Simple pediatric nutritional risk score to identify children at risk of malnutrition

Abstract

This simple score is suitable for routine use to identify patients at risk of malnutrition during hospitalization. Implementation may prevent hospital-acquired malnutrition.

Tradução e adaptação cultural da ferramenta Strongkids para triagem do risco de desnutrição em crianças hospitalizadas

“…The objective methods (weight and height) to assess the nutritional status identify patients who already suffer from malnutrition and not those subjected to the risk of installing this process (21) . To prevent the development of hospital malnutrition and its complications, nutritional risk must be identified at admission so that appropriate nutritional interventions can be introduced early (22) . In this context, methods of screening of nutritional status are useful to track the risk of malnutrition in a quick and practical manner, besides enabling early intervention (11) .…”

“…There are a few tools available in the literature, such as the "Pediatric Nutritional Risk Score" (12) ; the "Subjective Global Nutritional Assessment" (13) ; the "STAMP tool" (14) ; the "Paediatric Yorkhill Malnutrition Score" (15) and the "Strongkids" (16) . In general, these tools identify the risk of malnutrition through the evaluation of anthropometric measures, presence of underlying or high-risk diseases, presence/absence of weight loss, food intake, and presence of vomiting and/ or diarrhea (11) .…”

Growth faltering: setting the scene

“…Hospitalization for acute illness may result in rapid onset of PEM because of inadequate intake, pain and depression. A simple paediatric nutritional risk score to identify children at risk of malnutrition has been established (Sermet-Gaudelus et al, 2000). The risk of worsening or developing malnutrition during hospital stay has also been pointed out (Sermet-Gaudelus et al, 2000).…”

“…A simple paediatric nutritional risk score to identify children at risk of malnutrition has been established (Sermet-Gaudelus et al, 2000). The risk of worsening or developing malnutrition during hospital stay has also been pointed out (Sermet-Gaudelus et al, 2000). Eating disorders may result from psychosocial problems and cause a so-called non-organic FTT.…”

The Relevance of Assessment of Nutritional Status in Children with Chronic Heart Failure

“…Вместе с тем значительно меньше внимания уделяют детям с отставанием в физи-ческом развитии. При этом следует учитывать, что дефицитные состояния у детей в развитых странах чаще возникают не в результате действия алиментарного фактора (сниженного аппетита, недостаточного пита-ния, затруднений при приеме пищи), а на фоне тяжелых, хронических заболеваний, приводящих к повышению потребностей в пищевых веществах или нарушению их абсорбции и ассимиляции [1][2][3]. С другой стороны, нару-шения нутритивного статуса у детей способны привести к ряду патологических изменений в организме, которые могут сохраняться на протяжении всей жизни [1][2][3].…”