Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
권호 표지
DOI QR코드

DOI QR Code

Nutritional Screening Tools among Hospitalized Children: from Past and to Present

  • Lee, Yeoun Joo (Department of Pediatrics, Pusan National University Children's Hospital)
  • Received : 2018.03.21
  • Accepted : 2018.03.26
  • Published : 2018.04.15
Download PDF
⟨ Previous Next ⟩

Abstract

Increased awareness of the importance of nutrition among hospitalized children has increased the use of nutrition screening tool (NST). However, it is not well known the NST for hospitalized children. Therefore, the purpose of this study is to understand the past and present state of adult and child NST and discuss the pros and cons of each NST.

Keywords

References

  1. Zhang H, Wang Y, Jiang ZM, Kondrup J, Fang H, Andrews M, et al. Impact of nutrition support on clinical outcome and cost-effectiveness analysis in patients at nutritional risk: a prospective cohort study with propensity score matching. Nutrition 2017;37:53-9. https://doi.org/10.1016/j.nut.2016.12.004
  2. Hecht C, Weber M, Grote V, Daskalou E, Dell'Era L, Flynn D, et al. Disease associated malnutrition correlates with length of hospital stay in children. Clin Nutr 2015;34:53-9. https://doi.org/10.1016/j.clnu.2014.01.003
  3. Pimenta FS, Oliveira CM, Hattori WT, Teixeira KR. Agreement between the methods: Subjective Global Nutritional Assessment and the nutritional assessment of the World Health Organization. J Pediatr (Rio J) 2017. doi: 10.1016/j.jped.2017.09.007.
  4. Sissaoui S, De Luca A, Piloquet H, Guimber D, Colomb V, Peretti N, et al. Large scale nutritional status assessment in pediatric hospitals. e-SPEN J 2013;8:e68-72. https://doi.org/10.1016/j.clnme.2013.02.002
  5. Freijer K, van Puffelen E, Joosten KF, Hulst JM, Koopmanschap MA. The costs of disease related malnutrition in hospitalized children. Clin Nutr ESPEN 2018;23:228-33. https://doi.org/10.1016/j.clnesp.2017.09.009
  6. Kang MC, Kim JH, Ryu SW, Moon JY, Park JH, Park JK, et al. Prevalence of malnutrition in hospitalized patients: a multicenter cross-sectional study. J Korean Med Sci 2018;33:e10. https://doi.org/10.3346/jkms.2018.33.e10
  7. Hwang EH, Park JH, Chun P, Lee YJ. Prevalence and risk factors for the weight loss during hospitalization in children: a single Korean children's hospital experience. Pediatr Gastroenterol Hepatol Nutr 2016;19:269-75. https://doi.org/10.5223/pghn.2016.19.4.269
  8. Kondrup J, Allison SP, Elia M, Vellas B, Plauth M. ESPEN guidelines for nutrition screening 2002. Clin Nutr 2003;22:415-21. https://doi.org/10.1016/S0261-5614(03)00098-0
  9. Mehta NM, Compher C; A.S.P.E.N. Board of Directors. A.S.P.E.N. Clinical Guidelines: nutrition support of the critically ill child. JPEN J Parenter Enteral Nutr 2009;33:260-76. https://doi.org/10.1177/0148607109333114
  10. Agostoni C, Axelson I, Colomb V, Goulet O, Koletzko B, Michaelsen KF, et al. The need for nutrition support teams in pediatric units: a commentary by the ESPGHAN committee on nutrition. J Pediatr Gastroenterol Nutr 2005;41:8-11. https://doi.org/10.1097/01.MPG.0000163735.92142.87
  11. Elia M. The "MUST" Report. Nutritional screening of adults: a multidisciplinary responsibility. Redditch, UK: British Association for Parenteral and Enteral Nutrition; 2003 [cited 2009 Mar]. Available from: http://www.bapen.org.uk/pdfs/must/must_exec_sum.pdf.
  12. Buzby GP, Mullen JL, Matthews DC, Hobbs CL, Rosato EF. Prognostic nutritional index in gastrointestinal surgery. Am J Surg 1980;139:160-7. https://doi.org/10.1016/0002-9610(80)90246-9
