Systematic review and comparative analysis of pediatric nutrition screening tools validated in Europe and Canada
Introduction: Nutritional screening is a useful tool for determining the risk of hospital malnutrition; therefore, reviewing the guidelines on its use in the pediatric population is of great importance. Objective: To provide recommendations on the use of nutrition screening tools validated in Cana...
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| Format: | Article |
| Language: | English |
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Universidad Nacional de Colombia
2020-01-01
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| Series: | Revista de la Facultad de Medicina |
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| Online Access: | https://revistas.unal.edu.co/index.php/revfacmed/article/view/73180 |
| _version_ | 1797824896191954944 |
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| author | Laura Vásquez-Cárdenas Olga Lucia Pinzón-Espitia |
| author_facet | Laura Vásquez-Cárdenas Olga Lucia Pinzón-Espitia |
| author_sort | Laura Vásquez-Cárdenas |
| collection | DOAJ |
| description |
Introduction: Nutritional screening is a useful tool for determining the risk of hospital malnutrition; therefore, reviewing the guidelines on its use in the pediatric population is of great importance.
Objective: To provide recommendations on the use of nutrition screening tools validated in Canada and Europe in the Colombian pediatric population.
Materials and method: A systematic review was conducted using the PRISMA methodology. The quality of the evidence found in the review was assessed using the U.S. Preventive Services Task Force (USPSTF) tool, which was established by the Canadian Task Force on the Periodic Health Examination for assessing preventive actions.
Results: Fifteen studies were included in the review as they met the inclusion criteria. In addition, 7 nutrition screening tools were identified (PYMS, iPYMS, PeDiSMART, PNR, STAMP, PMST and STRONGkids). According to guidelines of the European Society for Clinical Nutrition and Metabolism, the PYMS, iPYMS and STRONGkids tools simultaneously assess prognostic variables such as current nutritional status, stability, expected improvement or worsening of the condition, and the influence of the disease process in nutritional deterioration. Regarding concurrent validity, data analysis shows that PYMS, iPYMS and PMST have sensitivities >85%, and that PYMS has a specificity >85%. In terms of reproducibility, PEDISMART, STRONGkids, STAMP and PYMS have an acceptable interobserver agreement (k> 0.41).
Conclusion: Based on the evidence found, which was analyzed in terms of prognostic variables, concurrent validity and reproducibility, the use of the PYMS tool in the clinical practice is suggested. In contrast, hospitals must assess the applicability of the STAMP and iPYMS tools.
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| first_indexed | 2024-03-13T10:46:06Z |
| format | Article |
| id | doaj.art-37c7767972f74c649edb6241bdf86f5f |
| institution | Directory Open Access Journal |
| issn | 0120-0011 2357-3848 |
| language | English |
| last_indexed | 2024-03-13T10:46:06Z |
| publishDate | 2020-01-01 |
| publisher | Universidad Nacional de Colombia |
| record_format | Article |
| series | Revista de la Facultad de Medicina |
| spelling | doaj.art-37c7767972f74c649edb6241bdf86f5f2023-05-17T17:12:06ZengUniversidad Nacional de ColombiaRevista de la Facultad de Medicina0120-00112357-38482020-01-0168110.15446/revfacmed.v68n1.73180Systematic review and comparative analysis of pediatric nutrition screening tools validated in Europe and CanadaLaura Vásquez-Cárdenas0Olga Lucia Pinzón-Espitia1Universidad Nacional de Colombia - Bogotá Campus - Faculty of Medicine - Department of Human Nutrition - Bogotá D.C. - ColombiaUniversidad Nacional de Colombia - Bogotá Campus - Faculty of Medicine - Department of Human Nutrition - Bogotá D.C. - Colombia | 2. Hospital Universitario Mayor-Méderi – Nutrition Service - Bogotá D.C. - Colombia Introduction: Nutritional screening is a useful tool for determining the risk of hospital malnutrition; therefore, reviewing the guidelines on its use in the pediatric population is of great importance. Objective: To provide recommendations on the use of nutrition screening tools validated in Canada and Europe in the Colombian pediatric population. Materials and method: A systematic review was conducted using the PRISMA methodology. The quality of the evidence found in the review was assessed using the U.S. Preventive Services Task Force (USPSTF) tool, which was established by the Canadian Task Force on the Periodic Health Examination for assessing preventive actions. Results: Fifteen studies were included in the review as they met the inclusion criteria. In addition, 7 nutrition screening tools were identified (PYMS, iPYMS, PeDiSMART, PNR, STAMP, PMST and STRONGkids). According to guidelines of the European Society for Clinical Nutrition and Metabolism, the PYMS, iPYMS and STRONGkids tools simultaneously assess prognostic variables such as current nutritional status, stability, expected improvement or worsening of the condition, and the influence of the disease process in nutritional deterioration. Regarding concurrent validity, data analysis shows that PYMS, iPYMS and PMST have sensitivities >85%, and that PYMS has a specificity >85%. In terms of reproducibility, PEDISMART, STRONGkids, STAMP and PYMS have an acceptable interobserver agreement (k> 0.41). Conclusion: Based on the evidence found, which was analyzed in terms of prognostic variables, concurrent validity and reproducibility, the use of the PYMS tool in the clinical practice is suggested. In contrast, hospitals must assess the applicability of the STAMP and iPYMS tools. https://revistas.unal.edu.co/index.php/revfacmed/article/view/73180ReviewMass ScreeningMalnutritionPediatricsHospitals |
| spellingShingle | Laura Vásquez-Cárdenas Olga Lucia Pinzón-Espitia Systematic review and comparative analysis of pediatric nutrition screening tools validated in Europe and Canada Revista de la Facultad de Medicina Review Mass Screening Malnutrition Pediatrics Hospitals |
| title | Systematic review and comparative analysis of pediatric nutrition screening tools validated in Europe and Canada |
| title_full | Systematic review and comparative analysis of pediatric nutrition screening tools validated in Europe and Canada |
| title_fullStr | Systematic review and comparative analysis of pediatric nutrition screening tools validated in Europe and Canada |
| title_full_unstemmed | Systematic review and comparative analysis of pediatric nutrition screening tools validated in Europe and Canada |
| title_short | Systematic review and comparative analysis of pediatric nutrition screening tools validated in Europe and Canada |
| title_sort | systematic review and comparative analysis of pediatric nutrition screening tools validated in europe and canada |
| topic | Review Mass Screening Malnutrition Pediatrics Hospitals |
| url | https://revistas.unal.edu.co/index.php/revfacmed/article/view/73180 |
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