Comparison of Pediatric Nutrition Screening Tool (PNST) With the Pediatric Yorkhill Malnutrition Score (PYMS) in Hospitalized Turkish Children
TOPICS IN CLINICAL NUTRITION, vol.38, no.3, pp.262-271, 2023 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 38 Issue: 3
- Publication Date: 2023
- Doi Number: 10.1097/tin.0000000000000328
- Journal Name: TOPICS IN CLINICAL NUTRITION
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Agricultural & Environmental Science Database, CAB Abstracts, CINAHL, Veterinary Science Database
- Page Numbers: pp.262-271
- Keywords: hospitalized child, malnutrition, nutritional screening, PNST, PYMS
- Erciyes University Affiliated: Yes
Abstract
This study aimed to compare the diagnostic accuracy of Pediatric Nutrition Screening Tool (PNST) and Pediatric Yorkhill Malnutrition Score (PYMS) in Turkish pediatric inpatients. A cross-sectional study was conducted on 996 inpatients aged 1 to 16 years. The prevalence of malnutrition was 31.8%. The PNST identified 28.7% (original cutoffs) and 62.6% (adjusted cutoffs) of patients as at risk, whereas PYMS categorized 44.3% as at high risk of malnutrition. The sensitivity of PNST with original cutoffs (52.1%) was lower than that of PYMS (85.2%) and PNST with adjusted cutoffs (83.3%), especially for acute malnutrition (67.6% vs 95.3% and 94.6%, respectively). Considering the importance of early identification and treatment of malnutrition, PYMS and PNST with adjusted cutoffs may be useful as a screening tool in this population.