Validity of screening tool for the assessment of malnutrition in paediatrics in detecting malnutrition among in-patient children aged below 12 years
DOI:
https://doi.org/10.18203/2349-3291.ijcp20251872Keywords:
Screening tool for the assessment of malnutrition in pediatrics , Malnutrition, Risk, Validity, Screening, PediatricsAbstract
Background: Screening tool for the assessment of malnutrition in pediatrics (STAMP) is a reliable screening tool for the identification of malnutrition risk. This study was done to assess the validity of STAMP in detecting malnutrition as compared to World Health Organization (WHO) 2006 and Indian Academy of Pediatrics (IAP) 2015 combined growth charts.
Methods: A cross-sectional study was conducted among inpatient children aged below 12 years. STAMP assessment yields a sum to calculate the overall risk of malnutrition, which is divided into three categories: 0 to 1, low risk; 2 to 3, medium risk; ≥4, high risk. In comparison to WHO growth criteria, STAMP's sensitivity, specificity, positive and negative predictive value were computed. The sensitivity and specificity of the STAMP tool was assessed using a receiver operating characteristic (ROC) curve. To identify risk factors for malnutrition, logistic regression analyses were conducted.
Results: Out of 63 children studied, 36 (57.1%) were male and 27 (42.9%) were female. The median [interquartile range] age was 3 years [1.5, 8.0]. Children who were categorized as medium or high risk as per STAMP tool had a higher likelihood of being underweight. Regression analysis found weight for age was the most important factor associated with the risk of malnutrition with p value 0.040. The sensitivity of STAMP in detecting underweight, stunting and wasting was 95.2%, 84.6% and 81.8% respectively using ROC analysis.
Conclusions: The nutritional risk scores by STAMP are feasible and can identify children at risk of malnutrition. Future studies in outpatient settings are required to confirm these results.
Metrics
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