Syuhada et al reported a malnutrition risk (MaR) score for hospital-acquired malnutrition (HAM) in a pediatric inpatient. This can identify a patient who may require closer nutritional monitoring. The authors are from Institu Teknologi Bandung and Universitas Indonesia in Indonesia.
Patient selection: pediatric patient in the hospital >= 72 hours
Parameters:
(1) sex
(2) age category
(3) key medical diagnoses
(4) diet category
(5) nutritional route
(6) color for NEWS score
Parameter
Finding
Points
sex
female
0
male
2
age category
infant
21
toddler
18
preschool
5
school age
2
adolescent
0
respiratory disease
no
0
yes
16
neurological disease
no
0
yes
3
cancer
no
0
yes
3
infectious disease
no
0
yes
19
other diagnosis
no
0
yes
16
diet category
regular
0
soft
4
liquid
13
other
1
nutritional route
oral
1
parenteral
3
enteral
2
NEWS color code
green
3
yellow
2
orange
0
red
0
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 1
• maximum score: 99 (paper says 134 but this is for all items, even those mutually exclusive)
• A score <= 45.5 is low risk.
• A score > 45.5 is high risk.
• In the text it states that the cutoff is 100.5, which differs from the value given in the Appendix.
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