الفهرس 
Title : The Value of Nutritional Screening Questionnaires versus Subjective Global Nutritional Assessment and Anthropometric Measurements in Evaluation of Nutritional Status in Children Attending Outpatient Clinic, Cairo University Paediatric Hospital
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Abstract
Background: Pediatric patients are at high risk of malnutrition, therefore it is important to early detect the risk of malnutrition by using a simple, rapid and validated screening tool. Recently, numerous screening tools have been developed, however the most frequently used tools are Pediatric Yorkhill Malnutrition Score (PYMS), Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP), and Screening Tool for Risk on Nutritional Status and Growth (STRONG kids). Aim of the study: To identify the value of nutritional screening tools versus Subjective Global Nutritional Assessment and anthropometric measurement in evaluation of nutritional status in children. Methods: We conducted a descriptive cross sectional study on 1000 children aged from 1 {u2013} 12 years old, who were attending Cairo University Pediatric Hospital{u2019}s outpatient clinics. Each participant was evaluated by anthropometric measurements, and three screening tools (PYMS, STAMP and STRONG kids) and SGNA were applied. The sensitivity and specificity of the tools were assessed compared to SGNA as a gold standard. Results: We found that 4.5% of our patients were acutely malnourished, while 9.9% had chronic malnutrition. STRONG kids showed the most sensitivity (97.6%) with the highest negative predictive value (99.3%) and specificity (93.2%). STAMP showed sensitivity (86.2%) and specificity (92.3%). PYMS showed sensitivity (52.4%) and specificity (98%). Conclusion: STRONG kids showed superior agreement to SGNA and anthropometric measurements.Consequently, we concluded that STRONG kids was the most reliable screening tool in identifying malnutrition risk in outpatient setting