Pediatrik Malnütrisyonda Kullanılan Beslenme Tarama Araçları

Year 2023, Volume: 17 Issue: 1, 195 - 206, 31.03.2023

Cansu Esen Öksüz Gulcan Arusoglu

https://doi.org/10.21763/tjfmpc.1067603

Abstract

Hastaneye yatan çocuklarda sıklıkla görülen malnütrisyon, kas dokusu kaybı, yara iyileşmesinde gecikme, klinik komplikasyonlar ve hastanede kalış süresi gibi olumsuz sonuçlar, morbidite ve mortalite riskinde artış ile ilişkilidir. Malnütrisyonlu çocukların tıbbi beslenme tedavisindeki ana prensipler, çocuğun beslenme durumunu değerlendirmek ve buna uygun tedavi planı oluşturmaktır. Bu sebeple malnütrisyon tarama araçları, pediatrik hastalarda beslenme ile ilişkili risk faktörlerini belirleyerek, hastaların olumsuz klinik sonuçlarını önlemek için yaygın olarak kullanılmaktadır. Bu derlemede günümüzde pediatrik malnütrisyonda yaygın olarak kullanılan beslenme tarama araçlarının ve beslenme tarama araçlarına ait literatür çalışmalarının incelenmesi hedeflenmiştir.

Keywords

malnütrisyon, pediatri, tarama araçları

Nutritional Screening Tools Used in Pediatric Malnutrition

Abstract

Adverse outcomes such as malnutrition, loss of muscle tissue, delayed wound healing, clinical complications and length of hospital stay, which are frequently seen in hospitalized children, are associated with an increased risk of morbidity and mortality. The main principles in the medical nutrition therapy of children with malnutrition are to evaluate the nutritional status of the child and to create a treatment plan accordingly. For this reason, malnutrition screening tools are widely used to prevent adverse clinical outcomes in pediatric patients by identifying risk factors associated with nutrition. In this review, it is aimed to examine the nutritional screening tools that are widely used in pediatric malnutrition and the literature studies on nutrition screening tools.

