TY - JOUR
T1 - Validation of a nutritional screening tool for ambulatory use in pediatrics
AU - Rub, Gal
AU - Marderfeld, Luba
AU - Poraz, Irit
AU - Hartman, Corina
AU - Amsel, Shlomo
AU - Rosenbaum, Israel
AU - Pergamentzev-Karpol, Shiri
AU - Monsonego-Ornan, Efrat
AU - Shamir, Raanan
N1 - Publisher Copyright:
© 2016 by ESPGHAN and NASPGHAN.
PY - 2016/5/1
Y1 - 2016/5/1
N2 - Objectives: To evaluate the use of Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) in a primary health care clinic in the community and to assess the impact of its use on medical staff's awareness of nutritional status. Methods: STAMP scoring system was tested as is and with modifications in the ambulatory setting. Nutritional risk according to STAMP was compared with a detailed nutritional assessment performed by a registered dietitian. Recording of nutrition-related data and anthropometric measurements in medical files were compared prior and post implementation. Results: Sixty children were included (31 girls, 52%), ages between 1 and 6 years, mean age 2.8±1.5 (mean±SD). STAMP scores yielded a fair agreement between STAMP and the dietitian's nutritional assessment: κ=0.47 (95% confidence interval [CI] 0.24-0.7), sensitivity of 47.62% (95% CI 28.34-67.63). Modified STAMP yielded more substantial agreement: κ=0.57 (95% CI 0.35-0.79), sensitivity of 76.19% (95% CI 54.91-89.37), specificity of 82.05% (95% CI 67.33-91.02). The use of STAMP resulted in an increase in recording of appetite, dietary intake, and anthropometric measurements. Conclusions: Modification of the STAMP improved nutritional risk evaluation in community setting. The use of STAMP in a primary health care clinic raised clinician's awareness to nutritional status. Further work will identify whether this could be translated into lower malnutrition rates and better child care.
AB - Objectives: To evaluate the use of Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) in a primary health care clinic in the community and to assess the impact of its use on medical staff's awareness of nutritional status. Methods: STAMP scoring system was tested as is and with modifications in the ambulatory setting. Nutritional risk according to STAMP was compared with a detailed nutritional assessment performed by a registered dietitian. Recording of nutrition-related data and anthropometric measurements in medical files were compared prior and post implementation. Results: Sixty children were included (31 girls, 52%), ages between 1 and 6 years, mean age 2.8±1.5 (mean±SD). STAMP scores yielded a fair agreement between STAMP and the dietitian's nutritional assessment: κ=0.47 (95% confidence interval [CI] 0.24-0.7), sensitivity of 47.62% (95% CI 28.34-67.63). Modified STAMP yielded more substantial agreement: κ=0.57 (95% CI 0.35-0.79), sensitivity of 76.19% (95% CI 54.91-89.37), specificity of 82.05% (95% CI 67.33-91.02). The use of STAMP resulted in an increase in recording of appetite, dietary intake, and anthropometric measurements. Conclusions: Modification of the STAMP improved nutritional risk evaluation in community setting. The use of STAMP in a primary health care clinic raised clinician's awareness to nutritional status. Further work will identify whether this could be translated into lower malnutrition rates and better child care.
KW - Malnutrition
KW - anthropometry
KW - community
KW - nutritional assessment
KW - nutritional screening
KW - pediatrics
UR - http://www.scopus.com/inward/record.url?scp=84949034999&partnerID=8YFLogxK
U2 - 10.1097/MPG.0000000000001046
DO - 10.1097/MPG.0000000000001046
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C2 - 26628448
AN - SCOPUS:84949034999
SN - 0277-2116
VL - 62
SP - 771
EP - 775
JO - Journal of Pediatric Gastroenterology and Nutrition
JF - Journal of Pediatric Gastroenterology and Nutrition
IS - 5
ER -