الفهرس 
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Abstract
Malnutrition in pediatrics remains a cause for concern due to its considerably high prevalence and deleterious effects on growth, development, and overall health. Early identification of malnutrition risk may prevent nutritional deterioration during hospitalization because deterioration of the nutritional status during hospitalization has been associated with a prolonged hospital stay and adverse outcomes (e.g., increased rates of complications such as infections).
Screening tools for the assessment of malnutrition risk of pediatric have been developed and were tested on hospitalized children. The tools aim to screen all inpatients and identify those who were missed during routine admission and whose disease outcome would improve or would not deteriorate from a tailored nutritional intervention.
The aim of the study was to assess malnutrition risk using three pediatric nutrition screening tools PYMS, STAMP and STRONGKIDS, to assess difference three pediatric nutrition screening tools and reassessment of hospitalized children before discharge in Alexandria University Children’s Hospital.
Children aged from 6 months to 15 years and who were admitted to pediatric wards with an anticipated LOS > 24 hours were included in the study, while children who were attended the accident and emergency department of the day care unit and children who had clinical evidence of malnutrition were excluded from the study.
All children were subjected to complete history taking, 24 hour dietetic recall method, thorough clinical examination stressing on anthropometric measurements, percent of weight loss and all children were evaluated using nutrition screening tools (according to specific age group of each screening tools).
Current results showed that;
The prevalence of malnutrition was 9.7%, 6.6% of them was acute malnutrition and 3% was chronic malnutrition.
Regarding to micro and macronutrients intake showed inadequacy feeding in all micro and macronutrient except protein, phosphorous, iron and zinc.
According to malnutrition risk calcification, PYMS score classified the most (69.7%) while STRONGKIDS classified the least (7.3%) children as having a high risk for malnutrition.
There was statistically significant difference between HFA z-score and WFH z-score with STAMP on admission and discharge, there was statistically significant difference between WFH z-score on admission and on discharge with PYMS, also there was statistically significant difference between HFA z-score and WFH z-score on admission and discharge with STRONGKIDS.