Usefulness of the StrongKids Screening Tool in Detecting Anemia and Inflammation in Hospitalized Pediatric Patients

Santos, Carolina Araújo dos; Rosa, Carla de Oliveira Barbosa; Franceschini, Sylvia do Carmo Castro; Firmino, Heloísa Helena; Ribeiro, Andréia Queiróz

doi:10.1080/07315724.2020.1750072

Cited by 4 publications

(7 citation statements)

References 60 publications

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“…Our results confirm the findings of the study by Yaprak et al, 15 in which the mean serum albumin levels were lower in pediatric patients with cancer with malnutrition than in those without malnutrition (P < 0.001) accompanied by an inflammatory state. These results were also consistent with those of Santos et al, 24 who performed nutrition screening with the STRONGkids tool and observed that CRP was elevated and serum albumin was reduced in patients at medium and high risk of malnutrition. Other authors [25][26][27] observed that the combination of serum albumin levels and MUAC in the nutrition risk increased the prevalence of pediatric patients classified as malnourished.…”

Section: Discussionsupporting

confidence: 92%

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Mid‐upper arm circumference in hospitalized pediatric patients with cancer: Is there an association with malnutrition?

et al. 2023

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BackgroundMalnutrition is common in children/adolescents with cancer. Mid‐upper arm circumference (MUAC) is recommended by the International Society of Pediatric Oncology for measuring nutrition status. The aim was to evaluate the nutrition status of pediatric patients with cancer and verify whether MUAC is associated with malnutrition and length of stay (LOS).MethodsThis was an observational study of patients aged 0–19 years with solid and hematological neoplasms. Data included anthropometric measurements of nutrition status by body mass index/age (BMI/A), weight/age, weight/height, height/age, MUAC, mid‐arm muscle circumference, triceps skinfold thickness (TSF), and biochemical measurements of characterizing inflammation (serum prealbumin level, serum albumin level, and C‐reactive protein [CRP]). Statistical tests such as the Student t test, Mann‐Whitney test, and Spearman correlation were employed to analyze the data. Logistic regression was used for multivariate analysis.ResultsOf 111 patients, 51.7% (n = 57) were male, and solid tumors were prevalent (76.6%, n = 85). The median age was 8.5 years. The anthropometric measurements of the arm revealed a higher prevalence of malnutrition when compared with anthropometric indices. According to the Spearman correlation, a high and positive correlation was observed between MUAC and BMI/A (ρ = 0.800 and P < 0.001). There was an association between MUAC, TSF, and high CRP with LOS (P = 0.025, P = 0.003, and P < 0.001, respectively). Patients with a MUAC (less than the fifth percentile) had almost 2.73 times the chance of having a prolonged LOS.ConclusionMUAC was a good parameter for the classification of nutrition status and the assessment of LOS in pediatric patients with cancer.

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Section: Discussionsupporting

confidence: 92%

“…For serum albumin and prealbumin levels, values <3.5 and 0.18 g/dl, respectively, were considered to be "<adequate." 15,23,24 LOS was calculated as the time between the dates of admission and hospital discharge.…”

Section: Nutrition Assessmentmentioning

confidence: 99%

Mid‐upper arm circumference in hospitalized pediatric patients with cancer: Is there an association with malnutrition?

et al. 2023

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“…C-reactive protein (CRP), an inflammatory marker produced mainly by hepatocytes also described as a marker of the progression and prognosis of cancer, showed an association between those classified as malnourished and at nutritional risk by the ANPEDCancer tool compared to the well-nourished. Inflammation is an important etiologic factor for malnutrition 39 , and Santoset al 40 pediatric patients classified as at nutritional risk (moderate/high) had higher levels of CRP, showing an association with nutritional status.…”

Section: Discussionmentioning

confidence: 99%

Performance of the new nutritional evaluation tool for hospitalized pediatric cancer patients (ANPEDCancer)

