Stamp Screening Form

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This form should be used with the centile quick reference tables or growth charts, and the weighing and measuring instructions. If you have any queries, please discuss them with a Dietitian.

Step 1 - Diagnosis

Does the child have a diagnosis that has any nutritional implications? View diagnosis table		Score
	Definite nutritional implications	3
	Possible nutritional implications	2
	No nutritional implications	0

Step 2 - Nutritional Intake

What is the child's nutritional intake?		Score
	No nutritional intake	3
	Recently decreased or poor nutritional intake	2
	No change in eating patterns and good nutritional intake	0

Step 3 - Weight and Height

Use the centile quick reference tables to determine the child's measurements		Score
	> 3 centile spaces/≥3 columns apart (or weight < 2^nd centile)	3
	> 2 centile spaces/= 2 columns apart	1
	0 to 1 centile spaces/columns apart	0

Step 4 - Overall Risk of Malnutrition

Overall Score:

Step 5 - Care Plan

Use management guidelines and/or local nutrition policies to develop a care plan for the child.

High risk

Take action
Refer to a Dietitian, Nutritional Support Team or Consultant
Monitor as per care plan

Medium risk

Monitor nutritional intake for 3 days
Repeat STAMP screening after 3 days
Amend care plan as required

Low risk

Continue routine clinical care
Repeat STAMP screening weekly while child is an in-patient
Amend care plan as required

Print this form

STAMP should be used in association with Trust referral guidelines and policies.

Infant weight centile table - Boys

Weight Centiles (kg)
Age	0.4^th	2^nd	9^th	25^th	50^th	75^th	91^st	98^th	99.6^th
Birth	2.17	2.5	2.83	3.16	3.5	3.84	4.17	4.5	4.84
2 Months	3.95	4.3	4.7	5.12	5.56	6.05	6.55	7.2	7.65
4 Months	5.15	5.5	6	6.5	7	7.55	8.15	8.75	9.4
6 Months	5.9	6.35	6.85	7.4	7.94	8.55	9.2	9.85	10.6
8 Months	6.45	6.9	7.45	8	8.6	9.26	9.95	10.65	11.45
10 Months	6.85	7.3	7.9	8.5	9.2	9.8	10.6	11.45	12.2
12 Months	7.2	7.7	8.3	8.95	9.65	10.4	11.2	11.95	12.9
14 Months	7.5	8.1	8.7	9.37	10.1	10.9	11.7	12.6	13.5
16 Months	7.85	8.4	9.1	9.75	10.5	11.4	12.2	13.2	14.05
18 Months	8.1	8.7	9.4	10.1	10.95	11.8	12.7	13.7	14.7
20 Months	8.4	9	9.75	10.5	11.35	12.3	13.2	14.15	15.25
22 Months	8.7	9.4	10.1	10.9	11.75	12.7	13.7	14.7	15.9
24 Months	9	9.7	10.4	11.3	12.1	13.1	14.2	15.3	16.4

Infant height centile table - Boys

Height Centiles (cm)
Age	0.4^th	2^nd	9^th	25^th	50^th	75^th	91^st	98^th	99.6^th
Birth	44.8	46.1	47.9	49.5	51	52.5	54.1	55.9	57.1
2 Months	53.1	54.5	55.8	57.1	58.4	59.8	61.1	62.5	63.7
4 Months	58.3	59.5	61.1	62.5	63.9	65.3	66.7	68	69.4
6 Months	62	63	64.8	66.2	67.6	69.1	70.5	72	73.3
8 Months	64.7	66	67.6	69.1	70.6	72.1	73.5	75	76.5
10 Months	67.2	68.5	70.2	71.7	73.3	74.8	76.4	77.8	79.3
12 Months	69.5	70.8	72.5	74.1	75.8	77.3	78.9	80.5	82
14 Months	71.5	73	74.8	76.4	78.1	79.7	81.4	83	84.6
16 Months	73.4	75	76.8	78.5	80.2	82	83.6	85.5	87
18 Months	75	76.8	78.6	80.4	82.2	84.1	85.8	87.8	89.5
20 Months	76.8	78.5	80.5	82.3	84.2	86.1	87.9	89.8	91.6
22 Months	78.3	80	82.1	84.1	86	88	89.9	92	93.8
24 Months	79	81	83	85.1	87.1	89.2	91	93.5	95.3

