Browsing by Author "Tasci, EK"

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    Validity and reliability analysis of the Turkish version of pediatric nutritional risk score scale
    Tasci, O; Soylu, ÖB; Tasci, EK; Eser, E; Oruçoglu, B; Günay, I
    Background/Aims: We aimed to perform the validity and reliability analysis of the Turkish version of the Pediatric Nutritional Risk Score (PNRS). Materials and Methods: The study group consisted of 149 patients aged between 1 month and 18 years who were admitted to the hospital for at least 48 h. The patients' age, gender, anthropometric measurements, length of stay, admission diagnosis, daily body weights, food consumption, and pain status were recorded. Backward and forward translations into Turkish were done. PNRS was performed by two different physicians. The consistency of the PNRS results was evaluated to determine the validity of PNRS. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated. Results: Of all patients, 69 (46.3%) were female and 80 (53.7%) were male. The mean length of the stay was 7.3 +/- 4.0 days. The mean age of the patients was 51.9 +/- 63.6 months. The Kappa coefficient between the two physicians was 0.66. Weight loss was observed in 65.2% of the patients in the high-risk group and 25.4% in the low-risk group. The hospital malnutrition rate was 31.5%. A higher risk was identified in those with <50% food intake and more severe disease. The specificity, sensitivity, NPV, and PPV of PNRS were 82.1%, 77.8%, 92.0%, and 58.3%, respectively. Conclusion: A good consistency suggests that the Turkish validation was achieved successfully. The power of PNRS to discriminate the patients with moderate-low risk of developing malnutrition is higher than the patients with high risk. PNRS is considered a valid and reliable tool to establish the risk of malnutrition in the hospitalized patients.
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    Monitoring the Quality of Life in Dyspeptic Children with KINDL Scale
    Tasci, EK; Soylu, ÖB; Tasci, O; Günay, I; Eser, E
    Aim: We aimed to evaluate quality of life in functional and organic dyspepsia and its change during follow-up. Materials and Methods: Children between 4-17 years of age with dyspeptic complaints were enrolled into this study. Organic and functional dyspepsia were differentiated based on clinical findings and the findings of upper gastrointestinal endoscopy, if performed. The Kinder Lebensqualitat Fragebogen (KINDL) questionnaire was conducted when the patients were referred to hospital and at their 1st and 3rd month visits, prospectively. Both groups were compared with regard to their demographic data, symptoms and quality of life scores. Factors which affected the KINDL results and any changes in the KINDL scores during follow-up were evaluated. Results: The study group consisted of 71 functional dyspepsia and 65 organic dyspepsia patients. The mean quality of life scores in the physical wellness and school subscales were higher among the functional dyspepsia patients. The total score of the functional dyspepsia group was higher. There was no relation between the individual's gender, their number of symptoms and their KINDL scores. At the first month visit, the total scores and mean scores of the self-esteem, family, school and friends subscales were higher in the functional dyspepsia group. At the third month visit, the mean self-esteem score was higher in the functional dyspepsia group. Total scores increased significantly during follow-up in both the organic dyspepsia and functional dyspepsia groups. This increase was higher in the organic dyspepsia group. Conclusion: Quality of life in both functional dyspepsia and organic dyspepsia patients is affected; applying recommendations and treatment increased the quality of life of both groups. A quality of life scale can be used to monitor response to treatment.