  13. Ingenbleek Y, Carpentier YA. A prognostic inflammatory and nutritional index scoring critically ill patients. Int J Vitam Nutr Res 1985;55:91-101.
  14. Veterans Affairs Total Parenteral Nutrition Cooperative Study Group. Perioperative total parenteral nutrition in surgical patients. N Engl J Med 1991;325:525-32. https://doi.org/10.1056/NEJM199108223250801
  15. Reilly HM, Martineau JK, Moran A, Kennedy H. Nutritional screening--evaluation and implementation of a simple Nutrition Risk Score. Clin Nutr 1995;14:269-73. https://doi.org/10.1016/S0261-5614(95)80063-8
  16. Kovacevich DS, Boney AR, Braunschweig CL, Perez A, Stevens M. Nutrition risk classification: a reproducible and valid tool for nurses. Nutr Clin Pract 1997;12:20-5. https://doi.org/10.1177/011542659701200120
  17. Ferguson M, Capra S, Bauer J, Banks M. Development of a valid and reliable malnutrition screening tool for adult acute hospital patients. Nutrition 1999;15:458-64. https://doi.org/10.1016/S0899-9007(99)00084-2
  18. Laporte M, Villalon L, Thibodeau J, Payette H. Validity and reliability of simple nutrition screening tools adapted to the elderly population in healthcare facilities. J Nutr Health Aging 2001;5:292-4.
  19. Kondrup J, Rasmussen HH, Hamberg O, Stanga Z; Ad Hoc ESPEN Working Group. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials. Clin Nutr 2003;22:321-36. https://doi.org/10.1016/S0261-5614(02)00214-5
  20. Kruizenga HM, Van Tulder MW, Seidell JC, Thijs A, Ader HJ, Van Bokhorst-de van der Schueren MA. Effectiveness and cost-effectiveness of early screening and treatment of malnourished patients. Am J Clin Nutr 2005;82:1082-9. https://doi.org/10.1093/ajcn/82.5.1082
  21. Laporte M, Keller HH, Payette H, Allard JP, Duerksen DR, Bernier P, et al. Validity and reliability of the new Canadian Nutrition Screening Tool in the ‘real-world' hospital setting. Eur J Clin Nutr 2015;69:558-64. https://doi.org/10.1038/ejcn.2014.270
  22. Detsky AS, McLaughlin JR, Baker JP, Johnston N, Whittaker S, Mendelson RA, et al. What is subjective global assessment of nutritional status? JPEN J Parenter Enteral Nutr 1987;11:8-13. https://doi.org/10.1177/014860718701100108
  23. Guigoz Y. The Mini Nutritional Assessment (MNA) review of the literature--What does it tell us? J Nutr Health Aging 2006;10:466-85; discussion 485-7.
  24. Rabito EI, Marcadenti A, da Silva Fink J, Figueira L, Silva FM. Nutritional risk screening 20, short nutritional assessment questionnaire, malnutrition screening tool, and malnutrition universal screening tool are good predictors of nutrition risk in an emergency service. Nutr Clin Pract 2017;32:526-32. https://doi.org/10.1177/0884533617692527
  25. Chi J, Yin S, Zhu Y, Gao F, Song X, Song Z, et al. A comparison of the nutritional risk screening 2002 tool with the subjective global assessment tool to detect nutritional status in Chinese patients undergoing surgery with gastrointestinal cancer. Gastroenterol Nurs 2017;40:19-25. https://doi.org/10.1097/SGA.0000000000000157
  26. Fiol-Martinez L, Calleja-Fernandez A, Pintor de la Maza B, Vidal-Casariego A, Villar-Taibo R, Urioste-Fondo A, et al. Comparison of two nutritional screening tools to detect nutritional risk in hematologic inpatients. Nutrition 2017;34:97-100. https://doi.org/10.1016/j.nut.2016.09.009
  27. Koren-Hakim T, Weiss A, Hershkovitz A, Otzrateni I, Anbar R, Gross Nevo RF, et al. Comparing the adequacy of the MNA-SF, NRS-2002 and MUST nutritional tools in assessing malnutrition in hip fracture operated elderly patients. Clin Nutr 2016;35:1053-8. https://doi.org/10.1016/j.clnu.2015.07.014