Saraiva

Martucci

Monteiro

2022

Preprint

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Background: There is a lack of specific nutritional assessment tools for the pediatric population with hospitalized cancer. The aim was to evaluate the performance of ANPEDCancer in a pediatric population with cancer, verifying its ability to detect nutritional inadequacy and predict the length of hospital stay. Methods: We evaluated 111 pediatric patients hospitalized in a cancer reference institute in 2019. Patients were classified as malnourished and well-nourished, according to the ANPEDCancer, and measures of weight, height, anthropometric indicators, body composition, laboratory parameters, length of hospital stay, and death were compared between groups. The ANPEDCancer classification was compared with the complete nutritional assessment, calculating sensitivity, specificity, and predictive values, and with prolonged hospital stay. Results: The prevalence of malnutrition was 12.6%, nutritional risk was 48.6%, risk of overweight/obesity was 6.3%, and well-nourished status was 32.4%. According to ANPEDCancer, malnourished patients showed a higher frequency of inadequacy for all anthropometric indices, percentage of weight loss, albumin, C-reactive protein (CRP), and longer hospital stay when compared to well-nourished patients. There was an association between the tool’s diagnosis and measures of body composition, CRP, and length of hospital stay. ANPEDCancer validation with the complete nutritional assessment showed a sensitivity of 81.6%, specificity of 55%, positive predictive value of 53.4%, and negative predictive value of 82.5%. The length of hospital stay was almost twice as long among malnourished patients. Conclusions: ANPEDCancer is feasible to assess nutritional status and identify the presence of nutritional risk, allowing targeted assistance in the hospitalized pediatric cancer patients pediatric.

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“…38 CRP, an inflammatory marker produced by hepatocytes also described as a marker of the progression and prognosis of cancer, showed an association between those classified as malnourished and at nutrition risk by the ANPEDCancer tool compared with the well nourished. Inflammation is an important etiologic factor for malnutrition, 45 and, in the article by Santos et al, 46 pediatric patients classified as at nutrition risk Three patients were excluded from the analysis for death.…”

Section: Discussionmentioning

confidence: 99%

Performance of the new nutrition evaluation tool for hospitalized pediatric patients with cancer in Brazil (ANPEDCancer)

2022

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Background There is a lack of specific nutrition assessment tools for pediatric patients with cancer. The aim was to evaluate the performance of the ANPEDCancer assessment tool in a pediatric population with cancer, verifying its ability to detect nutrition inadequacy and predict the length of hospital stay (LOS). Methods Evaluated 111 pediatric patients hospitalized in the National Cancer Institute (INCA) in 2019 to assess nutrition status. Patients were classified as malnourished and well nourished by the ANPEDCancer. Measures of weight, height, anthropometric indicators, body composition, laboratory parameters, LOS, and death were compared between groups. The ANPEDCancer classification was compared with the complete nutrition assessment, calculating sensitivity, specificity, and predictive values, and with the LOS. Results The prevalence of malnutrition was 12.6%, nutrition risk was 48.6%, risk of overweight/obesity was 6.3%, and well‐nourished status was 32.4%. According to ANPEDCancer, malnourished patients showed a higher frequency of inadequacy for all anthropometric indices, percentage of weight loss, serum albumin level, C‐reactive protein (CRP), and longer LOS when compared with well‐nourished patients. There was an association between the tool's diagnosis and measures of body composition, CRP, and LOS. ANPEDCancer validation with the complete nutrition assessment showed a sensitivity of 81.6%, specificity of 55%, positive predictive value of 53.4%, and negative of 82.5%. The LOS was almost twice as long among malnourished patients and was statistically significant (P = 0.002). Conclusion ANPEDCancer is a feasible tool to assess nutrition status and identify the presence of nutrition risk, allowing for targeted assistance in hospitalized pediatric patients with cancer.

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Usefulness of the StrongKids Screening Tool in Detecting Anemia and Inflammation in Hospitalized Pediatric Patients

Cited by 4 publications

References 60 publications

Mid‐upper arm circumference in hospitalized pediatric patients with cancer: Is there an association with malnutrition?

Mid‐upper arm circumference in hospitalized pediatric patients with cancer: Is there an association with malnutrition?

Performance of the new nutritional evaluation tool for hospitalized pediatric cancer patients (ANPEDCancer)

Performance of the new nutrition evaluation tool for hospitalized pediatric patients with cancer in Brazil (ANPEDCancer)

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