STRONGkids nutrition screening tool in pediatrics: An analysis of cutoff points in Brazil.

Autor: Castro JDS; Department of Nutrition and Health, Federal University of Viçosa, Viçosa, Minas Gerais, Brazil., Santos CAD; Department of Nutrition and Health, Federal University of Viçosa, Viçosa, Minas Gerais, Brazil., Rosa COB; Department of Nutrition and Health, Federal University of Viçosa, Viçosa, Minas Gerais, Brazil., Firmino HH; Multidisciplinary Nutritional Therapy Team, São Sebastião Hospital, Viçosa, Minas Gerais, Brazil., Ribeiro AQ; Department of Nutrition and Health, Federal University of Viçosa, Viçosa, Minas Gerais, Brazil.
Jazyk: angličtina
Zdroj: Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition [Nutr Clin Pract] 2022 Oct; Vol. 37 (5), pp. 1225-1232. Date of Electronic Publication: 2021 Dec 13.
DOI: 10.1002/ncp.10807
Abstrakt: Background: Studies have indicated the Screening Tool for Risk on Nutritional Status and Growth (STRONGkids) as a method of pediatric nutrition screening with good validity in the hospital setting. However, we need to analyze whether the cutoff values originally proposed are suitable for use in Brazil.
Methods: A cross-sectional study was performed in patients admitted to the pediatric ward of a public hospital. STRONGkids was used to assess nutrition risk (low risk, 0 points; moderate risk, 1-3 points; and high risk, 4-5 points). The indexes weight/height or body mass index/age were used to indicate acute malnutrition, and length or height/age was used to indicate chronic malnutrition. Receiver operating characteristic curves were constructed and the areas under the curve were calculated, with respective 95% confidence intervals, to assess the ability of STRONGkids to predict malnutrition and longer hospital stay.
Results: The study included 599 patients, with a median age of 2.6 years. The frequency of nutrition risk (medium or high) was 83.6%. In comparison with anthropometric indexes, STRONGkids was the only scoring system with the discriminatory capacity to identify patients with longer hospital stays. The comparative analysis of the means of hospital stay according to STRONGkids showed that patients with a score equal to 3 behaved similarly to those classified as high nutrition risk (4-5 points).
Conclusions: Considering the best cutoff point to predict prolonged hospitalization, STRONGkids used in Brazil should consider patients with 3 points as having high nutrition risk, as well those scoring 4 and 5.
(© 2021 American Society for Parenteral and Enteral Nutrition.)
Databáze: MEDLINE
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