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Cited by 2Maternal and Neonatal HealthcareInfant Nutrition and HealthBirth, Development, and Health

Utilidad del CANs SCORE para valoración clínica del estado nutricional del recién nacido de término

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Armaza C, Ada X., Medina B, Marcos, Gareca, Edgar, Dorado R, Carlos, Mamani Ortiz, Yercin, Romero, Diana·2021·Gaceta Médica Boliviana
DOI 10.47993/gmb.v44i1.215
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Abstract

Objetivo: demostrar la utilidad de la Evaluación Clínica Neonatal utilizando el CANs SCORE (Evaluación Clínica del Estado Nutricional), desarrollado y publicado por Mettcoff en 1994. Métodos: se realizó un estudio piloto transversal de marzo a junio de 2018, en el Hospital Cochabamba, de nivel II, seleccionando 50 recién nacidos a término que presentasen signos clínicos para desnutrición según la escala de Mettcoff. Se realizaron mediciones antropométricas completas y exámenes de parámetros de laboratorio relacionados. Se utilizaron comparaciones de medias y correlaciones con valores del score-Z calculado mediante la herramienta Intergrowth- 21st, para evaluar los datos. Resultados: se encontraron diferencias estadísticamente significativas entre los parámetros antropométricos básicos evaluados como peso, talla, perímetro cefálico. Además, la evaluación mediante la escala de Mettcoff permitió la detección de DESNUTRICIÓN FETAL en recién nacidos que de otra manera se clasificarían como de peso adecuado para la Edad Gestacional (AEG). En el laboratorio los hallazgos fueron: disminución o aumento de las concentraciones de algunos de los parámetros bioquímicos evaluados; los más llamativos fueron la disminución de los niveles de albúmina sérica; también disminución de las concentraciones de calcio en más del 90% de la población estudiada y una elevación sistemática de los valores de creatinina en la mayoría, 80% de los casos. Conclusiones: el puntaje CANs es una herramienta clínica útil, sencilla y de fácil aplicación que permite identificar con mayor precisión el grado de desnutrición en recién nacidos y podría validarse estadísticamente en series más amplias y estudios sistemáticos.

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  • The Clinical Assessment of Nutritional Status (CANS) Score integrates clinical signs of fat and muscle stores, allowing for an accessible and reliable evaluation of neonatal nutritional condition, particularly in settings where biochemical or anthropometric data may be limited.

    “The Clinical Assessment of Nutritional Status (CANS) Score is another useful tool that enhances the identification of nutritional status in newborns.This scoring system integrates clinical signs of fat and muscle stores, allowing for an accessible and reliable evaluation of neonatal nutritional condition, particularly in settings where biochemical or anthropometric data may be limited [45].”

    From The Seven Methods for the Evaluation of Nutritional Status—ABCDEFG: Narrative Review (2026) · cites this paper as [45]

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  1. Hospital de Clínicas. Montevideo. Uruguay. An Pediatr (Barc). 2003; 59(1): 48-53.
  2. Walter Ricardo Ventura L. Validez de la Evaluación Posnatal de la Edad Gestacional Estudio Comparativo del Método Capurro versus Ecografía. Instituto Nacional Materno Perinatal, Lima, Perú. Revista Peruana de Ginecología y Obstetricia. 2015; 61(2): 115-120.
  3. Ajay Sethi1, Devang D Gandhi1, Shradha H Patel, Darshan K Presswala, Shefali B Patel., CANSCORE-IMPORTANT INDEX HFO R DETECTION OF FETAL MALNUTRITION AT BIRTH. National Journal of Medical Research (NJMR), 2016; 6.
  4. Jacinto Zepeda-Monreal, Isaías Rodríguez- Balderrama, Erika del Carmen Ochoa-Correa, Manuel Enrique de la O-Cavazos, Roberto Ambriz-López., Crecimiento intrauterino. Factores para su restricción. Rev Med Inst Mex Seguro Soc. 2012; 50 (2): 173-181.
  5. Yeste D, Campos A, Fábregas A, Soler L, Mogas E, Clemente M. Patología del metabolismo del calcio. Protoc diagn ter pediatr. 2019; 1: 217- 37.
  6. Vikram Singhal, Prashant Agal, Nutan Kamath. Detection of Fetal Malnutrition by CAN Score at Birth and its Comparison with other Methods of Determining Intrauterine Growth. Indian Journal of Clinical Practice, 2012; 22(11).
  7. a. The International Fetal and Newborn Growth Consortium for the 21st Century, or INTERGROWTH-21st, is a global, multidisciplinary network of more than 300 researchers and clinicians from 27 institutions in 18 countries worldwide and coordinated from the University of Oxford. We are dedicated to improving perinatal health globally and committed to reducing the millions of preventable newborn deaths that occur as a result of preterm birth or poor intrauterine growth.

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Authors
Armaza C, A. X., Medina B, M., Gareca, E., Dorado R, C., Mamani Ortiz, Y., & Romero, D.
ORCID
Gareca, Edgar
Venue
Gaceta Médica Boliviana
Publisher
Universidad Mayor de San Simon
Published
2021-06-30
Volume
44
Issue
1
Pages
6-14
ISSN
  • 1012-2966 (ISSN-L)
  • 2227-3662
DOI
10.47993/gmb.v44i1.215
OpenAlex
W3182126489
Cited by
2
References
32
Citations by year
2026: 1 · 2025: 1
FWCI
0.00
Type
journal article
Language
es
Open access
Licence
Locations
  • Gaceta Médica Boliviana (publishedVersion, cc-by-nc-sa)
  • Gaceta Médica Boliviana (cc-by-nc-sa)
Topics
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
  • Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
Keywords
neonatal nutritional status, fetal malnutrition, term infants, anthropometry, serum albumin, serum calcium, serum creatinine, INTERGROWTH-21st

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