营养风险筛查——一项在三级儿科医院开展的横断面研究。
Nutritional risk screening-a cross-sectional study in a tertiary pediatric hospital.
作者信息
Tuokkola J, Hilpi J, Kolho K-L, Orell H, Merras-Salmio L
机构信息
Children's Hospital, Helsinki University Hospital and University of Helsinki, P.O. Box 281, FI-00029 HUH, Helsinki, Finland.
Clinical Nutrition Unit, Internal Medicine and Rehabilitation, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
出版信息
J Health Popul Nutr. 2019 Mar 25;38(1):8. doi: 10.1186/s41043-019-0166-4.
BACKGROUND
All hospitalized patients should be screened for malnutrition risk. No universal method exists for pediatric patients.
METHODS
We performed a cross-sectional study comparing three published malnutrition risk screening tools (PYMS, STAMP, and STRONG), applying them to each inpatient aged 1 month to 17 years over a period of five consecutive weekdays in Helsinki University Hospital, Finland.
RESULTS
Of the eligible patients, 67% (n = 69) participated. We found that 6.2% of the children were acutely malnourished and accurately categorized by the three tools. STRONG showed the highest specificity (100%) and positive predictive value (36%). Acute malnutrition seemed to be associated with longer hospital stay (p = 0.051).
CONCLUSION
STRONG was the most accurate screening tool for detecting acute malnutrition and was therefore chosen as the screening method in our hospital. Routine screening for the risk of malnutrition in pediatric inpatients is important in detecting at-risk children who would otherwise be left without dietary intervention.
背景
所有住院患者都应接受营养不良风险筛查。目前尚无适用于儿科患者的通用方法。
方法
我们进行了一项横断面研究，比较了三种已发表的营养不良风险筛查工具（PYMS、STAMP和STRONG），并在芬兰赫尔辛基大学医院连续五个工作日将它们应用于每一位年龄在1个月至17岁的住院患者。
结果
在符合条件的患者中，67%（n = 69）参与了研究。我们发现6.2%的儿童存在急性营养不良，且三种工具都能准确分类。STRONG显示出最高的特异性（100%）和阳性预测值（36%）。急性营养不良似乎与住院时间延长有关（p = 0.051）。
结论
STRONG是检测急性营养不良最准确的筛查工具，因此被选为我院的筛查方法。对儿科住院患者进行营养不良风险的常规筛查对于发现那些否则将得不到饮食干预的高危儿童很重要。
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