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Screening for Pediatric Malnutrition at Hospital Admission: Which Screening Tool Is Best? by Laura E. Carter; Grace Shoyele; Sarah Southon; Anna Farmer; Rabin Persad; Vera C. Mazurak; M. Kim BrunetWood is a Medicine article available to read on EtoBox.

What is Screening for Pediatric Malnutrition at Hospital Admission: Which Screening Tool Is Best? about?

## Abstract ## Background Identifying children at malnutrition risk on admission to hospital is considered best practice; however, nutrition screening in pediatric populations is not common. The aim of this study was to determine which screening tool is able to identify children with malnutrition on admission to hospital. ## Methods A nurse administered 2 pediatric nutrition screening tools, Screening Tool for Risk on Nutritional Status and Growth (STRONGkids) and Pediatric Nutrition Screening Tool (PNST) to patients admitted to medicine and surgery units (n = 165). The Subjective Global Nutritional Assessment (SGNA) was then completed by a dietitian, blinded to the results of the screens. Sensitivity, specificity, and κ were calculated for both screening tools against the SGNA. A receiver operating characteristic (ROC) curve assessed alternate cutoffs for each tool. Length of hospital stay (LOS) was used to assess prospective validity. ## Results Using the recommended cutoffs, the sensitivity of STRONGkids was 89%, specificity 35%, and κ 0.483. The sensitivity of PNST was 58%, specificity 88%, and κ 0.601. Using adjusted cutoffs, PNST's sensitivity improved to 87%, specificity 71%

Who reads Screening for Pediatric Malnutrition at Hospital Admission: Which Screening Tool Is Best??

Author

Laura E. Carter; Grace Shoyele; Sarah Southon; Anna Farmer; Rabin Persad; Vera C. Mazurak; M. Kim BrunetWood

Publisher

Wiley

Published

2019

Language

EN

Field

Medicine (Health Sciences)