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. 2020 Apr;31(4):324-330.
doi: 10.5152/tjg.2020.18637.

Validity and reliability analysis of the Turkish version of pediatric nutritional risk score scale

Onur Taşcı  1 , Özlem Bekem Soylu  2 , Ezgi Kıran Taşcı  1 , Erhan Eser  3 , Betül Oruçoğlu  4 , İlker Günay  1
Affiliations

Validity and reliability analysis of the Turkish version of pediatric nutritional risk score scale

Onur Taşcı et al. Turk J Gastroenterol. 2020 Apr.

Abstract

Background/aims: We aimed to perform the validity and reliability analysis of the Turkish version of the Pediatric Nutritional Risk Score (PNRS).

Materials and methods: The study group consisted of 149 patients aged between 1 month and 18 years who were admitted to the hospital for at least 48 h. The patients' age, gender, anthropometric measurements, length of stay, admission diagnosis, daily body weights, food consumption, and pain status were recorded. Backward and forward translations into Turkish were done. PNRS was performed by two different physicians. The consistency of the PNRS results was evaluated to determine the validity of PNRS. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated.

Results: Of all patients, 69 (46.3%) were female and 80 (53.7%) were male. The mean length of the stay was 7.3±4.0 days. The mean age of the patients was 51.9±63.6 months. The Kappa coefficient between the two physicians was 0.66. Weight loss was observed in 65.2% of the patients in the high-risk group and 25.4% in the low-risk group. The hospital malnutrition rate was 31.5%. A higher risk was identified in those with <50% food intake and more severe disease. The specificity, sensitivity, NPV, and PPV of PNRS were 82.1%, 77.8%, 92.0%, and 58.3%, respectively.

Conclusion: A good consistency suggests that the Turkish validation was achieved successfully. The power of PNRS to discriminate the patients with moderate-low risk of developing malnutrition is higher than the patients with high risk. PNRS is considered a valid and reliable tool to establish the risk of malnutrition in the hospitalized patients.

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Conflict of interest statement

Conflict of Interest: The authors declare that they have no conflicts of interest.

Figures

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Figure 1
Pediatric nutritional risk score scale.
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References

    1. Kumar S, Olson DL, Schwenk WF. Part I. Malnutrition in the pediatric population. Dis Mon. 2002;48:703–12. doi: 10.1016/S0011-5029(02)90017-9. - DOI - PubMed
    1. World Health Organization (WHO) Children: Reducing Mortality. WHO: Geneva, Switzerland; (Updated September 2014)
    1. World Health Organization, the World Food Programme, the United Nations System Standing Committee on Nutrition and the United Nations Children’s Fund. Community-based management of severe acute malnutrition. May, 2007.
    1. Unicef. State of the world’s children 2008: child survival. New York: Unicef; 2007. www.unicef.org/sowc08/report/report.php.
    1. Schofield C, Ashworth A. Why have mortality rates for severe malnutrition remained so high? Bull World Health Organ. 1996;74:223–9. - PMC - PubMed

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