Keywords

malnutrition, screening tools, pediatrics

References

• 1. Mehta NM, Corkins MR, Lyman B, et al. Defining pediatric malnutrition: a paradigm shift toward etiology‐related definitions. Journal of Parenteral and Enteral Nutrition. 2013;37(4):460-481.
• 2. Becker PJ, Carney LN, Corkins MR, et al. Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: indicators recommended for the identification and documentation of pediatric malnutrition (undernutrition). Journal of the Academy of Nutrition and Dietetics. 2014;114(12):1988-2000.
• 3. Pars H, Açıkgöz A, Erdoğan BD. Validity and reliability of the Turkish version of three screening tools (PYMS, STAMP, and STRONG-kids) in hospitalized children. Clinical Nutrition ESPEN. 2020;39:96-103.
• 4. Becker PJ, Bellini SG, Vega MW, et al. Validity and reliability of pediatric nutrition screening tools for hospital, outpatient, and community settings: A 2018 evidence analysis center systematic review. Journal of the Academy of Nutrition and Dietetics. 2020;120(2):288-318. e282.
• 5. Yaflar D, AN TE, Sema YALVAÇ SA, Fügen ÇULLU Ç, RAfi AA. Nutritional status of patients hospitalized in pediatric clinic. Turk J Gastroenterol. 2005;16(4):212-216.
• 6. Beser OF, Cokugras FC, Erkan T, et al. Evaluation of malnutrition development risk in hospitalized children. Nutrition. 2018;48:40-47.
• 7. Öztürk Y, Büyükgebiz B, Arslan N, Ellidokuz H. Effects of hospital stay on nutritional anthropometric data in Turkish children. Journal of tropical pediatrics. 2003;49(3):189-190.
• 8. Cao J, Peng L, Li R, et al. Nutritional risk screening and its clinical significance in hospitalized children. Clinical nutrition. 2014;33(3):432-436.
• 9. Huysentruyt K, Vandenplas Y, De Schepper J. Screening and assessment tools for pediatric malnutrition. Current opinion in clinical nutrition and metabolic care. 2016;19(5):336-340.
• 10. Corkins MR, Griggs KC, Groh‐Wargo S, et al. Standards for nutrition support: pediatric hospitalized patients. Nutrition in Clinical Practice. 2013;28(2):263-276.
• 11. Agostoni C, Axelsson I, Colomb V, et al. The need for nutrition support teams in pediatric units: a commentary by the ESPGHAN committee on nutrition. Journal of pediatric gastroenterology and nutrition. 2005;41(1):8-11.
• 12. Bicakli DH, Kantar M. Comparison of malnutrition and malnutrition screening tools in pediatric oncology patients: A cross-sectional study. Nutrition. 2021;86:111142.
• 13. Hulst JM, Zwart H, Hop WC, Joosten KF. Dutch national survey to test the STRONGkids nutritional risk screening tool in hospitalized children. Clinical Nutrition. 2010;29(1):106-111.
• 14. Ling RE, Hedges V, Sullivan PB. Nutritional risk in hospitalised children: an assessment of two instruments. e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism. 2011;6(3):e153-e157.
• 15. Secker DJ, Jeejeebhoy KN. Subjective global nutritional assessment for children. The American journal of clinical nutrition. 2007;85(4):1083-1089.
• 16. Huysentruyt K, Alliet P, Muyshont L, et al. The STRONGkids nutritional screening tool in hospitalized children: a validation study. Nutrition. 2013;29(11-12):1356-1361.
• 17. Wonoputri N, Djais JT, Rosalina I. Validity of nutritional screening tools for hospitalized children. Journal of nutrition and metabolism. 2014;2014.
• 18. Gerasimidis K, Keane O, Macleod I, Flynn DM, Wright CM. A four-stage evaluation of the Paediatric Yorkhill Malnutrition Score in a tertiary paediatric hospital and a district general hospital. British journal of nutrition. 2010;104(5):751-756.
• 19. Hartman C, Shamir R, Hecht C, Koletzko B. Malnutrition screening tools for hospitalized children. Current Opinion in Clinical Nutrition & Metabolic Care. 2012;15(3):303-309.
• 20. McCarthy H, Dixon M, Crabtree I, Eaton‐Evans M, McNulty H. The development and evaluation of the Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP©) for use by healthcare staff. Journal of Human Nutrition and Dietetics. 2012;25(4):311-318.
• 21. Wong S, Graham A, Grimble G, Forbes A. Validation of the Screening Tool for the Assessment of Malnutrition (STAMP) in patients with Spinal Cord Injuries (SCI). Proceedings of the Nutrition Society. 2011;70(OCE5).
• 22. Wiskin A, Owens D, Cornelius V, Wootton S, Beattie RM. Paediatric nutrition risk scores in clinical practice: children with inflammatory bowel disease. Journal of Human Nutrition and Dietetics. 2012;25(4):319-322.
• 23. Rub G, Marderfeld L, Poraz I, et al. Validation of a nutritional screening tool for ambulatory use in pediatrics. Journal of pediatric gastroenterology and nutrition. 2016;62(5):771-775.
• 24. Pan L, Liu Y, Feng Y, et al. The Nutrition risk profile of 62 408 inpatients based on electronic health records in a tertiary children's hospital. Nutrition. 2021;85:111137.
• 25. Reed M, Mullaney K, Ruhmann C, et al. Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) in the electronic health record: a validation study. Nutrition in Clinical Practice. 2020;35(6):1087-1093.
• 26. Carey A, McCarthy H, Thompson A, McNulty H. A pilot study evaluating the use of the STAMP© nutrition screening tool in hospitalised infants. Clinical nutrition ESPEN. 2015;10(5):e192.
