Abstract :
Objective: To evaluate the quality of life (Q) and plan for intervention, IAP proposed a tool ‘IMPACT’ (IAP’s Malnutrition Proactive Assessment-A Comprehensive Tool). [10] The study was aimed to implement, assess and evaluate the ease of use of the proposed IMPACT tool in a busy OPD so as to derive an intervention plan for improving quality of life depending on the estimated risk level.1.To implement and assess the utility of IMPACT. 2.To evaluate its ease of use in a busy pediatric OPD setup.
Methods: A retrospective study was carried out on data of 75 children aged between 0.5 to 5 years. Using IMPACT criteria, scores were assigned to each 4 recorded parameters. Risk stratification was determined from the Total Score for each child. Pearson correlation coefficient (PCC) was calculated in MS Excel for each of the independent variables vs the dependent variable.
Results: Out of 75 children IMPACT indicated that 55%, 19%, 23% and 4% were at High, Medium, Low and No risk respectively. 73% of the children at High risk, were in the 1-3 years age group. Best values of PCC was 0.81 with Weight/Height. Where the Weight/Height percentile score were 0 (there is no wasting or already corrected), the total IMPACT score identified 45% more children at medium or high risk level.
Conclusion:IMPACT tool provides a robust and efficient method of detecting malnutrition risk level in children.
Keyword :
ABCDEF Assessment, Weight/ height, Indian Academy of Pediatrics Malnutrition Proactive Assessment – A Comprehensive Tool (IMPACT), Quality of life