{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-AHE207CU/e7c639b1-9cfe-46fe-8ff7-1127fd7f128f/PDF","dcterms:extent":"406 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-AHE207CU/1b2ec8f4-0cbc-4e8d-a35f-183f6b1aec7c/TEXT","dcterms:extent":"38 KB"}],"edm:TimeSpan":{"@rdf:about":"2008-2025","edm:begin":{"@xml:lang":"en","#text":"2008"},"edm:end":{"@xml:lang":"en","#text":"2025"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-AHE207CU","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/URN:NBN:SI:spr-FQ9JBKO1"},{"@xml:lang":"sl","#text":"Rehabilitacija (Ljubljana)"}],"dcterms:issued":"2024","dc:creator":["Arko, Janez Jan","Groleger Sršen, Katja","Peklaj, Eva","Vidmar, Gaj"],"dc:format":[{"@xml:lang":"sl","#text":"številka:1"},{"@xml:lang":"sl","#text":"letnik:23"},{"@xml:lang":"sl","#text":"str. 66-73"}],"dc:identifier":["COBISSID_HOST:205560835","ISSN:2232-545X","URN:URN:NBN:SI:doc-AHE207CU"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Univerzitetni rehabilitacijski inštitut Republike Slovenije - Soča"},"dc:subject":[{"@xml:lang":"sl","#text":"Child"},{"@xml:lang":"sl","#text":"Chronic Disease"},{"@xml:lang":"sl","#text":"Malnutrition"},{"@xml:lang":"en","#text":"nutrition assessment"},{"@xml:lang":"en","#text":"nutritional status"},{"@xml:lang":"en","#text":"nutritional strategy"},{"@xml:lang":"sl","#text":"otrok"},{"@xml:lang":"sl","#text":"podhranjenost"},{"@xml:lang":"sl","#text":"prehranska obravnava"},{"@xml:lang":"sl","#text":"prehranska strategija"},{"@xml:lang":"sl","#text":"prehransko stanje"},{"@xml:lang":"sl","#text":"rehabilitacija"},{"@xml:lang":"sl","#text":"rehabilitation"}],"dcterms:temporal":{"@rdf:resource":"2008-2025"},"dc:title":{"@xml:lang":"sl","#text":"Razširjenost podhranjenosti in tveganja za podhranjenost med otroki s kroničnimi boleznimi v programu (re)habilitacije| Prevalence of undernutrition and nutritional risk among children with chronic diseases in (re) habilitation program|"},"dc:description":[{"@xml:lang":"sl","#text":"Background: Malnutrition in children, especially those who need a hospital rehabilitation program, is poorly recognised, also because the standards for recognising malnutrition have not yet been clearly defined. We wanted to check the prevalence of nutritional risk in children who are included in a hospital rehabilitation program, according to the selected screening tool and according to indicators of malnutrition. We also wanted to assess the diagnostic characteristics of the selected screening tool. Methods: We included 97 children with various medical conditions who were referred to the rehabilitation program at the University Rehabilitation Institute in Ljubljana. The Screening Tool for the Assessment of Malnutrition in Pediatrics (STAMP) was used to screen for nutritional risk and clinical indicators for malnutrition to assess malnutrition. The usefulness of the screening tool as a diagnostic tool for determining malnutrition was evaluated by estimating the positive predictive value, negative predictive value, sensitivity and specificity. Results: According to STAMP assessment, risk for malnutrition was present in 89 % of the children, while according to clinical indicators for malnutrition, it was present in 51 % of the children. Assuming that STAMP had successfully diagnosed mild, moderate or severe malnutrition, with an estimated medium or high nutritional risk, the test has a high sensitivity (98 %) and a low specificity (21 %). The positive predictive value was 56 %, and the negative predictive value of the screening was 91 %. Conclusions: Nutritional risk and malnutrition among children in the rehabilitation setting were very common. The STAMP tool has a high sensitivity in detecting nutritional vulnerability, but the specificity was