* Developed from UK-WHO growth charts.
Growth charts may also be used to assign a score for step 3 of STAMP

Infant weight centile table - Girls

Weight Centiles (kg)
Age	0.4^th	2^nd	9^th	25^th	50^th	75^th	91^st	98^th	99.6^th
Birth	2.1	2.4	2.7	3.04	3.36	3.68	4	4.3	4.6
2 Months	3.6	3.9	4.3	4.7	5.12	5.6	6.1	6.6	7.2
4 Months	4.6	5	5.45	5.9	6.45	6.98	7.6	8.2	8.9
6 Months	5.3	5.7	6.2	6.73	7.3	7.94	8.6	9.3	10.1
8 Months	5.8	6.2	6.75	7.32	7.95	8.64	9.4	10.2	11
10 Months	6.2	6.6	7.2	7.8	8.47	9.2	10	11	11.8
12 Months	6.5	7	7.6	8.25	8.95	9.72	10.6	11.5	12.5
14 Months	6.85	7.3	8	8.65	9.4	10.2	11.1	12.1	13.2
16 Months	7.2	7.9	8.35	9	9.8	10.7	11.6	12.7	13.8
18 Months	7.5	8	8.7	9.4	10.2	11.1	12.1	13.2	14.4
20 Months	7.8	8.3	9	9.8	10.65	11.6	12.6	13.8	15
22 Months	8.1	8.7	9.4	10.2	11.1	12	13.1	14.3	15.6
24 Months	8.35	9	9.75	10.6	11.5	12.5	13.6	14.9	16.2

Infant height centile table - Girls

Height Centiles (cm)
Age	0.4^th	2^nd	9^th	25^th	50^th	75^th	91^st	98^th	99.6^th
Birth	44.7	46	47.3	48.6	50	51.3	72.7	54	55.3
2 Months	51.6	53	54.3	55.7	57	58.5	59.8	61.1	62.5
4 Months	56.3	57.5	59.2	60.6	62.1	63.5	65	66.5	67.9
6 Months	59.7	61	62.7	64.2	65.7	67.3	68.8	70.3	71.7
8 Months	62.5	64	65.6	67.1	68.8	70.3	71.9	73.5	75
10 Months	65	66.5	68.2	69.8	71.5	73.2	74.8	76.4	78
12 Months	67.1	69.5	70.5	72.3	74	75.7	77.4	79.2	80.8
14 Months	69.3	71	72.8	74.6	76.4	78.2	80	81.7	83.5
16 Months	71.3	73	74.8	76.7	78.6	80.5	82.4	84.2	86
18 Months	73	75	76.8	78.7	80.7	82.7	84.6	87	88.5
20 Months	74.8	76.5	78.6	80.7	82.7	84.7	86.7	88.7	90.6
22 Months	76.3	78.3	80.5	82.5	84.6	86.7	88.8	91	92.8
24 Months	77.2	78.9	81.3	83.5	85.7	87.9	90	92.5	94.3

* Developed from UK-WHO growth charts. Growth charts may also be used to assign a score for step 3 of STAMP

