Screening for nutritional risk in hospitalized children: comparison of two instruments

Main Article Content

Dwi Novianti
Tiangsa Sembiring
Sri Sofyani
Tri Faranita
Winra Pratita

Abstract

Background Malnutrition in hospitalized children has negative impact on morbidity, mortality, length of stay, and health-care cost. A simple screening tool is needed to detect hospital malnutrition risk in children.

Objective To compare the level of agreement of the Screening Tool for Malnutrition in Pediatrics (STAMP) and Pediatric Nutritional Risk Score (PNRS) with anthropometric measurements, as screening tools for hospital malnutrition in children.

Methods A cross-sectional study was conducted from February to July 2014 in the Pediatric and Surgery Wards at H. Adam Malik Hospital, Medan, North Sumatera. Inclusion criteria were children aged 2 to 18 years who were hospitalized for more than 72 hours. Subjects were screened using STAMP and PNRS, and underwent anthropometric measurement on admission. The weight measurements were repeated on the 3rd and 7th days, and just before discharge. The STAMP and PNRS results were compared in terms of level of agreement with anthropometric measurements. Data were analyzed by Kappa value and Spearman’s correlation test.

Results A total of 127 children were screened with both instruments. The PNRS had slight agreement with hospital malnutrition prevalence (κ=0.175; P=0.028), while STAMP had not  (κ=0.080; P=0.193). Both screening tools had weak positive correlations with length of stay, but the correlation was stronger for PNRS than for STAMP (r=0.218; P=0.014 vs. r=0.188; P=0.034, respectively). The prevalence of hospital malnutrition was 40.9%.

 Conclusions The PNRS screening tool has slight agreement with anthropometric measurement for identifying hospital malnutrition risk in children.

Article Details

How to Cite
1.
Novianti D, Sembiring T, Sofyani S, Faranita T, Pratita W. Screening for nutritional risk in hospitalized children: comparison of two instruments. PI [Internet]. 22Jun.2017 [cited 13Dec.2018];57(3):117-3. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/134
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Articles
Author Biographies

Dwi Novianti, University of Sumatera Utara

Department of Child Health, Medical School, University of Sumatera Utara

Tiangsa Sembiring, University of Sumatera Utara

Department of Child Health, Medical School, University of Sumatera Utara

Sri Sofyani, University of Sumatera Utara

Department of Child Health, Medical School, University of Sumatera Utara

Tri Faranita, University of Sumatera Utara

Department of Child health, Medical School, University of Sumatera Utara

Winra Pratita, University of Sumatera Utara

Department of Child Health, Medical School, University of Sumatera Utara

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