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Clinical effectiveness of Subjective Global Nutritional Assessment in hospitalized children with cerebral palsy
LIU Han-You, ZHU Deng-Na, CHEN Gong-Xun, WANG Yu-Mei, ZHAO Yun-Xia, LI Qiao-Xiu, XIONG Hua-Chun, YUAN Jun-Ying, GAO Yong-Qiang, WANG Yi-Wen, WANG Rui-Xia
Chinese Journal of Contemporary Pediatrics ›› 2020, Vol. 22 ›› Issue (11) : 1188-1192.
PDF(1206 KB)
PDF(1206 KB)
Clinical effectiveness of Subjective Global Nutritional Assessment in hospitalized children with cerebral palsy
Objective To investigate the nutritional status of children with cerebral palsy (CP) and the clinical effectiveness of Subjective Global Nutritional Assessment (SGNA) in nutritional assessment of hospitalized children with CP. Methods A total of 208 children with CP, aged 1-5 years, who were hospitalized from April to October 2019 were enrolled as subjects. SGNA was used to investigate nutritional status, and the Z-score method recommended by the World Health Organization was used as a reference standard to validate the clinical effectiveness of SGNA. Results The detection rate of malnutrition in children with CP was 42.3% by SGNA and 39.4% by the Z-score method (P > 0.05). The application of SGNA showed high consistency between different evaluators (κ=0.621, P < 0.001). With the Z-score method as the reference standard, SGNA had a sensitivity of 80.5%, a specificity of 82.5%, a positive predictive value of 75.0%, and a negative predictive value of 86.7%, and high consistency was observed between the two evaluation methods (κ=0.622, P < 0.001). SGNA was moderately consistent with weight-for-age Z-score and height-for-age Z-score (κ=0.495 and 0.478 respectively, P < 0.001) and was poorly consistent with weight-for-height Z-score (κ=0.197, P < 0.05). Conclusions There is a relatively high incidence rate of malnutrition in children with CP. SGNA can be used as a tool to assess the nutritional status of children with CP.
Cerebral palsy / Subjective Global Nutritional Assessment / Nutritional assessment / Z-score / Child
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