Child weight centile table - Boys

Weight Centiles (kg)
Age	0.4^th	2^nd	9^th	25^th	50^th	75^th	91^st	98^th	99.6^th
2 years	9	9.7	10.4	11.25	12.2	13.14	14.2	15.3	16.4
2.5 years	9.75	10.5	11.4	12.3	13.3	14.4	15.6	16.9	18.1
3 years	10.4	11.2	12.2	13.2	14.3	15.5	16.9	18.3	19.9
3.5 years	11.1	12	13	14.1	15.3	16.7	18.1	19.9	21.4
4 years	12.4	13.3	14.2	15.3	16.5	17.9	19.4	21.1	23
4.5 years	13.1	14	15.1	16.2	17.6	19	20.7	23	24.6
5 years	13.9	14.9	16	17.2	18.6	20.2	22	24.1	26.5
5.5 years	14.6	15.5	16.8	18.1	19.7	21.5	23.5	26	29
6 years	15.4	16.5	17.7	19.1	20.8	22.7	25	27.8	30.7
6.5 years	16.1	17	18.5	20.1	21.9	24	26.5	29.5	33
7 years	17	18	19.5	21.1	23.1	25.4	28	31.9	35.5
7.5 years	17.6	19	20.5	22.2	24.3	27	30	34	38.7
8 years	18.5	19.5	21.5	23.3	25.6	28.4	32	36.5	42
8.5 years	19.4	20.5	22.5	24.5	27.0	30	34	39	45.8
9 years	20.2	21.8	23.5	25.7	28.4	31.8	36	42	49.5
9.5 years	21	22.5	24.6	27	29.8	33.5	38.3	44.5	53
10 years	22	23.5	25.8	28.3	31.4	35.3	40.5	47	57
10.5 years	23	24.8	27	29.7	33.0	37.2	42.8	50	60.5
11 years	24	26	28.2	31	34.6	39	45	53	64
11.5 years	24.8	27	29.4	32.5	36.3	41	47.5	55.5	67
12 years	25.8	28	30.8	34	38.1	43.2	50	58	70
12.5 years	27	29.5	32.5	36	40.4	46	53	61.5	73
13 years	28	31	34.3	38.1	43	49	56	65	76
13.5 years	29.8	33	36.5	40.8	46	52.3	60	69	80
14 years	31.5	35	39	43.6	49.2	56	63.5	73	84.5
14.5 years	33.5	37	41.5	46.5	52.3	59.5	67.5	77	88.5
15 years	35.5	39.5	44	49.1	55.4	62.7	71	87	92.5
15.5 years	38	42	46.7	52	58.1	65.5	74	84	95.5
16 years	40.5	44.7	49	54.5	60.6	68	76	86	97
16.5 years	43	47	51.5	56.5	62.6	69.5	77.7	87	98
17 years	45	49	53.2	58.3	64.3	71	79	88.1	99
17.5 years	46.5	50	54.7	60	65.7	72.5	80	89	100
18 years	48	52	56	61	66.7	73.5	81	90	101

