Malekiantaghi Armen, AsnaAshari Kosar, Shabani-Mirzaee Hosein, Vigeh Mohsen, Sadatinezhad Mohsen, Eftekhari Kambiz
Pediatric department, Pediatric Gastroenterology, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Pediatric department, Bahrami Children Hospital, Tehran University of Medical Sciences, Tehran, Iran.
BMC Nutr. 2022 Apr 21;8(1):33. doi: 10.1186/s40795-022-00525-8.
Malnutrition is a determining factor of pediatric mortality and morbidity, especially in low and middle-income countries. Hospitalized children are at a higher risk of malnutrition. Several malnutrition screening tools have been used, among which STAMP, PYMS, and STRONGkids are valid tools with high sensitivity and specificity. The aim of this study was to compare these screening tools to find the best ones in identifying the risk of malnutrition in hospitalized children.
This is a cross-sectional study performed on hospitalized children aged 1 to 16 years. The questionnaires of PYMS, STAMP, STRONGkids malnutrition risk assessment tools were filled. The weight for height and BMI for age Z-scores were calculated. The data were analyzed by SPSS. Sensitivity, specificity, positive predictive value, and negative predictive values of the risk scores based on weight for height and BMI for age Z-scores were calculated.
Ninety-three patients with a mean age of 5.53 ± 3.9 years were included. The frequency of malnutrition was reported as 26% and 39% according to weight for height and BMI for age Z-scores, respectively. A significant relationship was found between PYMS and Weight for height Z-score (P-value < 0.001), and BMI for age Z-score (P-value < 0.001). Moreover, STRONGkids was found to be associated with weight for height Z-score (P-value: 0.017).
The PYMS is a practical and beneficial tool in early identifying the risk of severe malnutrition in hospitalized patients. It is a suitable method for patients in our settings.
营养不良是儿童死亡率和发病率的一个决定性因素，尤其是在低收入和中等收入国家。住院儿童面临更高的营养不良风险。已经使用了几种营养不良筛查工具，其中STAMP、PYMS和STRONGkids是具有高灵敏度和特异性的有效工具。本研究的目的是比较这些筛查工具，以找出识别住院儿童营养不良风险的最佳工具。
这是一项对1至16岁住院儿童进行的横断面研究。填写了PYMS、STAMP、STRONGkids营养不良风险评估工具的问卷。计算身高别体重和年龄别BMI的Z评分。数据采用SPSS进行分析。计算基于身高别体重和年龄别BMI的Z评分的风险评分的灵敏度、特异性、阳性预测值和阴性预测值。
纳入93例平均年龄为5.53±3.9岁的患者。根据身高别体重和年龄别BMI的Z评分，营养不良的发生率分别报告为26%和39%。发现PYMS与身高别体重Z评分（P值<0.001）和年龄别BMI Z评分（P值<0.001）之间存在显著关系。此外，发现STRONGkids与身高别体重Z评分相关（P值：0.017）。
PYMS是早期识别住院患者严重营养不良风险的实用且有益的工具。对于我们环境中的患者来说，它是一种合适的方法。
