Evidence map›Paper›PMID 40121430›Full record

ArticleItalian journal of pediatrics2025

Comparison of two nutritional risk screening tools in hospitalized children with Japanese encephalitis: a causal inference of clinical outcomes and implications for optimized management.

Yilei Shen, Lijuan Xu, Tian Tan, Wei Cao, Yong Zhao, Yue Feng, Xia Li, Yongfang Liu, Yingting Luo, Lin Kong

Abstract readComparative Study
In one paragraph

Article in Italian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yilei ShenSchool of Mathematics, Sichuan University, Chengdu, 610065, China.
Lijuan XuDepartment of Clinical Nutrition, Children's Hospital of Chongqing Medical University, Chongqing, China.
Tian TanDepartment of Clinical Nutrition, Children's Hospital of Chongqing Medical University, Chongqing, China.
Wei CaoChinese Center for Disease Control and Prevention, National Institute for Nutrition and Health, Beijing, China.
Yong ZhaoNutrition Innovation Platform-Sichuan and Chongqing, Chongqing, China.
Yue FengDepartment of Clinical Nutrition, Children's Hospital of Chongqing Medical University, Chongqing, China.
Xia LiDepartment of Clinical Nutrition, Children's Hospital of Chongqing Medical University, Chongqing, China.
Yongfang LiuDepartment of Clinical Nutrition, Children's Hospital of Chongqing Medical University, Chongqing, China.
Yingting LuoSchool of Mathematics, Sichuan University, Chengdu, 610065, China. lyt83@163.com.
Lin KongDepartment of Clinical Nutrition, Children's Hospital of Chongqing Medical University, Chongqing, China. bnnknn666@163.com.ORCID http://orcid.org/0009-0005-1310-2385

Funding

Key Laboratory of Public Nutrition and Health, National Health Commission of the People's Republic of China WLKFZ202408
6 · The paper itself

Abstract

backgroundThis study used two nutritional risk screening (NRS) tools to explore the causal relationship between nutritional risk and clinical outcomes (length of hospital stay and cost), as well as clinical results (incidence of sequelae), in hospitalized children with Japanese encephalitis (JE). The goal is to screen for a more suitable nutrition risk tool for JE reveal the underlying mechanisms, accurately quantify the impact, and provide a reliable basis for optimizing clinical management and reducing the burden of the disease in affected children.

methodsThe classical Screening Tool for Risk of Nutrition in Growth Kids (STRONGkids) and Screening Tool for Assessment of Malnutrition in Pediatrics (STAMP) were utilized to evaluate the nutritional risk of the children. A heatmap analysis was conducted to investigate the correlation between variables influencing the STRONGkids score and STAMP score. Subsequently, a decision tree was employed to identify the main factors influencing the STRONGkids score and STAMP score. Finally, causal inference was employed to calculate the causal effects between the NRS score, clinical outcomes, and clinical results.

resultsDysphagia was the most significant factors affecting STRONGKids scores, and the weight and height was the most significant factors affecting STAMP scores. Causal analysis revealed that for every unit increase in the severity of JE type, the STRONGkids score increased by 0.515 units, and 1.339 units for STAMP. Moreover, the presence of dysphagia led to a 1.944-unit increase in the STRONGkids score, and 1.497-unit for STAMP. Additionally, for every unit increase in the STRONGkids score, the length of hospital stay increased by 2.541 days, and hospitalization costs increased by $612.507. Similarly, for every unit increase in the STAMP score, the length of hospital stay increased by 1.571 days, and hospitalization costs increased by $425.595.

conclusionsBased on decision tree, causal analysis and the actual situation of SNI, the internal structural setup of the STAMP tool is more suitable for screening pediatric patients with JE, making it a more reasonable choice for this purpose when compared to STRONGkids.

Indexed as

Child, HospitalizedEncephalitis, JapaneseMalnutritionNutrition AssessmentOutcome Assessment, Health CareRisk AssessmentChildChild, PreschoolCorrelation of DataDecision TreesFemaleHospitalizationHumansMaleMediation AnalysisReproducibility of ResultsCausal analysisChildrenClinical outcomesDecision tree (machine learning)Japanese encephalitisNutritional risk

Identifiers

PMID40121430
PMCPMC11929289

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.