Child height centile table - Boys

Height Centiles (cm)
Age	0.4^th	2^nd	9^th	25^th	50^th	75^th	91^st	98^th	99.6^th
2 years	79	81	83	85.1	87.1	89.2	91.2	93.5	95.3
2.5 years	83	85	87.4	89.6	91.9	94.2	96.5	99	101
3 years	86.1	88.5	91	93.6	96.1	98.6	101	103.5	106
3.5 years	89.2	92	94.5	97.2	99.9	102.5	105.1	108	110.5
4 years	91.5	95.5	97	99.7	102.5	105.2	108	111	113.5
4.5 years	94.5	97.5	100.3	103.1	106	108.9	111.8	115	117.5
5 years	97.5	100.5	103.5	106.5	109.6	112.5	115.7	119	121.8
5.5 years	100	103	106	109.2	112.4	115.5	118.5	122	124.8
6 years	103	106	109.5	112.6	115.9	119.2	122.5	126	129
6.5 years	105.5	109	112	115.5	118.9	122.3	125.5	129.3	132.2
7 years	108	113	115	118.5	121.9	125.4	129	132.5	135.8
7.5 years	111	114	118	121.3	124.9	128.5	132	136	139.5
8 years	113.5	117	120.5	124	127.9	131.5	135	139	142.5
8.5 years	116	119	123	127	130.6	134.5	138.2	142	145.5
9 years	118	122	125.5	129.4	133.3	137.2	141	145	149
9.5 years	120	124	128	131.8	135.8	140	144	148	152
10 years	122	126	130	134.3	138.4	142.5	146.8	151	155
10.5 years	124	128	132.5	136.7	141	145.3	149.5	154	158
11 years	126	130	134.5	139	143.4	148	152.5	157	161
11.5 years	127.5	132	136.5	141	145.8	150.5	155	160	164
12 years	129.5	134	139	143.5	148.4	153	158	163	167.5
12.5 years	131.5	136.5	141.5	146.5	151.4	156.5	161.5	166.5	171.5
13 years	134	139	144.5	149.5	154.8	160	165	170.5	175.5
13.5 years	137	142.5	147.5	153	158.6	164	169.5	175	180
14 years	140	146	151	156.7	162.4	168	173.5	179	184.5
14.5 years	144	149.5	155	160.2	165.9	171.5	177	182.5	188
15 years	147.5	153	158	163.5	168.9	174.5	180	185.5	190.5
15.5 years	150.1	156	161	166	171.4	176.7	182	187.5	192.5
16 years	153	158	163	168.3	173.4	178.5	183.5	189	194
16.5 years	155	159	165	169.8	174.8	179.7	184.6	189.3	194.2
17 years	156.7	161	166.3	171	175.9	180.7	185.5	190.2	195
17.5 years	157.5	162	167	171.8	176.6	181.5	186	190.6	195.2
18 years	158.5	163	167.5	172.4	177	181.8	186.5	191	191.5

* Developed from UK-WHO growth charts. Growth charts may also be used to assign a score for step 3 of STAMP

Child weight centile table - Girls

Weight Centiles (kg)
Age	0.4^th	2^nd	9^th	25^th	50^th	75^th	91^st	98^th	99.6^th
2 years	8.3	9	9.8	10.6	11.5	12.5	13.5	14.9	16.1
2.5 years	9.1	10	10.8	11.7	12.8	13.9	15	16.4	18
3 years	10	10.8	11.75	12.7	13.9	15	16.5	18	20
3.5 years	10.7	11.6	12.6	13.8	15	16.2	18	19.8	21.9
4 years	11.2	12.2	13.3	14.5	16	17.6	19.4	21.5	23.9
4.5 years	12.7	13.7	14.7	15.8	17.2	18.6	20.8	22.9	25.3
5 years	13.2	14.2	15.5	16.9	18.3	20	22	24.5	27.2
5.5 years	14	15	16.2	17.7	19.4	21.3	23.5	26	29.5
6 years	14.5	15.8	17	18.7	20.5	22.5	25	28	32
6.5 years	15.4	16.5	18	19.7	21.7	24	26.8	30	34
7 years	15.8	17.5	19	20.8	23	25.5	28.5	32.5	37
7.5 years	17	18.5	20	22	24.4	27.3	30.5	35	40.5
8 years	18	19	21	23.3	25.9	29	33	37.7	44
8.5 years	18.5	20	22.2	24.5	27.4	30.8	35	40	47.5
9 years	19.5	21.5	23.5	26	28.9	32.5	37	43	51
9.5 years	20.5	22.5	24.5	27.2	30.6	34.5	39.5	46	55
10 years	21.5	23.5	26	28.8	32.3	36.8	42	49	59
10.5 years	22.2	24.5	27	30.2	34.1	39	45	52	62
11 years	23	25.5	28.5	32	36	41	47.2	55	66
11.5 years	24.2	27	30	33.5	38.1	43.5	50	58	69
12 years	25.5	28.5	31.8	35.7	40.3	46	52.5	61	71
12.5 years	27.2	30	34	38	42.8	48.4	55	63	73
13 years	29.2	32.5	36	40.3	45.4	51	58	65.5	75
13.5 years	31.2	34	38.5	43	47.9	53.5	60	68	77
14 years	33.3	36.5	40.5	45	50.1	56	62.5	70	79
14.5 years	35	38.5	42.5	47	51.9	57.5	64	72	81
15 years	37	40	44	48.4	53.4	59	66	73.5	82
15.5 years	38	41.5	45	49.5	54.6	60.3	67	74.5	84
16 years	39	42.5	46	50.5	55.5	61.5	68	76	85
16.5 years	39.8	43	47	51.3	56.2	62	68.8	76.5	86
17 years	40.4	43.6	47.3	51.8	56.9	62.6	69.3	77	87
17.5 years	40.5	44	47.9	52.2	57.2	63	70	78	87
18 years	40.9	44	48	52.3	57.5	63.5	70.5	78	88