low. Its positive predictive value is also relatively low. These characteristics will need to be tested in a larger sample of children in the rehabilitation program and the screening tool may also need to be adapted"},{"@xml:lang":"sl","#text":"Izhodišča: Podhranjenost pri otrocih, zlasti tistih, ki potrebujejo bolnišnični program rehabilitacije, je slabo prepoznana, tudi zato, ker standardi za prepoznavanje podhranjenosti še niso jasno določeni. Želeli smo preveriti, kakšna je razširjenost tveganja za podhranjenost in podhranjenosti pri otrocih, ki so vključeni v bolnišnični program rehabilitacije, glede na izbrano presejalno orodje in glede na kazalnike podhranjenosti. Zanimalo nas je tudi, kakšne diagnostične lastnosti ima izbrano presejalno orodje. Metode: V raziskavo smo vključili 97 otrok z različnimi bolezenskimi stanji, ki so bili napoteni v program (re)habilitacije na Univerzitetnem rehabilitacijskem inštitutu Republike Slovenije Soča. Za presejanje otrok s tveganjem za razvoj podhranjenosti smo uporabili Presejalno orodje za oceno podhranjenosti pri otrocih (angl. Screening Tool for the Assessment of Malnutrition in Pediatrics, STAMP), za oceno podhranjenosti pa antropometrične kazalnike. Uporabnost presejalnega orodja za ugotavljanje podhranjenosti smo ovrednotili z oceno pozitivne in negativne napovedne vrednosti, občutljivosti in specifičnosti. Rezultati: Glede na oceno s STAMP je bilo tveganje za razvoj podhranjenosti prisotno pri 89 % otrok, glede na klinične kazalnike pa je bila podhranjenost prisotna pri 51 % otrok. Ob predpostavki, da smo s STAMP ob ocenjenem srednjem ali visokem tveganju za razvoj podhranjenosti uspešno diagnosticirali blago, zmerno oziroma hudo podhranjenost, ima STAMP visoko občutljivost (98 %) in nizko specifičnost (21 %). Pozitivna napovedna vrednost je znašala 56 %, negativna napovedna vrednost presejanja pa 91 %. Zaključki: Podhranjenost in tveganje za razvoj podhranjenosti sta med otroki v rehabilitacijskem okolju zelo pogosta. Orodje STAMP je bilo zelo občutljivo pri odkrivanju tveganja za razvoj podhranjenosti, vendar je bila specifičnost nizka. Razmeroma nizka je tudi njegova pozitivna napovedna vrednost. Te lastnosti bo potrebno preizkusiti v večjem vzorcu otrok v programu rehabilitacije in presejalno orodje morda tudi prilagoditi.Rezultati: Glede na oceno s STAMP je bilo tveganje za razvoj podhranjenosti prisotno pri 89 % otrok, glede na klinične kazalnike pa je bila podhranjenost prisotna pri 51 % otrok. Ob predpostavki, da smo s STAMP ob ocenjenem srednjem ali visokem tveganju za razvoj podhranjenosti uspešno diagnosticirali blago, zmerno oziroma hudo podhranjenost, ima STAMP visoko občutljivost (98 %) in nizko specifičnost (21 %). Pozitivna napovedna vrednost je znašala 56 %, negativna napovedna vrednost presejanja pa 91 %. Zaključki: Podhranjenost in tveganje za razvoj podhranjenosti sta med otroki v rehabilitacijskem okolju zelo pogosta. Orodje STAMP je bilo zelo občutljivo pri odkrivanju tveganja za razvoj podhranjenosti, vendar je bila specifičnost nizka. Razmeroma nizka je tudi njegova pozitivna napovedna vrednost. Te lastnosti bo potrebno preizkusiti v večjem vzorcu otrok v programu rehabilitacije in presejalno orodje morda tudi prilagoditi"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-AHE207CU","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-AHE207CU"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-AHE207CU/e7c639b1-9cfe-46fe-8ff7-1127fd7f128f/PDF"},"edm:rights":{"@rdf:resource":"http://rightsstatements.org/vocab/InC/1.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Univerzitetni rehabilitacijski inštitut RS – Soča"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-AHE207CU/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-AHE207CU"}}}}