Applicability of the STRONGkids Scale in Nutritional Screening of Hospitalized Pediatric Patients

Authors

  • Verónica Zapata Materón Hospital “Dr. Roberto Gilbert Elizalde”. Guayaquil, Ecuador
  • Jimmy Barreiro Casanova Hospital “Dr. Roberto Gilbert Elizalde”. Guayaquil, Ecuador
  • Yun Zyong Kim Instituto Nacional de Tecnologías. Santo Domingo, República Dominicana
  • Dolores Zambrano-Castro Universidad de Especialidades Espíritu Santo, Hospital Luis Vernaza. Guayaquil, Ecuador
  • Marlene Ferrer Arrocha Centro de Investigaciones y Referencias de Aterosclerosis de La Habana https://orcid.org/0000-0003-4742-4532

Keywords:

nutritional risk, malnutrition, hospitalization, STRONGkids.

Abstract

Introduction: Malnutrition in hospitalized children is associated with an unfavorable prognosis and it is important to identify the risk early. The STRONGkids scale is a useful tool for rapid and practical nutritional screening. Objective: To determine the applicability of the STRONGkids scale for nutritional screening in hospitalized pediatric patients, and its association with readmission and hospital stay. Methods: A prospective study was conducted in 306 patients from one month of age to 17 years of age, hospitalized at Dr. Roberto Gilbert Elizalde Hospital from January to December 2022. A clinical record was applied to obtain data such as age, sex, length of hospital stay, and variables from the STRONGkids scale. Nutritional risk was determined and risk categories were associated with readmission and hospital stay. Results: Male children and adolescents predominated (53.3%). The most frequent age group was 1-4 years. The analysis of nutritional risk showed that 44.1% of the participants had medium risk and 33.0% had high risk. In the high risk group, hospital stays of more than 15 days and readmission were more frequent, with a significant association (p < 0.001). Conclusions: The STRONGkids scale is an appropriate tool for the analysis of nutritional risk in hospitalized pediatric patients. This is associated with a higher frequency of readmissions and a longer hospital stay.

Downloads

Download data is not yet available.

References

1. Teixeira AF, Viana KD. Nutritional screening in hospitalized pediatric patients: a systematic review. J Pediatr (Rio J). 2016 [acceso 03/07/2022];92(4):343-52. Disponible en: https://www.scielo.br/j/jped/a/w6hGTmVXjft85b69BRqVrvB/?format=pdf&lang=en

2. Monteiro CA, Benicio MHD, Konno SC, Silva ACF da, Lima ALL de, Conde WL. Rev Saúde Pública. 2009 [acceso 04/11/2022];43(1):35-43. Disponible en: https://www.scielo.br/j/rsp/a/qmYZXGhNDBKcqw4SJSrCw6G/?format=pdf&lang=en

3. Pawellek I, Dokoupil K, Koletzko B. Prevalence of malnutrition in paediatric hospital patients. Clin Nutr Edinb Scotl. 2008 [acceso 23/01/2023];27(1):72-6. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0261561407001926

4. Schoeman J. Nutritional assessment and intervention in a pediatric oncology unit. Indian J Cancer. 2015;52(2):186-90. DOI: https://doi.org/10.4103/0019-509X.175832

5. World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human subjects. JAMA. 2013;310(20):1-95. DOI: https://doi.org/10.1001/jama.2013.281053

6. Costa AD, Tonial CT, García PC. Association between nutritional status and outcomes in critically-ill pediatric patients: a systematic review. J Pediatr (Rio J). 2016 [acceso 25/01/2023];92(3):223-9. Disponible en: https://www.scielo.br/j/jped/a/7zk7knMxHVWFpbgRdqjnB5P/?format=pdf&lang=en

7. Mehta NM, Bechard LJ, Leavitt K, Duggan C. Cumulative Energy Imbalance in the Pediatric Intensive Care Unit: Role of Targeted Indirect Calorimetry. JPEN J Parenter Enteral Nutr. 2009 [acceso 06/03/2023];33(3):336-44. Disponible en: https://aspenjournals.onlinelibrary.wiley.com/doi/abs/10.1177/0148607108325249

