STRONGkids (screening tool for risk of nutritional status and growth)

(1) Subjective clinical assessment (1 point) Is the patient in a poor nutritional status judged by subjective clinical assessment (diminished subcutaneous fat and/or muscle mass and/or hollow face)? (") #igh$ris% disease (" points) Is there an underlying illness with a ris% of malnutrition or e&pected major surgery? (') utritional inta%e and losses (1 point) (re there any of the following items present? )&cessive diarrhoea ( * per day) and/or vomiting (+' times/day) the last few days? ,educed food inta%e during the last few days before admission (not including fasting for an elective procedure or surgery)? -re$e&isting dietetically advised nutritional intervention? Inability to consume ade.uate inta%e because of pain? (/) 0eight loss or poor weight gain? (1 point) Is there weight loss or no weight gain (infants 11 year) during the last few wee%s/months? 2otal score overall

Yes o Yes o Yes o

1 ! " ! 1 !

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2otal score S2,3 4

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FORMULIR STRONGkids (screening tool for risk of nutritional status and growth)
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(1) penilaian %linis subye%tif (1 poin)

(pa%ah pasien memili%i tanda$tanda status giEi buru% dinilai oleh penilaian %linis subye%tif (ber%urang lema% sub%utan dan / atau massa otot dan / atau wajah ce%ung)? (2) penya%it berisi%o tinggi (" poin) (pa%ah ada penya%it yang mendasarinya yang menga%ibat%an risi%o malnutrisi atau operasi besar yang telah dila%u%an? (3) 4iEi asupan dan %erugian (1 poin) (pa%ah ada salah satu item beri%ut hadir? Fiare yang berlebihan (* %ali per hari) dan / atau muntah (+ ' %ali / hari) beberapa hari tera%hir? 9engurangi asupan ma%anan selama beberapa hari tera%hir sebelum masu% (tida% termasu% puasa untu% sebuah prosedur ele%tif atau pembedahan)? (pa%ah sebelumnya ada ahli giEi yang menyaran%an untu% mela%u%an intervensi giEi? Betida%mampuan untu% meng%onsumsi asupan %arena sa%it? (4) -enurunan Aerat badan atau %ondisi berat badan yang buru%? (1 poin) (bayi 11 tahun) selama beberapa minggu tera%hir / bulan8 (pa%ah ada penurunan berat badan atau tida% ada %enai%an berat badan ? 7umlah s%or %eseluruhan B)SI9-@C( 6

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2otal s%or S2,3 4

Score /=* -oints 1=' -oints

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utritional ris% score and recommendations for nutritional intervention8 ,is% for malnutrition and need for intervention ,is% Intervention and follow$up #igh ris% :onsult doctor and dietician for full diagnosis and individual nutritional advice and follow$up8 Start prescribing sip feeds until further diagnosis8 9edium ris% :onsult doctor for full diagnosisG consider nutritional intervention with dietician8 :hec% weight twice a wee% and evaluate the nutritional ris% after one wee%8 Cow ris% o intervention necessary8 :hec% weight regularly conform hospital policy and evaluate the nutritional ris% after one wee%8