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Strong: Nutritional Risk Screening Tool For Children Aged Month - 18 Years On Admission To The Hospital

This document describes the STRONGkids nutritional risk screening tool for children aged 1 month to 18 years who have been admitted to the hospital. It involves assessing 4 items related to underlying illness, nutritional status, recent reduced food intake or diarrhea/vomiting, and recent weight loss/lack of weight gain. Each item scores 1 point for a "Yes" response, with a maximum total score of 5 points. Higher scores indicate a higher risk of malnutrition. The tool recommends nutritional interventions and follow-up based on the total score, with scores of 4-5 indicating high risk and need for consultation with a doctor and dietician.

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2K views3 pages

Strong: Nutritional Risk Screening Tool For Children Aged Month - 18 Years On Admission To The Hospital

This document describes the STRONGkids nutritional risk screening tool for children aged 1 month to 18 years who have been admitted to the hospital. It involves assessing 4 items related to underlying illness, nutritional status, recent reduced food intake or diarrhea/vomiting, and recent weight loss/lack of weight gain. Each item scores 1 point for a "Yes" response, with a maximum total score of 5 points. Higher scores indicate a higher risk of malnutrition. The tool recommends nutritional interventions and follow-up based on the total score, with scores of 4-5 indicating high risk and need for consultation with a doctor and dietician.

Uploaded by

nina
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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STRONGkids: Nutritional risk screening tool for children aged month – 18 years on admission

to the hospital.

Screening risk of malnutrition Score


Asses following items < 24h after admission and once a week thereafter →points

1. Is there an underlying illness with risk for malnutrition (see list) or expected major surgery? No Yes → 2

2. Is the patient in a poor nutritional status judged with subjective clinical assessment: loss of No Yes → 1
subcutaneous fat and/or loss of muscle mass and/or hollow face?

3. Is one of the following items present? No Yes → 1


▪ Excessive diarrhoea (≥5 per day) and/ or vomiting (> 3 times/ day) during the last 1-3 days
▪ Reduced food intake during the last 1-3 days
▪ Pre-existing nutritional intervention (e.g. ONS or tube feeding)
▪ Inability to consume adequate nutritional intake because of pain

4. Is there weight loss (all ages) and/or no increase in weight/height (infants < 1year) during No Yes → 1
the last few week-months?

Maximum total score: 5 points


Diseases with risk of malnutrition (item 1)

▪ Psychiatric eating disorder ▪ Liver disease, chronic


▪ Burns ▪ Kidney disease, chronic
▪ Bronchopulmonary dysplasia (up to age 2 years) ▪ Pancreatitis
▪ Celiac disease (active) ▪ Short bowel syndrome
▪ Cystic fibrosis ▪ Muscle disease
▪ Dysmaturity/prematurity (until corrected age 6 ▪ Metabolic disease
months) ▪ Trauma
▪ Cardiac disease, chronic ▪ Mental handicap/retardation
▪ Infectious disease ▪ Expected major surgery
▪ Inflammatory bowel disease ▪ Not specified (classified by doctor)
▪ Cancer
Risk of malnutrition and need for intervention
Score Risk Intervention and follow-up

4-5 points High risk • Consult doctor and dietician for full diagnosis and
individual nutritional advice and follow-up.
• Check weight twice a week and evaluate nutritional
advice
• Evaluate the nutritional risk weekly

1-3 points Medium risk • Consider nutritional intervention


• Check weight twice a week
• Evaluate the nutritional risk weekly

0 points Low risk • No nutritional intervention necessary


• Check weight regularly (according to hospital policy)
• Evaluate the nutritional risk weekly

Reference:
Hulst JM, Zwart H, Hop WC, Joosten KF. Dutch national survey to test the STRONGkids nutritional risk screening tool in
hospitalized children. Clin Nutr. 2010;29(1532-1983; 0261-5614; 1):106-111.

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