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Table 4 Comparison of WHO and ASPEN reference standards

From: Evaluation of a new digital pediatric malnutrition risk screening tool for hospitalized children with congenital heart disease

Screening results

WHO

ASPEN

Sensitivity (%)

91.2

62.9

Specificity (%)

87.9

76.2

Positive-predictive value (PPV)%

70.7

38.2

Negative-predictive value (NPV)%

96.9

89.8

Cohen’s Kappa value (p)a

0.720 (< 0.01)

0.313 (< 0.01)

  1. ASPEN American Society for Parenteral and Enteral Nutrition
  2. aA kappa value > 0.6 represents a good level of agreement, < 0.2 is poor agreement