716
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Descripción de las herramientas de tamizaje nutricional en el paciente pediátrico Translated title: Description of nutritional screening tools in the Pediatric Patient

      other

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          La desnutrición calórico-proteica es la deficiencia nutricional con mayor prevalencia en los pacientes hospitalizados. Determinar el estado nutricional por medio de una herramienta efectiva y de procesos de evaluación puede ayudar a identificar precozmente la desnutrición e iniciar inmediatamente la terapia nutricional. Se realizó una búsqueda de la literatura disponible utilizando motores de búsqueda tales como: PubMed y Scientific Electronic Library Online (SciELO) desde el año 2000 hasta el 2105 inclusive. En los últimos años, se han desarrollado 7 herramientas de tamizaje o screening nutricional destinadas al paciente pediátrico. El objetivo de esta revisión es describir cada una de ellas. No existe una herramienta única e universalmente aceptada sino, es importante establecer alguna de ellas como práctica de rutina, al momento del ingreso hospitalario.

          Translated abstract

          Protein-calorie malnutrition is the most prevalent nutritional deficiency in hospitalized patients. Determining the nutritional status through an effective tool and an evaluation process, can help identify early malnutrition and immediately start nutritional therapy. Available literature was searched for through search engines such as PubMed, Scientific Electronic Library Online (SciELO) from 2000 to 2105 inclusive. In the past years, 7 nutritional screening tools intended for pediatric patient have been developed. The objective of this review is to describe each of them. So far, a universally accepted tool does not exist, although it is important to establish a routine screening tool when admitting patients to hospitals.

          Related collections

          Most cited references18

          • Record: found
          • Abstract: found
          • Article: not found

          Defining pediatric malnutrition: a paradigm shift toward etiology-related definitions.

          Lack of a uniform definition is responsible for underrecognition of the prevalence of malnutrition and its impact on outcomes in children. A pediatric malnutrition definitions workgroup reviewed existing pediatric age group English-language literature from 1955 to 2011, for relevant references related to 5 domains of the definition of malnutrition that were a priori identified: anthropometric parameters, growth, chronicity of malnutrition, etiology and pathogenesis, and developmental/ functional outcomes. Based on available evidence and an iterative process to arrive at multidisciplinary consensus in the group, these domains were included in the overall construct of a new definition. Pediatric malnutrition (undernutrition) is defined as an imbalance between nutrient requirements and intake that results in cumulative deficits of energy, protein, or micronutrients that may negatively affect growth, development, and other relevant outcomes. A summary of the literature is presented and a new classification scheme is proposed that incorporates chronicity, etiology, mechanisms of nutrient imbalance, severity of malnutrition, and its impact on outcomes. Based on its etiology, malnutrition is either illness related (secondary to 1 or more diseases/injury) or non-illness related, (caused by environmental/behavioral factors), or both. Future research must focus on the relationship between inflammation and illness-related malnutrition. We anticipate that the definition of malnutrition will continue to evolve with improved understanding of the processes that lead to and complicate the treatment of this condition. A uniform definition should permit future research to focus on the impact of pediatric malnutrition on functional outcomes and help solidify the scientific basis for evidence-based nutrition practices.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Dutch national survey to test the STRONGkids nutritional risk screening tool in hospitalized children.

            Children admitted to the hospital are at risk of developing malnutrition. The aim of the present study was to investigate the feasibility and value of a new nutritional risk screening tool, called STRONG(kids), in a nationwide study. A Prospective observational multi-centre study was performed in 44 Dutch hospitals (7 academic and 37 general), over three consecutive days during the month of November 2007. The STRONG(kids) screening tool consisted of 4 items: (1) subjective clinical assessment, (2) high risk disease, (3) nutritional intake, (4) weight loss. Measurements of weight and length were performed. SD-scores <-2 for weight-for-height and height-for-age were considered to indicate acute and chronic malnutrition respectively. A total of 424 children were included. Median age was 3.5 years and median hospital stay was 2 days. Sixty-two percent of the children were classified "at risk" of developing malnutrition by the STRONG(kids) tool. Children at risk had significantly lower SD-scores for weight-for-height, a higher prevalence of acute malnutrition and a longer hospital stay compared to children with no nutritional risk. The nutritional risk screening tool STRONG(kids) was successfully applied to 98% of the children. Using this tool, a significant relationship was found between having a "high risk" score, a negative SD-score in weight-for-height and a prolonged hospital stay. Copyright 2009 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Simple pediatric nutritional risk score to identify children at risk of malnutrition.

              Although hospitalized children are at risk of malnutrition, routine screening of nutritional status has been hindered by lack of a validated nutritional assessment tool. Our aim was to develop a simple pediatric nutritional risk score that could be used at hospital admission to identify patients at risk of acute malnutrition during hospitalization. Nutritional risk was assessed prospectively in 296 children. Anthropometric measurements, food intake, ability to eat and retain food, medical condition, and symptoms interfering with feeding (pain, dyspnea, and depression) were evaluated within 48 h of admission. Pathology was classified as mild (grade 1), moderate (grade 2), or severe (grade 3). The risk of weight loss was investigated with stepwise logistic regression. Weight loss during hospitalization occurred in 65% of the children and was >2% of admission weight in 45% of patients. Multivariate analysis indicated that food intake 2%. The nutritional risk score ranged from 0 to 5 and was calculated by adding the values for the significant risk factors as follows: 1 for food intake /=3 indicated high risk of malnutrition. This simple score is suitable for routine use to identify patients at risk of malnutrition during hospitalization. Implementation may prevent hospital-acquired malnutrition.
                Bookmark

                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                diaeta
                Diaeta
                Diaeta
                Asociación Argentina de Dietistas y Nutricionistas Dietista (Ciudad Autónoma de Buenos Aires, , Argentina )
                1852-7337
                September 2016
                : 34
                : 156
                : 25-31
                Affiliations
                [01] El Palomar Provincia de Buenos Aires orgnameHospital Nacional “Prof. A. Posadas” orgdiv1Sección Internación orgdiv2Departamento de Alimentación Argentina
                Article
                S1852-73372016000300005
                ce3a6bd1-d9e3-40bf-b4e3-bb64f4139aaf

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 28 March 2016
                : 21 July 2016
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 21, Pages: 7
                Product

                SciELO Argentina


                Pediatría,Desnutrición,Tamizaje nutricional,Estado nutricional,Malnutrition,Nutritional screening,Nutritional status,Pediatric patient

                Comments

                Comment on this article