Validation of a Nutritional Screening Tool for Ambulatory Use in Pediatrics.
J Pediatr Gastroenterol Nutr
; 62(5): 771-5, 2016 05.
Article
in En
| MEDLINE
| ID: mdl-26628448
ABSTRACT
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 2.8â±â1.5 (meanâ±âSD). STAMP scores yielded a fair agreement between STAMP and the dietitian's nutritional assessment κâ=â0.47 (95% confidence interval [CI] 0.24-0.7), sensitivity of 47.62% (95% CI 28.34-67.63). Modified STAMP yielded more substantial agreement κâ=â0.57 (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.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pediatrics
/
Nutrition Assessment
/
Malnutrition
Type of study:
Diagnostic_studies
/
Prognostic_studies
/
Screening_studies
Aspects:
Determinantes_sociais_saude
Limits:
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Country/Region as subject:
Asia
Language:
En
Journal:
J Pediatr Gastroenterol Nutr
Year:
2016
Document type:
Article