  28. Schneider AC, Pinto RB, Silveira TR. Nutritional risk and malnutrition determination by anthropometry in cirrhotic children and adolescents. Arq Gastroenterol 2007;44:345-9. https://doi.org/10.1590/S0004-28032007000400012
  29. Decoster L, Van Puyvelde K, Mohile S, Wedding U, Basso U, Colloca G, et al. Screening tools for multidimensional health problems warranting a geriatric assessment in older cancer patients: an update on SIOG recommendations. Ann Oncol 2015;26:288-300. https://doi.org/10.1093/annonc/mdu210
  30. Benigni I, Devos P, Rofidal T, Seguy D. The CP-MST, a malnutrition screening tool for institutionalized adult cerebral palsy patients. Clin Nutr 2011;30:769-73. https://doi.org/10.1016/j.clnu.2011.06.008
  31. Rahman A, Hasan RM, Agarwala R, Martin C, Day AG, Heyland DK. Identifying critically-ill patients who will benefit most from nutritional therapy: further validation of the "modified NUTRIC" nutritional risk assessment tool. Clin Nutr 2016;35:158-62. https://doi.org/10.1016/j.clnu.2015.01.015
  32. Secker DJ, Jeejeebhoy KN. Subjective Global Nutritional Assessment for children. Am J Clin Nutr 2007;85:1083-9. https://doi.org/10.1093/ajcn/85.4.1083
  33. Vermilyea S, Slicker J, El-Chammas K, Sultan M, Dasgupta M, Hoffmann RG, et al. Subjective global nutritional assessment in critically ill children. JPEN J Parenter Enteral Nutr 2013;37:659-66. https://doi.org/10.1177/0148607112452000
  34. Sermet-Gaudelus I, Poisson-Salomon AS, Colomb V, Brusset MC, Mosser F, Berrier F, et al. Simple pediatric nutritional risk score to identify children at risk of malnutrition. Am J Clin Nutr 2000;72:64-70. https://doi.org/10.1093/ajcn/72.1.64
  35. McCarthy H, Dixon M, Crabtree I, Eaton-Evans MJ, McNulty H. The development and evaluation of the Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP(C)) for use by healthcare staff. J Hum Nutr Diet 2012;25:311-8. https://doi.org/10.1111/j.1365-277X.2012.01234.x
  36. Gerasimidis K, Keane O, Macleod I, Flynn DM, Wright CM. A four-stage evaluation of the Paediatric Yorkhill Malnutrition Score in a tertiary paediatric hospital and a district general hospital. Br J Nutr 2010;104:751-6. https://doi.org/10.1017/S0007114510001121
  37. Hulst JM, Zwart H, Hop WC, Joosten KF. Dutch national survey to test the STRONGkids nutritional risk screening tool in hospitalized children. Clin Nutr 2010;29:106-11. https://doi.org/10.1016/j.clnu.2009.07.006
  38. Karagiozoglou-Lampoudi T, Daskalou E, Lampoudis D, Apostolou A, Agakidis C. Computer-based malnutrition risk calculation may enhance the ability to identify pediatric patients at malnutrition-related risk for unfavorable outcome. JPEN J Parenter Enteral Nutr 2015;39:418-25. https://doi.org/10.1177/0148607114529161
  39. White M, Lawson K, Ramsey R, Dennis N, Hutchinson Z, Soh XY, et al. Simple nutrition screening tool for pediatric inpatients. JPEN J Parenter Enteral Nutr 2016;40:392-8. https://doi.org/10.1177/0148607114544321
  40. Lestari NE, Nurhaeni N, Wanda D. The pediatric yorkhill malnutrition score is a reliable malnutrition screening tool. Compr Child Adolesc Nurs 2017;40(sup1):62-8.
  41. Chourdakis M, Hecht C, Gerasimidis K, Joosten KF, Karagiozoglou-Lampoudi T, Koetse HA, et al. Malnutrition risk in hospitalized children: use of 3 screening tools in a large European population. Am J Clin Nutr 2016;103:1301-10. https://doi.org/10.3945/ajcn.115.110700