8. Cahill NE, Dhaliwal R, Day AG, Jiang X, Heyland DK. Nutrition therapy in the critical care setting: What is “best achievable” practice? An international multicenter observational study. Crit Care Med. 2010 [acceso 03/07/2023];38(2):395-401. Disponible en: https://journals.lww.com/ccmjournal/abstract/2010/02000/nutrition_therapy_in_the_critical_care_setting_.5.aspx

9. Reber E, Gomes F, Vasiloglou MF, Schuetz P, Stanga Z. Nutritional Risk Screening and Assessment. Clin Med. 2019 [acceso 12/07/2023];8(7). Disponible en: https://www.mdpi.com/2077-0383/8/7/1065

10. Imoberdorf R, Meier R, Krebs P, Hangartner PJ, Hess B, Stäubli M, et al. Prevalence of undernutrition on admission to Swiss hospitals. Clin Nutr Edinb Scotl. 2010 [acceso 24/07/2022];29(1):38-41. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0261561409001393

11. Maciel JRV, Nakano EY, Carvalho KMB, Dutra ES. STRONGkids validation: tool accuracy. J Pediatr (Rio J). 2020 [acceso 12/06/2023];96(3):371-8. Disponible en: https://www.sciencedirect.com/science/article/pii/S2255553619300874/pdf

12. Da Cruz Gouveia MA, Tassitano RM, da Silva GAP. Predictive Validation in Brazilian Children. J Pediatr Gastroenterol Nutr. 2018 [acceso 03/02/2023];67(3):371-8. Disponible en: https://journals.lww.com/jpgn/Fulltext/2018/09000/STRONGkids__Predictive_Validation_in_Brazilian.21.aspx

13. Araújo dos Santos C, Barbosa Rosa CO, Castro Franceschini SC, Castro JS, Magalhães Costa IB, Firmino HH, et al. STRONGkids for pediatric nutritional risk screening in Brazil: a validation study. Eur J Clin Nutr. 2020 [acceso 12/06/2023];74(9):299-1305. Disponible en: https://www.nature.com/articles/s41430-020-0644-1

14. Pérez Moreno J, de la Mata Navazo S, López-Herce Arteta E, Tolín Hernani M, González Martínez F, González Sánchez MI, et al. Influence of nutritional status on clinical outcomes in hospitalised children. An Pediatr. 2019 [acceso 03/07/2022];91(5):328-35. Disponible en: https://www.sciencedirect.com/science/article/pii/S2341287919301619

15. Etchegaray K, Bustos E. Evaluación y apoyo nutricional en el paciente pediátrico críticamente enfermo: Revisión de la literatura. Rev Chil Nutr. 2021 [acceso 12/10/2023];48(1):95-102. Disponible en: https://www.scielo.cl/pdf/rchnut/v48n1/0717-7518-rchnut-48-01-0095.pdf

16. Vezzani C, Spirito MF, Galarza N, Borgo L, Blasi S. Tamizaje nutricional en niños hospitalizados. Medicina Infantil. 2020 [acceso 04/10/2023];27:18-24. Disponible en: https://pesquisa.bvsalud.org/gim/resource/fr/biblio-1118590

Downloads

Published

2024-12-03

How to Cite

1.
Zapata Materón V, Barreiro Casanova J, Zyong Kim Y, Zambrano-Castro D, Ferrer Arrocha M. Applicability of the STRONGkids Scale in Nutritional Screening of Hospitalized Pediatric Patients. Rev Cubana Pediatría [Internet]. 2024 Dec. 3 [cited 2025 Jul. 1];96. Available from: https://revpediatria.sld.cu/index.php/ped/article/view/5601

Issue

Vol. 96 (2024): Publicación continua

Section

PEDIATRÍA

License

Avisos de derechos de autor propuestos por Creative Commons

1. Política propuesta para revistas que ofrecen acceso abierto

Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes:

  1. Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
  2. Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
  3. Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web) antes y durante el proceso de envío, lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada. (Véase El efecto del acceso abierto).