Clinical effectiveness of Subjective Global Nutritional Assessment in hospitalized children with cerebral palsy.
- Author:
Han-You LIU
1
;
Deng-Na ZHU
;
Gong-Xun CHEN
;
Yu-Mei WANG
;
Yun-Xia ZHAO
;
Qiao-Xiu LI
;
Hua-Chun XIONG
;
Jun-Ying YUAN
;
Yong-Qiang GAO
;
Yi-Wen WANG
;
Rui-Xia WANG
Author Information
1. Department of Children's Rehabilitation, Third Affiliated Hospital, Zhengzhou University, Zhengzhou 450052, China. zhudengna@126.com.
- Publication Type:Journal Article
- MeSH:
Cerebral Palsy;
Child;
Child, Hospitalized;
Child, Preschool;
Humans;
Infant;
Malnutrition;
Nutrition Assessment;
Nutritional Status;
Treatment Outcome
- From:
Chinese Journal of Contemporary Pediatrics
2020;22(11):1188-1192
- CountryChina
- Language:Chinese
-
Abstract:
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.
