Validation of a Nutrition Risk Screening Tool for Children and Adolescents With Cystic Fibrosis Ages 2–20 Years

McDonald, Catherine M.

doi:10.1097/mpg.0b013e318156c2db

Cited by 34 publications

(33 citation statements)

References 28 publications

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“…Screening tools for the assessment of malnutrition risk of adults have been available for many years (9)(10)(11). Similar pediatric tools have been developed and were only tested in small cohorts of hospitalized children (5,7,(12)(13)(14). These tools consist of questions related to the patient's history and measurements or clinical estimation of body size to assess risk of poor nutritional status (15).…”

Section: Introductionmentioning

confidence: 99%

Malnutrition risk in hospitalized children: use of 3 screening tools in a large European population

Chourdakis

Hecht

Gerasimidis

et al. 2016

The American Journal of Clinical Nutrition

121

102

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Background: Several malnutrition screening tools have been advocated for use in pediatric inpatients. Objective: We evaluated how 3 popular pediatric nutrition screening tools [i.e., the Pediatric Yorkhill Malnutrition Score (PYMS), the Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP), and the Screening Tool for Risk of Impaired Nutritional Status and Growth (STRONG KIDS )] compared with and were related to anthropometric measures, body composition, and clinical variables in patients who were admitted to tertiary hospitals across Europe. Design: The 3 screening tools were applied in 2567 inpatients at 14 hospitals across 12 European countries. The classification of patients into different nutritional risk groups was compared between tools and related to anthropometric measures and clinical variables [e.g., length of hospital stay (LOS) and infection rates]. Results: A similar rate of completion of the screening tools for each tool was achieved (PYMS: 86%; STAMP: 84%; and STRONG KIDS : 81%). Risk classification differed markedly by tool, with an overall agreement of 41% between tools. Children categorized as high risk (PYMS: 25%; STAMP: 23%; and STRONG KIDS : 10%) had a longer LOS than that of children at low risk (1.4, 1.4, and 1.8 d longer, respectively; P , 0.001). In high-risk patients identified with the PYMS, 22% of them had low (,22) body mass index (BMI) SDscores (SDSs), and 8% of them had low height-for-age SDSs. For the STAMP, the percentages were 19% and 14%, respectively, and for the STRONG KIDS , the percentages were 23% and 19%, respectively. Conclusions: The identification and classification of malnutrition risk varied across the pediatric tools used. A considerable portion of children with subnormal anthropometric measures were not identified with all of the tools. The data obtained do not allow recommending the use of any of these screening tools for clinical practice. This study was registered at clinicaltrials.gov as NCT01132742. Am J Clin Nutr 2016;103:1301-10.

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Section: Introductionmentioning

confidence: 99%

Malnutrition risk in hospitalized children: use of 3 screening tools in a large European population

Chourdakis

Hecht

Gerasimidis

et al. 2016

The American Journal of Clinical Nutrition

121

102

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“…Por ello, puede resultar de mucha utilidad utilizar un cribaje nutricional validado 19 para niños y adolescentes entre 2 y 20 años, con el fin de categorizar el riesgo de complicaciones en FQ debido a un estado nutricional comprometido. La utilización de este cribaje permite identificar individuos que podrían beneficiarse de una intervención nutricional más intensiva.…”

Section: Análisis De La Composición Corporalunclassified

“…Según la puntuación obtenida se clasificará el riesgo nutricional en: inexistente, leve, moderado o alto 19 (Tablas 1 y 2). Tabla 1.…”

Section: Guía De Práctica Clínica Para El Manejo Nutricional De Persounclassified

“…Tabla 1. Cribaje de Riesgo Nutricional para FQ 19 . 3 3 3 3 3 3 3 2 3 3 4 4 4 <1 <1 <1 <1 <1 Hombre 7 6 5 5 5 4 4 4 4 4 4 45 5 5 5 4 4 4 4 4 3 1 <1 <1 <1 <1 <0,1 <0,1 Mujer 5 5 5 6 7 7 8 8 11 14 14 11 7 4 4 3 3 3 Mujer 9 8 7 7 6 6 6 6 6 7 6 3 2 1 <1 <0,1 <0,1 <0,1 Si IMC ≥p50…”

Section: Guía De Práctica Clínica Para El Manejo Nutricional De Persounclassified

“…Algunas determinaciones analíticas pueden ayudar en la valoración del estado nutricional 6,7,9,11,19,23 .…”

Section: Valoración Bioquímicaunclassified

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Guía de Práctica Clínica para el manejo nutricional de personas con Fibrosis Quística (GPC-FQ)

Garriga¹,

Horrisberger²,

Hera³

et al. 2017

Rev Esp Nutr Hum Diet

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La fibrosis quística (FQ) es una enfermedad multiorgánica, hereditaria, autosómica y recesiva cuyos problemas más frecuentes están relacionados con las alteraciones de los pulmones y del páncreas exocrino. El objetivo de esta guía es establecer unas pautas en la práctica clínica para el manejo nutricional de personas con FQ, pudiéndose encontrar recomendaciones sobre la evaluación del estado clínico-nutricional (anamnesis, exploración física, composición corporal, bioquí-mica, función pulmonar, valoración dietético-nutricional, función del páncreas y malabsorción intestinal, y valoración de enfermedades asociadas), tratamiento nutricional de la enfermedad y sus síntomas (estado nutricional y pérdida de peso, intervención nutricional, suplementación con vitaminas y minerales, tratamiento de insuficiencia pancreática, diabetes, y enfermedad hepática), y otras circunstancias (embarazo, lactancia, y trasplante pulmonar). La guía ha sido elaborada mediante revisión simple por un grupo de expertos/as que tomó decisiones a través del consenso para ayudar en la toma de decisiones de los profesionales implicados en la atención de pacientes. Esta guía ha sido revisada y aprobada por el Comité Científico de la Fundación Española de Dietistas-Nutricionistas (FEDN). La guía no pretende ser de obligado cumplimiento ni sustituye el juicio clínico del personal sanitario.

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Evaluating Changes in Handgrip Strength in Children With Cystic Fibrosis: A Pilot Study

et al. 2018

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Validation of a Nutrition Risk Screening Tool for Children and Adolescents With Cystic Fibrosis Ages 2–20 Years

Abstract: This tool for screening nutrition risk for CF is reliable and valid, with consistent, reproducible results, free from subject or observer bias.

Cited by 34 publications

References 28 publications

Malnutrition risk in hospitalized children: use of 3 screening tools in a large European population

Malnutrition risk in hospitalized children: use of 3 screening tools in a large European population

Guía de Práctica Clínica para el manejo nutricional de personas con Fibrosis Quística (GPC-FQ)

Evaluating Changes in Handgrip Strength in Children With Cystic Fibrosis: A Pilot Study

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