Abstract：
There is a scarcity of nutritional screening tools for use in infants (<1 year). The infant Nutrition Early Warning Score (iNEWS) has been developed to identify infants who need further dietetic review. We introduced the iNEWS into clinical practice and evaluated its performance in Scotland, Belgium, Athens and Bulgaria. Of the 352 infants screened, 72 (20%) were placed in the high iNEWS category, and of these, 70 (97%) were reviewed by a hospital dietitian. iNEWS produced a true positive rate of 80% which increased to 96% after accounting for anticipated misclassified cases due to prematurity. In Belgium, false positive screens had a shorter length of stay (p = 0.014). Otherwise, misclassification was not related to a specific iNEWS component. This study corroborates previous research, underscoring the validity of iNEWS as a dietetic referral tool and demonstrating that it can be integrated into \"real-world\" clinical practice across international settings with diverse healthcare resources.
摘要：
缺乏用于婴儿(<1岁)的营养筛查工具。已经开发了婴儿营养早期预警评分（iNEWS），以识别需要进一步饮食审查的婴儿。我们将iNEWS引入临床实践，并评估其在苏格兰的表现，比利时,雅典和保加利亚。在接受筛查的352名婴儿中，72(20%)被列入高iNEWS类别，其中，医院营养师检查了70例（97％）。iNEWS产生的真实阳性率为80％，在考虑了由于早产而导致的预期错误分类的病例后，该阳性率增加到96％。在比利时,假阳性筛查的住院时间较短（p=0.014）。否则,错误分类与特定的iNEWS组件无关。这项研究证实了以前的研究，强调iNEWS作为一种饮食转诊工具的有效性，并证明它可以整合到具有不同医疗保健资源的国际环境中的“现实世界”临床实践中。
