ORIGINAL ARTICLE

Validity of Pediatric Yorkhill Malnutrition Score to detect pediatric hospitalized malnutrition

Benny Herlianto , I Gusti Lanang Sidiartha, I Gusti Ayu Putu Eka Pratiwi

Benny Herlianto
Paediatric Resident, Faculty of Medicine, Udayana University-Sanglah General Hospital, Bali-Indonesia. Magister Program in Biomedicine, Faculty of Medicine, Udayana University.. Email: midnight_aa@yahoo.com

I Gusti Lanang Sidiartha
Paediatric Departement, Faculty of Medicine, Udayana University-Sanglah General Hospital, Bali-Indonesia.

I Gusti Ayu Putu Eka Pratiwi
Paediatric Departement, Faculty of Medicine, Udayana University-Sanglah General Hospital, Bali-Indonesia.
Online First: April 01, 2019 | Cite this Article
Herlianto, B., Sidiartha, I., Pratiwi, I. 2019. Validity of Pediatric Yorkhill Malnutrition Score to detect pediatric hospitalized malnutrition. Bali Medical Journal 8(1): 78-82. DOI:10.15562/bmj.v8i1.1299


Introduction: Hospitalized malnutrition in children is a nutritional imbalance that occurs during hospital treatment, regardless the nutritional status at admission. Hospitalized malnutrition can be prevented, with periodic evaluation of nutrition status and early detection of hospital malnutrition. Pediatric Yorkhill Malnutrition Score (PYMS) can be one of the instruments used at Sanglah Hospital to prevent hospital malnutrition. This study aims to know the validity of PYMS to detect hospitalized malnutrition in pediatric patient at Sanglah Hospital.

Method: This Study was a prospective cohort study, performed at Sanglah Hospital Denpasar between August and December 2017. The subjects were collected using consecutive sampling method. PYMS was measured when admitted. Hospitalized malnutrition was defined if there is any weight loss during hospitalization. Between August and December 2017, 240 subjects were retained for analysis.

Result: The incidence of hospitalized malnutrition was 14.1%. The combined high risk and medium risk of PYMS had 97.1% sensitivity, and 47.1% specificity, positive predictive value (PPV) 23.2% and negative predictive value (NPV) 98.9% for detecting children who are at risk for hospitalized malnutrition.

Conclusion: Pediatric Yorkhill Malnutrition Score is acceptable for a screening tool, however it also important to ensure to the staff low score does not negate referral for dietetic assessment.

References

Sidiartha IGL. Insidens malnutrisi rumah sakit pada anak di rumah sakit umum pusat Sanglah Denpasar. Medicina; 2012;32:15-18.

Juliaty A. Malnutrisi rumah sakit pada bangsal anak rumah sakit DR. Wahidin Sudirohusodo, Makasar. Sari Pediatri; 2013;15(2):65-8.

Sjarif D, Lestari E, Mexitalia M, Nasar S. Malnutrisi rumah sakit. Dalam: Buku ajar nutrisi pediatrik dan penyakit metabolik. Jakarta: Ikatan Dokter Anak Indonesia; 2011.h.165-75.

Sidiartha IGL. Insidens malnutrisi rawat inap pada anak balita di rumah sakit umum pusat Sanglah Denpasar. Sari Pediatri. 2008;9(6):381-5.

Gerasimidis K, Keane O, Macleod I, Flynn DM, Wright CM. A four-stage evaluation of the Paediatric Yorkhill Malnutrition Score in a tertiary paediatric hospital and a district general hospital. British Journal of Nutrition. 2010;104:751-6.

Wonoputri N, Djais JTB, Rosalina I. Validity for nutritional screening tools for hospitalized children. J Nutr Metab. 2014; 2014: 143649.

Joosten KFM, Hulst JM. Nutritional screening tools for hospitalized children: methodological consideration. Clinical nutrition. 2014;33(1):1-5.

Geila AR, Rocha EJM, Martins CV. The effects of hospitalization on the nutritional status of children. J Pediatr (Rio J) 2006;82:70-4.

Kac G, Camacho-Dias P, Silva-Coutinho D, Silveira-Lopes R, Vilas-Boas V, Pinheiro ABV. Length of stay is associated with incidence of in-hospital malnutrition in a group of low-income Brazillian children. Salud Publica Mex. 2000;42:407-12.

Gouvia MAC, Silva GAP. Hospital malnutrition in pediatric patients: a review. Ann Nutr Disord & Ther. 2017;4(2):1042.

Hecth C, Weber M, Grote V, Daskalou E, Dell’era L, Flynn, et al. Disease associatied malnutrition correlates with length of stay in children. Clinical nutrition (serial online). 2014. Diunduh pada 20 Juni 2018. Didapat dari: URL:http://dx.doi.org/10.1016/j.clnu.2014.01.003.

Barker LA, Gout BS, Crowe TC. Hospital malnutrition: prevalence, identification and impact on patients and health care system. Int J Environ Res Public Health. 2011;8:514-27.

Girsang SN, Sidiartha IGL. The incidence of in-hospital malnutrition in children at Sanglah Hospital Denpasar and its association with length of stay. Medicina. 2017;48(2):98-102.

Beser OF, Cokugras FC, Erkan T, Kutlu T, Yagci RV. Evaluation of malnutrition development risk in hospitalized children. Nutrition. 2018;48:40-7.

Nesa NNM, Sidiartha IGL, Prawitohartono EP, Suandi KG. Accuracy of modified simple pediatric nutritional risk score to detect in-hospital malnutrition. Paediatr Indones 2010;50(5):305-9.


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