• 27. Becker PJ, Brunet‐Wood MK. Pediatric malnutrition screening and assessment tools: Analyzing the gaps. Nutrition in Clinical Practice. 2021.
• 28. Carniel MP, Santetti D, Andrade JS, et al. Validation of a subjective global assessment questionnaire. Jornal de Pediatria (Versão em Português). 2015;91(6):596-602.
• 29. Secker DJ, Jeejeebhoy KN. How to perform subjective global nutritional assessment in children. Journal of the Academy of Nutrition and Dietetics. 2012;112(3):424-431. e426.
• 30. Karagiozoglou‐Lampoudi T, Daskalou E, Lampoudis D, Apostolou A, Agakidis C. Computer‐based malnutrition risk calculation may enhance the ability to identify pediatric patients at malnutrition‐related risk for unfavorable outcome. Journal of Parenteral and Enteral Nutrition. 2015;39(4):418-425.
• 31. White MS, Ziemann M, Doolan A, Song SQ, Bernard A. A simple nutrition screening tool to identify nutritional deterioration in long stay paediatric inpatients: the Paediatric Nutrition Rescreening Tool (PNRT). Clinical nutrition ESPEN. 2019;34:55-60.
• 32. Lee YJ. Nutritional screening tools among hospitalized children: from past and to present. Pediatric gastroenterology, hepatology & nutrition. 2018;21(2):79-85.
• 33. White M, Lawson K, Ramsey R, et al. Simple nutrition screening tool for pediatric inpatients. Journal of Parenteral and Enteral Nutrition. 2016;40(3):392-398.
• 34. Graham J, Fleet A. Effectiveness of the Pediatric Nutrition Screening Tool at Tallahassee Memorial Healthcare. Journal of the Academy of Nutrition and Dietetics. 2020;120(10):A113.
• 35. Başmisirli E. Hastanede yatan 1-18 yaş çocuklarda iki farklı tarama aracı ile malnütrisyon riskinin belirlenmesi, Sağlık Bilimleri Enstitüsü; 2016.
• 36. Aurangzeb B, Whitten K, Harrison B, et al. Prevalence of malnutrition and risk of under-nutrition in hospitalized children. Clinical nutrition. 2012;31(1):35-40.
• 37. Huysentruyt K, Devreker T, Dejonckheere J, De Schepper J, Vandenplas Y, Cools F. Accuracy of nutritional screening tools in assessing the risk of undernutrition in hospitalized children. Journal of pediatric gastroenterology and nutrition. 2015;61(2):159-166.
• 38. Sermet-Gaudelus I, Poisson-Salomon A-S, Colomb V, et al. Simple pediatric nutritional risk score to identify children at risk of malnutrition. The American journal of clinical nutrition. 2000;72(1):64-70.
• 39. Taşcı O, Soylu ÖB, Taşcı EK, Eser E, Oruçoğlu B, Günay İ. Validity and reliability analysis of the Turkish version of pediatric nutritional risk score scale. The Turkish Journal of Gastroenterology. 2020;31(4):324.
• 40. Anthony PS. Nutrition screening tools for hospitalized patients. Nutrition in Clinical Practice. 2008;23(4):373-382.
• 41. Gallo N, Horvath K, Czuppon K, Tomsits E, Felegyhazi E, Kovacs GT. Different nutritional screening tools and recommended screening algorithm for pediatric oncology patients. Clinical Nutrition. 2021.
• 42. Teixeira AF, Viana KDAL. Nutritional screening in hospitalized pediatric patients: a systematic review☆,☆☆. Jornal de pediatria. 2016;92:343-352.
• 43. Sullivan PB. Malnutrition in hospitalised children: BMJ Publishing Group Ltd; 2010.
• 44. Spagnuolo MI, Liguoro I, Chiatto F, Mambretti D, Guarino A. Application of a score system to evaluate the risk of malnutrition in a multiple hospital setting. Italian journal of pediatrics. 2013;39(1):1-7.
• 45. Lara-Pompa NE, Hill S, Williams J, et al. Use of standardized body composition measurements and malnutrition screening tools to detect malnutrition risk and predict clinical outcomes in children with chronic conditions. The American journal of clinical nutrition. 2020;112(6):1456-1467.
• 46. Malekiantaghi A, AsnaAshari K, Shabani-Mirzaee H, Vigeh M, Sadatinezhad M, Eftekhari K. Evaluation of the risk of malnutrition in hospitalized children by PYMS, STAMP, and STRONGkids tools and comparison with their anthropometric indices: a cross-sectional study. BMC nutrition. 2022;8(1):1-7.
• 47. Seremet Kurklu N, Geyin F, Ceylan L, Korkut Genc D, Kamarli Altun H, Karacil Ermumcu MS. Comparison of three different nutrition screening tools for pediatric inpatients. Nutrition in Clinical Practice. 2022.
• 48. Carter LE, Shoyele G, Southon S, et al. Screening for pediatric malnutrition at hospital admission: which screening tool is best? Nutrition in Clinical Practice. 2020;35(5):951-958.
• 49. Moeeni V, Walls T, Day AS. Nutritional status and nutrition risk screening in hospitalized children in N ew Z ealand. Acta Paediatrica. 2013;102(9):e419-e423.
• 50. Márquez Costa MV, Alberici Pastore C. Herramienta de cribado nutricional versus valoración nutricional antropométrica de niños hospitalizados:¿ Cuál método se asocia mejor con la evolución clínica? Archivos Latinoamericanos de Nutrición. 2015;65(1):12-20.
• 51. Barros TA, da Silva Cruvel JM, de Melo Silva B, et al. Agreement between nutritional risk screening tools and anthropometry in hospitalized pediatric patients. Clinical Nutrition ESPEN. 2022;47:227-232.
• 52. Oruçoğlu B. Hastanede yatan pediatrik hastalarda malnutrisyon durumunun saptanmasında adduktör polisis kas kalınlığı ölçümünün malnutrisyon durumu saptama araçlarıyla karşılaştırılması. 2021.