Validation of a Nutrition Screening Tool for Pediatric Patients with Cystic Fibrosis
| Autor: | Juliane Silva Pereira, Elenara da Fonseca Andrade Procianoy, Michele Drehmer, Míriam Isabel Souza dos Santos Simon, Gabriele Carra Forte |
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| Rok vydání: | 2016 |
| Předmět: |
Male
0301 basic medicine Pediatrics medicine.medical_specialty Adolescent Cystic Fibrosis Nutritional Status Recommended Dietary Allowances Sensitivity and Specificity Cystic fibrosis Body Mass Index Pulmonary function testing 03 medical and health sciences 0302 clinical medicine Cohen's kappa Statistical significance medicine Humans Outpatient clinic Pseudomonas Infections Screening tool 030212 general & internal medicine Child Sweat Sweat test 030109 nutrition & dietetics Nutrition and Dietetics medicine.diagnostic_test business.industry Dietary intake Body Weight Malnutrition Reproducibility of Results General Medicine medicine.disease Cross-Sectional Studies Nutrition Assessment Pseudomonas aeruginosa Exocrine Pancreatic Insufficiency Female Energy Intake business Food Science |
| Zdroj: | Journal of the Academy of Nutrition and Dietetics. 116:813-818 |
| ISSN: | 2212-2672 |
| DOI: | 10.1016/j.jand.2016.01.012 |
| Popis: | In cystic fibrosis (CF), nutrition diagnosis is of critical relevance because the early identification of nutrition-related compromise enables early, adequate intervention and, consequently, influences patient prognosis. Up to now, there has not been a validated nutrition screening tool that takes into consideration clinical variables.To validate a specific nutritional risk screening tool for patients with CF based on clinical variables, anthropometric parameters, and dietary intake.Cross-sectional study. The nutrition screening tool was compared with a risk screening tool proposed by McDonald and the Cystic Fibrosis Foundation criteria.Patients aged 6 to 18 years, with a diagnosis of CF confirmed by two determinations of elevated chloride level in sweat (sweat test) and/or by identification of two CF-associated genetic mutations who were receiving follow-up care through the outpatient clinic of a Cystic Fibrosis Treatment Center.Earlier identification of nutritional risk in CF patients aged 6 to 18 years when a new screening tool was applied.Agreement among the tested methods was assessed by means of the kappa coefficient for categorical variables. Sensitivity, specificity, and accuracy values were calculated. The significance level was set at 5% (P0.05). Statistical analyses were carried out in PASW Statistics for Windows version 18.0 (2009, SPSS Inc).Eighty-two patients (49% men, aged 6 to 18 years) were enrolled in the study. The agreement between the proposed screening tool and the tool for screening nutritional risk for CF by the McDonald method was good (κ=0.804; P0.001) and the sensitivity and specificity was 85% and 95%, respectively. Agreement with the Cystic Fibrosis Foundation criteria was lower (κ=0.418; P0.001), and the sensitivity and specificity were both 72%.The proposed screening tool with defined clinical variables promotes earlier identification of nutritional risk in pediatric patients with CF. |
| Databáze: | OpenAIRE |
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