title: Validation of a Nutritional Screening Tool for Ambulatory Use in Pediatrics.
abstract: To evaluate the use of Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) in a primary health care clinic in the community and to assess the impact of its use on medical staff's awareness of nutritional status.
  
  
  
  STAMP scoring system was tested as is and with modifications in the ambulatory setting. Nutritional risk according to STAMP was compared with a detailed nutritional assessment performed by a registered dietitian. Recording of nutrition-related data and anthropometric measurements in medical files were compared prior and post implementation.
  
  
  
  Sixty children were included (31 girls, 52%), ages between 1 and 6 years, mean age 2.8 ± 1.5 (mean ± SD). STAMP scores yielded a fair agreement between STAMP and the dietitian's nutritional assessment: κ = 0.47 (95% confidence interval [CI] 0.24-0.7), sensitivity of 47.62% (95% CI 28.34-67.63). Modified STAMP yielded more substantial agreement: κ = 0.57 (95% CI 0.35-0.79), sensitivity of 76.19% (95% CI 54.91-89.37), specificity of 82.05% (95% CI 67.33-91.02). The use of STAMP resulted in an increase in recording of appetite, dietary intake, and anthropometric measurements.
  
  
  
  Modification of the STAMP improved nutritional risk evaluation in community setting. The use of STAMP in a primary health care clinic raised clinician's awareness to nutritional status. Further work will identify whether this could be translated into lower malnutrition rates and better child care.
authors.affiliation: *Clinical Nutrition and Dietetics Department, Schneider Children's Medical Center of Israel †Institute of Gastroenterology, Nutrition and Liver Diseases, Schneider Children's Medical Center of Israel, Clalit Health Services, Petah Tikva ‡Faculty of Agriculture, Food and Environmental Sciences, The Hebrew University, Rehovot §National Management Office, Clalit Health Services, Tel Aviv ||Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv ¶Netka Pediatric Community Center, Tel Aviv #Plotkin Pediatric Community Center, Tel Aviv, Clalit Health Services, Israel.
authors.forename: Gal
authors.initials: G
authors.lastname: Rub
authors.forename: Luba
authors.initials: L
authors.lastname: Marderfeld
authors.forename: Irit
authors.initials: I
authors.lastname: Poraz
authors.forename: Corina
authors.initials: C
authors.lastname: Hartman
authors.forename: Shlomo
authors.initials: S
authors.lastname: Amsel
authors.forename: Israel
authors.initials: I
authors.lastname: Rosenbaum
authors.forename: Shiri
authors.initials: S
authors.lastname: Pergamentzev-Karpol
authors.forename: Efrat
authors.initials: E
authors.lastname: Monsonego-Ornan
authors.forename: Raanan
authors.initials: R
authors.lastname: Shamir
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007557:Israel; D008297:Male; D044342:Malnutrition / Q000175:diagnosis*; D015596:Nutrition Assessment; D010372:Pediatrics; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires