ArticleChildren (Basel, Switzerland)2023
The Low Sensitivity and Specificity of a Nutrition Screening Tool in Real Circumstances in a Tertiary Care Hospital Setting.
Article in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed, 2 citations in OpenAlex.
- Development and Validation of Non-Invasive Machine-Learning Screening Models for Pediatric Malnutrition in Hospitalized Children: A Single-Center Study.Children (Basel, Switzerland) · 2026Article
- Post-discharge complications and hospital readmissions are associated with nutritional risk and malnutrition status in a cohort of Canadian pediatric patients.BMC pediatrics · 2024Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Nutrition screening is an essential process to detect children at risk of malnutrition during hospitalization and provide appropriate nutrition management. STRONGkids is a nutrition screening tool which has been implemented in a tertiary-care hospital service in Bangkok, Thailand. This study aimed to evaluate the performance of STRONGkids in the real-situation setting. Electronic Medical Records (EMR) of hospitalized pediatric patients aged 1 month to 18 years from January to December 2019 were reviewed. Those with incomplete medical records and re-admission within 30 days were excluded. Nutrition risk scores and clinical data were collected. Anthropometric data were calculated to Z-score based on the WHO growth standard. The sensitivity (SEN) and specificity (SPE) of STRONGkids were determined against malnutrition status and clinical outcomes. In total, 3914 EMRs (2130 boys, mean age 6.22 ± 4.72 years) were reviewed. The prevalence of acute malnutrition (BMI-for-age Z-score < -2) and stunting (height-for-age Z-score < -2) were 12.9 and 20.5%. SEN and SPE of STRONGkids against acute malnutrition were 63.2 and 55.6%, stunting values were 60.6 and 56.7%, and overall malnutrition values were 59.8 and 58.6%. STRONGkids had low SEN and SPE to detect nutrition risks among hospitalized children in a tertiary-care setting. Further actions are required to improve the quality of nutrition screening in hospital services.
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