Evaluation of a new digital pediatric malnutrition risk screening tool for hospitalized children with congenital heart disease
Abstract Background In a cohort of hospitalized children with congenital heart disease (CHD), a new digital pediatric malnutrition screening tool as a mobile application was validated, and its effectiveness and clinical value were determined as a prospective study. Methods and results Children with...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | BMC Pediatrics |
| Online Access: | https://doi.org/10.1186/s12887-023-03899-1 |
| _version_ | 1797863548676734976 |
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| author | Yajie Zhang Lina Lu Ling Yang Weihui Yan Qun Yu Jinye Sheng Xiaomeng Mao Yi Feng Qingya Tang Wei Cai Ying Wang |
| author_facet | Yajie Zhang Lina Lu Ling Yang Weihui Yan Qun Yu Jinye Sheng Xiaomeng Mao Yi Feng Qingya Tang Wei Cai Ying Wang |
| author_sort | Yajie Zhang |
| collection | DOAJ |
| description | Abstract Background In a cohort of hospitalized children with congenital heart disease (CHD), a new digital pediatric malnutrition screening tool as a mobile application was validated, and its effectiveness and clinical value were determined as a prospective study. Methods and results Children with CHD (n = 1125) were screened for malnutrition risk. The incidence of risk and the differences among various age groups and types of CHD were characterized. The optimal threshold for the tool to determine if there is a risk of malnutrition is score 2, while the Youden index was 79.1%, and the sensitivity and specificity were 91.2% and 87.9%, respectively. Based on such criterion, 351 children were at risk of malnutrition accounting for 31.20% of the total. Compared with the non-malnutritional risk group, the median age for the group at risk for malnutrition was younger (8.641 months [4.8, 23.1] vs. 31.589 months [12.4, 54.3], P < 0.01), and the length of stay was longer (12.000 [8.0, 17.0] vs. (8.420 [5.0, 12.0], P < 0.01]. There were significant differences in malnutrition risk among different age groups (χ2 = 144.933, P < 0.01), and children under one year of age exhibited the highest risk for malnutrition and more extended hospital stay (H = 78.085, P < 0.01). The risk of malnutrition among children with cyanotic CHD was higher than in those with non-cyanotic CHD (χ2 = 104.384, P < 0.01). Conclusions The new digital pediatric malnutrition screening tool showed high sensitivity and specificity in children with CHD. The tool indicated that the malnutrition risk for young children and children with cyanotic or Bethesda moderate and complex CHD was higher, and the hospitalization time was longer than in the non-risk group. The tool provides a rational approach to targeted nutrition intervention and support and may improve clinical outcomes. |
| first_indexed | 2024-04-09T22:37:17Z |
| format | Article |
| id | doaj.art-91974b80dd0b4abc8fe6d16c6c240325 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-04-09T22:37:17Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-91974b80dd0b4abc8fe6d16c6c2403252023-03-22T12:24:14ZengBMCBMC Pediatrics1471-24312023-03-012311810.1186/s12887-023-03899-1Evaluation of a new digital pediatric malnutrition risk screening tool for hospitalized children with congenital heart diseaseYajie Zhang0Lina Lu1Ling Yang2Weihui Yan3Qun Yu4Jinye Sheng5Xiaomeng Mao6Yi Feng7Qingya Tang8Wei Cai9Ying Wang10Division of Pediatric Gastroenterology and Nutrition, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong UniversityDivision of Pediatric Gastroenterology and Nutrition, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong UniversityPediatric Heart Center, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong UniversityDivision of Pediatric Gastroenterology and Nutrition, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong UniversityDepartment of Nursing, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong UniversityDepartment of Clinical Nutrition, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong UniversityDepartment of Clinical Nutrition, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong UniversityDepartment of Clinical Nutrition, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong UniversityDepartment of Clinical Nutrition, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong UniversityDivision of Pediatric Gastroenterology and Nutrition, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong UniversityDivision of Pediatric Gastroenterology and Nutrition, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong UniversityAbstract Background In a cohort of hospitalized children with congenital heart disease (CHD), a new digital pediatric malnutrition screening tool as a mobile application was validated, and its effectiveness and clinical value were determined as a prospective study. Methods and results Children with CHD (n = 1125) were screened for malnutrition risk. The incidence of risk and the differences among various age groups and types of CHD were characterized. The optimal threshold for the tool to determine if there is a risk of malnutrition is score 2, while the Youden index was 79.1%, and the sensitivity and specificity were 91.2% and 87.9%, respectively. Based on such criterion, 351 children were at risk of malnutrition accounting for 31.20% of the total. Compared with the non-malnutritional risk group, the median age for the group at risk for malnutrition was younger (8.641 months [4.8, 23.1] vs. 31.589 months [12.4, 54.3], P < 0.01), and the length of stay was longer (12.000 [8.0, 17.0] vs. (8.420 [5.0, 12.0], P < 0.01]. There were significant differences in malnutrition risk among different age groups (χ2 = 144.933, P < 0.01), and children under one year of age exhibited the highest risk for malnutrition and more extended hospital stay (H = 78.085, P < 0.01). The risk of malnutrition among children with cyanotic CHD was higher than in those with non-cyanotic CHD (χ2 = 104.384, P < 0.01). Conclusions The new digital pediatric malnutrition screening tool showed high sensitivity and specificity in children with CHD. The tool indicated that the malnutrition risk for young children and children with cyanotic or Bethesda moderate and complex CHD was higher, and the hospitalization time was longer than in the non-risk group. The tool provides a rational approach to targeted nutrition intervention and support and may improve clinical outcomes.https://doi.org/10.1186/s12887-023-03899-1 |
| spellingShingle | Yajie Zhang Lina Lu Ling Yang Weihui Yan Qun Yu Jinye Sheng Xiaomeng Mao Yi Feng Qingya Tang Wei Cai Ying Wang Evaluation of a new digital pediatric malnutrition risk screening tool for hospitalized children with congenital heart disease BMC Pediatrics |
| title | Evaluation of a new digital pediatric malnutrition risk screening tool for hospitalized children with congenital heart disease |
| title_full | Evaluation of a new digital pediatric malnutrition risk screening tool for hospitalized children with congenital heart disease |
| title_fullStr | Evaluation of a new digital pediatric malnutrition risk screening tool for hospitalized children with congenital heart disease |
| title_full_unstemmed | Evaluation of a new digital pediatric malnutrition risk screening tool for hospitalized children with congenital heart disease |
| title_short | Evaluation of a new digital pediatric malnutrition risk screening tool for hospitalized children with congenital heart disease |
| title_sort | evaluation of a new digital pediatric malnutrition risk screening tool for hospitalized children with congenital heart disease |
| url | https://doi.org/10.1186/s12887-023-03899-1 |
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