  42. Marquez Costa MV, Alberici Pastore C. Nutritional screening tool versus anthropometric assessment in hospitalized children: which method is better associated to clinical outcomes? Arch Latinoam Nutr 2015;65:12-20.
  43. Huysentruyt K, Devreker T, Dejonckheere J, De Schepper J, Vandenplas Y, Cools F. Accuracy of nutritional screening tools in assessing the risk of undernutrition in hospitalized children. J Pediatr Gastroenterol Nutr 2015;61:159-66. https://doi.org/10.1097/MPG.0000000000000810
  44. Wonoputri N, Djais JT, Rosalina I. Validity of nutritional screening tools for hospitalized children. J Nutr Metab 2014. doi: 10.1155/2014/143649.
  45. Moeeni V, Walls T, Day AS. Nutritional status and nutrition risk screening in hospitalized children in New Zealand. Acta Paediatr 2013;102:e419-23. https://doi.org/10.1111/apa.12299
  46. Huysentruyt K, Alliet P, Muyshont L, Rossignol R, Devreker T, Bontems P, et al. The STRONG(kids) nutritional screening tool in hospitalized children: a validation study. Nutrition 2013;29:1356-61. https://doi.org/10.1016/j.nut.2013.05.008
  47. Bang YK, Park MK, Ju YS, Cho KY. Clinical significance of nutritional risk screening tool for hospitalised children with acute burn injuries: a cross-sectional study. J Hum Nutr Diet 2017. doi: 10.1111/jhn.12518.
  48. Mehta NM, Corkins MR, Lyman B, Malone A, Goday PS, Carney LN, et al. Defining pediatric malnutrition: a paradigm shift toward etiology-related definitions. JPEN J Parenter Enteral Nutr 2013;37:460-81. https://doi.org/10.1177/0148607113479972
  49. Murphy AJ, White M, Viani K, Mosby TT. Evaluation of the nutrition screening tool for childhood cancer (SCAN). Clin Nutr 2016;35:219-24. https://doi.org/10.1016/j.clnu.2015.02.009
  50. Murphy AJ, White M, Davies PS. The validity of simple methods to detect poor nutritional status in paediatric oncology patients. Br J Nutr 2009;101:1388-92. https://doi.org/10.1017/S0007114508076241
  51. Robinson DL, Loman DG, Balakas K, Flowers M. Nutritional screening and early intervention in children, adolescents, and young adults with cancer. J Pediatr Oncol Nurs 2012;29:346-55. https://doi.org/10.1177/1043454212460921
  52. McDonald CM. Validation of a nutrition risk screening tool for children and adolescents with cystic fibrosis ages 2-20 years. J Pediatr Gastroenterol Nutr 2008;46:438-46. https://doi.org/10.1097/MPG.0b013e318156c2db
  53. Lim SL, Ang E, Foo YL, Ng LY, Tong CY, Ferguson M, et al. Validity and reliability of nutrition screening administered by nurses. Nutr Clin Pract 2013;28:730-6. https://doi.org/10.1177/0884533613502812
  54. Weekes CE, Spiro A, Baldwin C, Whelan K, Thomas JE, Parkin D, et al. A review of the evidence for the impact of improving nutritional care on nutritional and clinical outcomes and cost. J Hum Nutr Diet 2009;22:324-35. https://doi.org/10.1111/j.1365-277X.2009.00971.x

Cited by

  1. Prevalence of Malnutrition in Pediatric Hospitals in Developed and In-Transition Countries: The Impact of Hospital Practices vol.11, pp.2, 2018, https://doi.org/10.3390/nu11020236
  2. Comparison of four nutritional screening tools for Korean hospitalized children vol.13, pp.5, 2018, https://doi.org/10.4162/nrp.2019.13.5.410
  3. Assessment of Two Nutritional Screening Tools in Hospitalized Children vol.12, pp.5, 2018, https://doi.org/10.3390/nu12051221
  4. Comparison of malnutrition and malnutrition screening tools in pediatric oncology patients: A cross-sectional study vol.86, pp.None, 2021, https://doi.org/10.1016/j.nut.2021.111142