The Reliable Nutritional Risk Screening Tools

Study Overview
=================
Brief Summary
-----------------
assess the subjective global validity and reliability of using The Pediatric Yorkhil Malnutrition Score (PYMs) and merits of using the Screening Tool for Risk on Nutritional status and Growth (STRONGkids) as a nutrition screening tool correlate it with the severity of their nutritional derangements in comparison to the Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP)in hospitalized Egyptian children aged (2-5)years in Assiut University Children Hospital (AUCH).

Detailed Description
-----------------
Malnutrition is responsible for around 3.1 million child deaths annually in low and middle income countries,the malnutrition is involved in about 45% of under-five children deaths in numerous developing countries. Malnutrition is associated with negative outcomes for inpatients, including increased risks of infections , increased muscle loss , impaired wound healing, longer hospital stay and increased morbidity and mortality . Malnutrition may be responsible for delayed recovery and need for intensive nursing care, thus increasing the cost of hospitalization . Nutritional support for inpatients has made progress and it is provided systematically through multidisciplinary nutritional support teams (NSTs) in most hospitals. The first step to run and manage the NST effectively and efficiently in each hospital may be proper screening and selection of the patients who are at risk of malnutrition requiring nutritional support during hospitalization Routine nutritional screening is rarely carried out in pediatric patients because of the lack of a simple and properly validated nutritional screening tool. The current practice of identifying children at risk of malnutrition is reliant on interpretation of anthropometric data and clinical judgement; the reliability of which is dependent on nutritional knowledge of pediatricians . Severe cases of malnutrition are easily recognized; however, the identification of children with lesser degrees of malnutrition or at risk of malnutrition, which is also important, is not as easily achieved.

Official Title
-----------------
The Reliable Nutritional Risk Screening Tools in Children Aged (2-5) Years Old Admitted to Assiut University Children Hospital

Conditions
-----------------
Malnutrition, Child

Intervention / Treatment
-----------------
* Other: stong,stamp,pyms


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: all patients at the age of 2-5 years admitted in Assiut university children's hospital Exclusion Criteria: no

Ages Eligible for Study
-----------------
Minimum Age: 2 Years
Maximum Age: 5 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: stong,stamp,pyms|STRONG(screening tool for risk of nutritional status and growth) STAMP(screening tool assessment of malnutrition in pediatrics) PYMS|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the reliable nutritional risk screening tools in diseased children aged (2_5) years old admitted to Assiut University Children Hospital | asses the merits of using the Screening Tool for Risk on Nutritional status and Growth (STRONGkids) as a nutrition screening tool | 2 years | 
| the Screening Tool for the Assessment of Malnutrition in Pediatrics | asses the merits of using the the Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) in hospitalized Egyptian children aged (2-5)years in Assiut University Children Hospital (AUCH). | 2 years | 
| using The Peduatric Yorkhil Malnutrition score | asses the subjective global validity and reliability of using The Pediatric Yorkhil Malnutrition Score (PYMs) in hospitalized Egyptian children aged (2-5)years in Assiut University Children Hospital (AUCH). | 2 years |