding/swallowing difficulties and undernutrition in children with cerebral palsy

Bell

Benfer

Ware

et al. 2019

Develop Med Child Neuro

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AimTo develop and validate a screening tool for feeding/swallowing difficulties and/or undernutrition in children with cerebral palsy (CP).MethodThis cross‐sectional, observational study included 89 children with CP (63 males, 26 females; median age 6y 0mo; interquartile range 4y 0mo–8y 11mo), across all Gross Motor Function Classification System levels. Children with feeding tubes were excluded. Children were classified as well‐nourished or moderately to severely undernourished, using the paediatric Subjective Global Nutrition Assessment. Eating and drinking abilities were classified using the Eating and Drinking Ability Classification System (EDACS) from mealtime observation and videofluoroscopic swallow studies when indicated. Parents/caregivers answered 33 screening questions regarding their child's feeding/swallowing abilities and nutritional status. The diagnostic ability of each question for identifying children with feeding/swallowing difficulties and undernutrition was calculated and the combination of questions with the highest sensitivity and specificity identified.ResultsFeeding difficulties impacted on swallow safety in 26 children (29%) and 26 children (29%) were moderately or severely undernourished. The 4‐item final tool had high sensitivity and specificity for identifying children with feeding/swallowing difficulties (81% and 79% respectively) and undernutrition (72% and 75% respectively). The tool successfully identified 100 per cent of children with severe undernutrition and 100 per cent of those classified as EDACS level IV or V.InterpretationScreening for feeding/swallowing difficulties and undernutrition will enable early identification, assessment, and management for those children in need.What this paper adds A screening tool with high sensitivities and specificities for identifying children with feeding/swallowing difficulties and undernutrition.The tool identified 100 per cent of children with severe undernutrition.The tool identified 100 per cent of children in Eating and Drinking Ability Classification System levels IV or V.

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“…5 Data analysis was conducted using Stata version 14.2 (StataCorp, College Station, TX, USA). 5 Data analysis was conducted using Stata version 14.2 (StataCorp, College Station, TX, USA).…”

Section: Discussionmentioning

confidence: 99%

Section: Nutrition Outcomesmentioning

confidence: 99%

Section: Nutrition Outcomesmentioning

confidence: 99%

See 1 more Smart Citation

Development and validation of a screening tool for feeding/swallowing difficulties and undernutrition in children with cerebral palsy

Bell

Benfer

Ware

et al. 2019

Develop Med Child Neuro

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“…A systematic review of eight studies assessed the clinical and diagnostic performance of nutritional risk screening tools for the pediatric population [48]. The authors concluded that the instruments have good performance, especially STAMP and STRONGkids, but they emphasized the need of more studies to validate screening tools and stated that only one tool had been translated into Brazilian Portuguese and adapted for the Brazilian population.…”

Section: Nutritional Screening Tools For Pediatric Patientsmentioning

confidence: 99%

Hospital Malnutrition in Pediatric Patients: A Review

Mac¹

2017

Ann Nutr Disord Ther

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Malnutrition is common in pediatric inpatients, and nutritional status often deteriorates in the hospital. Although the prevalence of hospital malnutrition is high, this condition is ignored and consequently, not treated. The first step to fight malnutrition knows how to identify patients at greater risk of this condition. One way to identify them is by using risk screening tools, which should be used in all inpatients. Six screening tools have been created for pediatric patients, but none of these tools stood out. Nevertheless, the STRONGKids has been the most studied tool in many countries because of its ease and speed of use. In Brazil only STRONGKids has been translated and adapted, but just one study assessed its accuracy in our population, obtaining modest results. Hence, STRONGKids should be considered a preliminary tool, and its correlation with clinical data requires investigation.

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“…Formal parent-reported tools for feeding and swallowing assessment are available for the general paediatric population, but are predominately designed to evaluate behavioural, environmental, and interactional aspects of mealtimes, rather than oral sensorimotor and swallowing difficulties. 8 Paediatric nutrition screening tools have been developed for other high-risk paediatric clinical groups, [9][10][11] but are not available for children with CP.…”

mentioning

confidence: 99%