Child height centile table - Girls

Height Centiles (cm)
Age	0.4^th	2^nd	9^th	25^th	50^th	75^th	91^st	98^th	99.6^th
2 years	77.2	79	81.4	83.5	85.7	87.9	90	92.5	94.4
2.5 years	81.4	83.7	86	88.3	90.7	93.1	95.5	98	100
3 years	85	87.5	90	92.5	95	97.6	100.2	103	105
3.5 years	88.3	91	93.5	96.3	99	101.8	104.5	107.5	110
4 years	91	93	96.1	98.8	101.5	104.3	107	110	112.4
4.5 years	93.7	96.5	99.5	102.3	105.2	108	110.8	113.5	116.5
5 years	97	100	103	106	108.9	112	115	118	120.5
5.5 years	100	103	106	109	112.2	115.4	118.5	122	124.8
6 years	102.5	105	109	112	115.3	118.6	122	125	128
6.5 years	105	108	111.7	115	118.3	121.7	125	128.5	131.8
7 years	107.5	111	114.2	117.8	121.3	124.8	128	131.5	135
7.5 years	110	113	117.3	120.7	124.3	128	131.5	135	138.5
8 years	113	116.5	120	123.7	127.3	131	134.8	138	142
8.5 years	115	119	122.7	126.5	130.1	134	137.7	141.5	145
9 years	117	121	1245	129	132.8	136.7	140.5	144.5	148.5
9.5 years	119.5	122.5	127.5	131.5	135.6	139.7	144	148	152
10 years	121.5	126	130	134	138.4	142.7	147	151	155
10.5 years	123.5	128	132.5	137	141.3	145.8	150	154.5	159
11 years	125.5	130	135	139.5	144.1	148.8	153.2	158	162.2
11.5 years	128	133	137.5	142	146.9	151.8	156.2	161	166
12 years	131	135	140	145	149.8	154.5	159	164	169
12.5 years	133.5	138.5	143	147.9	152.6	157.5	162	167	171.5
13 years	137	141.5	146	150.7	155.3	160	164.5	169	174
13.5 years	140	144	148.7	153	157.7	162	167	171	175.8
14 years	142	146.5	151	155	159.6	164	168.5	173	177
14.5 years	144	148.5	152.7	157	161.1	165.5	169.8	174	178
15 years	146	149	154	158	162.2	166.5	170.5	175	179
15.5 years	146.5	150.5	154.7	158.7	162.9	167	171	175	179.5
16 years	147	151	155	159	163.2	167.2	171.5	175.5	180
16.5 years	147.5	151	155.3	159.3	163.5	167.5	171.5	175.5	179.5
17 years	147.5	151	155.3	159.4	163.5	167.5	171.5	175.5	179.5
17.5 years	147.5	151	15.3	159.4	163.5	167.5	171.5	175.5	179.5
18 years	147.5	151	155.3	159.4	163.5	167.5	171.5	175.5	179.5

* Developed from UK-WHO growth charts. Growth charts may also be used to assign a score for step 3 of STAMP