Scribd
Upload
4K 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
4K 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

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.

You might also like