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Titre : | Performance of the novel Paediatric Yorkhill Malnutrition Score (PYMS) in hospital practice (2011) |
Auteurs : | K. Gerasimidis, Auteur ; I. Macleod, Auteur ; A. Maclean, Auteur |
Type de document : | Article |
Dans : | Clinical nutrition (vol 30, n° 4, 2011) |
Article en page(s) : | 430-435 |
Langues: | Anglais |
Descripteurs : |
HE Vinci État nutritionnel ; Evaluation ; Malnutrition |
Résumé : |
Summary
Background & aims Nutritional screening in paediatric inpatients is important. However, there is a lack of validated screening tools for this population. In this study the development of a nurse administered paediatric malnutrition screening tool is described and its performance evaluated. Methods The Paediatric Yorkhill Malnutrition Score (PYMS) rate BMI, weight loss, dietary intake and predicted effect of the current condition on nutritional status, with a score of 02 for each element. Patients with total score of 2 or more are referred for dietetic review. A four month pilot phase was conducted in three medical and one surgical wards of a tertiary hospital and the general paediatric ward of a district general hospital. Performance of the tool was assessed by auditing completion rates, yield, impact on dietetic workload, and by evaluating dietitians feedback. Results 1571 patients (72% of admissions) were screened of whom 158 (10%) scored at high risk. Non-screened children were younger and had a shorter length of hospital stay. Of the 125 patients who scored at high risk, between the 2nd and 4th month of the pilot, 66 (53%) were assessed by a dietitian of whom 86% were judged to be at true risk of malnutrition and 50% of these were new to the dietetic service. Dietetic workload did not increase significantly during the pilot phase although the proportion of referrals from the acute receiving wards increased. Dietitians feedback was positive, with recognition that PYMS identified patients at risk of malnutrition who may not have otherwise been referred. Conclusions Nutrition screening by nurses using the new PYMS score is feasible for paediatric inpatients, identifies children at risk of malnutrition and uses available resources efficiently. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Prêt autorisé Disponible |