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Validation of a Nutrition Screening Tool for Pediatric Patients with Cystic Fibrosis.
J Acad Nutr Diet 2016; 116(5):813-8JA

Abstract

BACKGROUND

In cystic fibrosis (CF), nutrition diagnosis is of critical relevance because the early identification of nutrition-related compromise enables early, adequate intervention and, consequently, influences patient prognosis. Up to now, there has not been a validated nutrition screening tool that takes into consideration clinical variables.

OBJECTIVE

To validate a specific nutritional risk screening tool for patients with CF based on clinical variables, anthropometric parameters, and dietary intake.

DESIGN

Cross-sectional study. The nutrition screening tool was compared with a risk screening tool proposed by McDonald and the Cystic Fibrosis Foundation criteria.

PARTICIPANTS/SETTING

Patients aged 6 to 18 years, with a diagnosis of CF confirmed by two determinations of elevated chloride level in sweat (sweat test) and/or by identification of two CF-associated genetic mutations who were receiving follow-up care through the outpatient clinic of a Cystic Fibrosis Treatment Center.

MAIN OUTCOME MEASURES

Earlier identification of nutritional risk in CF patients aged 6 to 18 years when a new screening tool was applied.

STATISTICAL ANALYSES PERFORMED

Agreement among the tested methods was assessed by means of the kappa coefficient for categorical variables. Sensitivity, specificity, and accuracy values were calculated. The significance level was set at 5% (P<0.05). Statistical analyses were carried out in PASW Statistics for Windows version 18.0 (2009, SPSS Inc).

RESULTS

Eighty-two patients (49% men, aged 6 to 18 years) were enrolled in the study. The agreement between the proposed screening tool and the tool for screening nutritional risk for CF by the McDonald method was good (κ=0.804; P<0.001) and the sensitivity and specificity was 85% and 95%, respectively. Agreement with the Cystic Fibrosis Foundation criteria was lower (κ=0.418; P<0.001), and the sensitivity and specificity were both 72%.

CONCLUSIONS

The proposed screening tool with defined clinical variables promotes earlier identification of nutritional risk in pediatric patients with CF.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Validation Studies

Language

eng

PubMed ID

27126153

Citation

Souza Dos Santos Simon, Miriam Isabel, et al. "Validation of a Nutrition Screening Tool for Pediatric Patients With Cystic Fibrosis." Journal of the Academy of Nutrition and Dietetics, vol. 116, no. 5, 2016, pp. 813-8.
Souza Dos Santos Simon MI, Forte GC, da Silva Pereira J, et al. Validation of a Nutrition Screening Tool for Pediatric Patients with Cystic Fibrosis. J Acad Nutr Diet. 2016;116(5):813-8.
Souza Dos Santos Simon, M. I., Forte, G. C., da Silva Pereira, J., da Fonseca Andrade Procianoy, E., & Drehmer, M. (2016). Validation of a Nutrition Screening Tool for Pediatric Patients with Cystic Fibrosis. Journal of the Academy of Nutrition and Dietetics, 116(5), pp. 813-8. doi:10.1016/j.jand.2016.01.012.
Souza Dos Santos Simon MI, et al. Validation of a Nutrition Screening Tool for Pediatric Patients With Cystic Fibrosis. J Acad Nutr Diet. 2016;116(5):813-8. PubMed PMID: 27126153.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Validation of a Nutrition Screening Tool for Pediatric Patients with Cystic Fibrosis. AU - Souza Dos Santos Simon,Miriam Isabel, AU - Forte,Gabriele Carra, AU - da Silva Pereira,Juliane, AU - da Fonseca Andrade Procianoy,Elenara, AU - Drehmer,Michele, PY - 2015/06/09/received PY - 2016/01/14/accepted PY - 2016/4/30/entrez PY - 2016/4/30/pubmed PY - 2017/2/9/medline KW - Cystic fibrosis KW - Nutrition assessment KW - Nutritional status KW - Pediatric KW - Pulmonary function SP - 813 EP - 8 JF - Journal of the Academy of Nutrition and Dietetics JO - J Acad Nutr Diet VL - 116 IS - 5 N2 - BACKGROUND: In cystic fibrosis (CF), nutrition diagnosis is of critical relevance because the early identification of nutrition-related compromise enables early, adequate intervention and, consequently, influences patient prognosis. Up to now, there has not been a validated nutrition screening tool that takes into consideration clinical variables. OBJECTIVE: To validate a specific nutritional risk screening tool for patients with CF based on clinical variables, anthropometric parameters, and dietary intake. DESIGN: Cross-sectional study. The nutrition screening tool was compared with a risk screening tool proposed by McDonald and the Cystic Fibrosis Foundation criteria. PARTICIPANTS/SETTING: Patients aged 6 to 18 years, with a diagnosis of CF confirmed by two determinations of elevated chloride level in sweat (sweat test) and/or by identification of two CF-associated genetic mutations who were receiving follow-up care through the outpatient clinic of a Cystic Fibrosis Treatment Center. MAIN OUTCOME MEASURES: Earlier identification of nutritional risk in CF patients aged 6 to 18 years when a new screening tool was applied. STATISTICAL ANALYSES PERFORMED: Agreement among the tested methods was assessed by means of the kappa coefficient for categorical variables. Sensitivity, specificity, and accuracy values were calculated. The significance level was set at 5% (P<0.05). Statistical analyses were carried out in PASW Statistics for Windows version 18.0 (2009, SPSS Inc). RESULTS: Eighty-two patients (49% men, aged 6 to 18 years) were enrolled in the study. The agreement between the proposed screening tool and the tool for screening nutritional risk for CF by the McDonald method was good (κ=0.804; P<0.001) and the sensitivity and specificity was 85% and 95%, respectively. Agreement with the Cystic Fibrosis Foundation criteria was lower (κ=0.418; P<0.001), and the sensitivity and specificity were both 72%. CONCLUSIONS: The proposed screening tool with defined clinical variables promotes earlier identification of nutritional risk in pediatric patients with CF. SN - 2212-2672 UR - https://www.unboundmedicine.com/medline/citation/27126153/Validation_of_a_Nutrition_Screening_Tool_for_Pediatric_Patients_with_Cystic_Fibrosis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2212-2672(16)00077-0 DB - PRIME DP - Unbound Medicine ER -