Clinical performance of the infant nutrition early warning score in routine practice across four international clinical settings in Europe: A study by the ESPGHAN special interest group in clinical malnutrition.

Bamkole, O ; Huysentruyt, K ; et al.

In: Journal of pediatric gastroenterology and nutrition, Jg. 78 (2024-03-01), Heft 3, S. 704

academicJournal

There is a scarcity of nutritional screening tools for use in infants (<1 year). The infant Nutrition Early Warning Score (iNEWS) has been developed to identify infants who need further dietetic review. We introduced the iNEWS into clinical practice and evaluated its performance in Scotland, Belgium, Athens and Bulgaria. Of the 352 infants screened, 72 (20%) were placed in the high iNEWS category, and of these, 70 (97%) were reviewed by a hospital dietitian. iNEWS produced a true positive rate of 80% which increased to 96% after accounting for anticipated misclassified cases due to prematurity. In Belgium, false positive screens had a shorter length of stay (p = 0.014). Otherwise, misclassification was not related to a specific iNEWS component. This study corroborates previous research, underscoring the validity of iNEWS as a dietetic referral tool and demonstrating that it can be integrated into "real-world" clinical practice across international settings with diverse healthcare resources.

(© 2024 The Authors. Journal of Pediatric Gastroenterology and Nutrition published by Wiley Periodicals LLC on behalf of European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.)

Titel:	Clinical performance of the infant nutrition early warning score in routine practice across four international clinical settings in Europe: A study by the ESPGHAN special interest group in clinical malnutrition.
Autor/in / Beteiligte Person:	Bamkole, O ; Huysentruyt, K ; Watson, J ; De Mulder, N ; Katsagoni, CN ; Chaloutsi, D ; Kontostavlou, M ; Pancheva, R ; Vladimirova, I ; Gerasimidis, K
Zeitschrift:	Journal of pediatric gastroenterology and nutrition, Jg. 78 (2024-03-01), Heft 3, S. 704
Veröffentlichung:	2024- : [Hoboken, New Jersey] : Wiley ; <i>Original Publication</i>: [New York, N.Y.] : Raven Press, [c1982-, 2024
Medientyp:	academicJournal
ISSN:	1536-4801 (electronic)
DOI:	10.1002/jpn3.12123
Schlagwort:	Infant Humans Nutritional Status Nutrition Assessment Public Opinion Europe Early Warning Score Malnutrition diagnosis
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [J Pediatr Gastroenterol Nutr] 2024 Mar; Vol. 78 (3), pp. 704-710. <i>Date of Electronic Publication: </i>2024 Jan 14. MeSH Terms: Early Warning Score* ; Malnutrition* / diagnosis ; Infant ; Humans ; Nutritional Status ; Nutrition Assessment ; Public Opinion ; Europe References: Embleton ND, Jennifer Moltu S, Lapillonne A, et al. Enteral nutrition in preterm infants (2022): a position paper from the ESPGHAN committee on nutrition and invited experts. J Pediatr Gastroenterol Nutr. 2023;76(2):248-268. ; Lapillonne A, Bronsky J, Campoy C, et al. Feeding the late and moderately preterm infant: a position paper of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2019;69(2):259-270. ; Hulst JM, Huysentruyt K, Gerasimidis K, et al. A practical approach to identifying pediatric disease-associated undernutrition: a position statement from the ESPGHAN special interest group on clinical malnutrition. J Pediatr Gastroenterol Nutr. 2022;74(5):693-705. ; Chourdakis M, Hecht C, Gerasimidis K, et al. Malnutrition risk in hospitalized children: use of 3 screening tools in a large European population. Am J Clin Nutr. 2016;103(5):1301-1310. ; 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. Br J Nutr. 2010;104(5):751-756. ; Gerasimidis K, Macleod I, Maclean A, et al. Performance of the novel Paediatric Yorkhill Malnutrition Score (PYMS) in hospital practice. Clin Nutr. 2011;30(4):430-435. ; Hulst JM, Zwart H, Hop WC, Joosten KFM. Dutch national survey to test the STRONGkids nutritional risk screening tool in hospitalized children. Clin Nutr. 2010;29(1):106-111. ; McCarthy H, Dixon M, Crabtree I, Eaton-Evans MJ, McNulty H. The development and evaluation of the screening tool for the assessment of malnutrition in paediatrics (STAMP©) for use by healthcare staff. J Hum Nutr Diet. 2012;25(4):311-318. ; Gerasimidis K, Milani S, Tester A, et al. A multicentre development and evaluation of a dietetic referral score for nutritional risk in sick infants. Clin Nutr. 2019;38(4):1636-1642. ; National Health Service, Health Research Authority. Defining Research. 2022. https://hra-decisiontools.org.uk/research/docs/DefiningResearchTable_Oct2022.pdf. ; Milani S, Wright C, Purcell O, Macleod I, Gerasimidis K. Acquisition and utilisation of anthropometric measurements on admission in a paediatric hospital before and after the introduction of a malnutrition screening tool. J Hum Nutr Diet. 2013;26(3):294-297. Grant Information: None Contributed Indexing: Keywords: dietetic referral tool; malnutrition; nutritional screening Entry Date(s): Date Created: 20240205 Date Completed: 20240321 Latest Revision: 20240321 Update Code: 20240321

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