Sensitivity and specificity test of alarm malnutrition for hospital-acquired malnutrition among pediatric patients


Published: 20 May 2021
Abstract Views: 1890
PDF: 271
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

  • Yuni Maria Olviani Ndede Department of Pediatric Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia.
  • Dessie Wanda Department of Pediatric Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia.
  • Efa Apriyanti Department of Pediatric Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia.

Detecting the risks for hospital-acquired malnutrition in children can be performed by using nutritional screening tools. One of the screening tools that has been created is Alarm Malnutrition. This study aimed to test the sensitivity and specificity of Alarm Malnutrition in detecting the risks for hospitalacquired malnutrition in comparison to Screening Tool for the Risk on Nutritional status and Growth (STRONGkids). This study employed cross sectional design and involved 168 hospitalized children (1 month to 18 years) at pediatric ward. The data were analyzed using diagnostic approach which resulted in sensitivity and specificity values. The statistical tests showed that the sensitivity and specificity values of Alarm Malnutrition and STRONGKids were 32,2% and 81,6% respectively. These results indicated that this screening tool was not better than STRONGkids which has been previously used in Indonesia. Alarm Malnutrition needs to be developed and improved in order to achieve better performance in detecting the risks for hospital-acquired malnutrition.


Walson JL, Berkley JA. The impact of malnutrition on childhood infections. Curr Opin Infect Dis 2018;31:231-6. DOI: https://doi.org/10.1097/QCO.0000000000000448

Maryani E, Prawirohartono EP, Nugroho S. Faktor prediktor malnutrisi rumah sakit pada anak. Sari Pediatri 2016;18:278-84. Bahasa Indonesia. DOI: https://doi.org/10.14238/sp18.4.2016.278-84

Sidiartha IGL, Pratiwi IGAPE. Implementation of STRONGkids in identify risk of malnutrition in government hospital. Int J Health Sci 2018;2:18-24. DOI: https://doi.org/10.29332/ijhs.v2n2.117

Falahaini A. Faktor yang berhubungan dengan kejadian malnutrisi didapat di rumah sakit yang dialami oleh pasien anak. Thesis. Depok: Universitas Indonesia; 2018.

Abdelhadi RA, Bouma S, Bairdain S, et al. Characteristics of hospitalized children with a diagnosis of malnutrition: United States, 2010. JPEN J Parenter Enteral Nutr 2016;40:623-35. DOI: https://doi.org/10.1177/0148607116633800

Freijer K, van Puffelen E, Joosten KF, et al. The costs of disease related malnutrition in hospitalized children. Clin Nutr ESPEN 2017;23:228-33. DOI: https://doi.org/10.1016/j.clnesp.2017.09.009

Grenov B, Lanyero B, Nabukeera-Barungi N, et al. Diarrhea, dehydration, and the associated mortality in children with complicated severe acute malnutrition: a prospective cohort study in Uganda. J Pediatr 2019;210:26-33.e3. DOI: https://doi.org/10.1016/j.jpeds.2019.03.014

Quadros DRS, Kamenwa R, Akech S, Macharia WM. Hospital-acquired malnutrition in children at a tertiary care hospital. South Afr J Clin Nutr 2018;31:8-13. DOI: https://doi.org/10.1080/16070658.2017.1322825

Syuhada K, Wanda D, Nur’aini R, et al. Statistical risk characteristics and risk scoring of hospital-acquired malnutrition for pediatric patients. J Nutr Metab 2020;2020:4305487. DOI: https://doi.org/10.1155/2020/4305487

Niseteo T, Hojsak I, Kolaček S. Malnourished children acquire nosocomial infections more often and have significantly increased length of hospital stay. Clin Nutr 2020:39:1560-3. DOI: https://doi.org/10.1016/j.clnu.2019.06.022

Carter LE, Shoyele G, Southon S, et al. Screening for pediatric malnutrition at hospital admission: which screening tool is best? Nutr Clin Pract 2020;35:951-8. DOI: https://doi.org/10.1002/ncp.10367

Bélanger V, McCarthy A, Marcil V, et al. Assessment of malnutrition risk in Canadian pediatric hospitals: a multicenter prospective cohort study. J Pediatr 2019;205:160-7.e6. DOI: https://doi.org/10.1016/j.jpeds.2018.09.045

Tuokkola J, Hilpi J, Kolho KL, et al. Nutritional risk screening — a cross-sectional study in a tertiary pediatric hospital. J Health Popul Nutr 2019;38:8. DOI: https://doi.org/10.1186/s41043-019-0166-4

Gambra-Arzoz M, Alonso-Cadenas JA, Jiménez-Legido M, et al. Nutrition risk in hospitalized pediatric patients: higher complication rate and higher costs related to malnutrition. Nutr Clin Pract 2020;35:157-63. DOI: https://doi.org/10.1002/ncp.10316

Ortíz-Gutiérrez S, Pérez-Cruz E, Lara-Pompa NE, et al. Validation and adaptation of the spanish version of the STRONGkids nutrition screening tool. Nutr Clin Pract 2019;34:589-96. DOI: https://doi.org/10.1002/ncp.10182

Ndede, Y. M. O., Wanda, D., & Apriyanti, E. (2021). Sensitivity and specificity test of alarm malnutrition for hospital-acquired malnutrition among pediatric patients. La Pediatria Medica E Chirurgica, 43(s1). https://doi.org/10.4081/pmc.2021.267

Downloads

Download data is not yet available.

Citations