Malnutrition among Hospitalized Children in the United States: A 2012-2019 Update of Annual Trends

Carvalho-Salemi, Jennifer; Phillips, William; Vega, Molly Wong; Swanson, Justin; Becker, Patricia J.; Salemi, Jason L.

doi:10.1016/j.jand.2022.05.021

Cited by 11 publications

(9 citation statements)

References 26 publications

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“…Disease-related undernutrition and unintentional weight loss are prevalent across the patient age span in hospitals, rehabilitation centers, and outpatient care settings [ [1] , [2] , [3] ] and are commonly the consequence inadequate energy intake compared with energy need and/or persistent malabsorption of calorically dense fat. To address the need for an efficiently absorbed, healthful fat-rich nutrition therapy, a structured lipid matrix technology (LXS, Biomolecular Products, Inc) was tested in a randomized, placebo-controlled, double-blind clinical trial (RCT) in participants with cystic fibrosis (CF) and was shown to be safe and effective [ [4] , [5] , [6] ].…”

Section: Introductionmentioning

confidence: 99%

Lysophosphatidylcholine-Rich Nutrition Therapy Increased Gut Absorption of Coingested Dietary Fat: a Randomized Controlled Trial

Tindall,

Mascarenhas,

Maqbool

et al. 2023

Current Developments in Nutrition

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Section: Introductionmentioning

confidence: 99%

Lysophosphatidylcholine-Rich Nutrition Therapy Increased Gut Absorption of Coingested Dietary Fat: a Randomized Controlled Trial

Tindall,

Mascarenhas,

Maqbool

et al. 2023

Current Developments in Nutrition

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“…More recent data published by the Malnutrition Quality Improvement Initiative found that, from a nationwide collaborative, dietitians identified malnutrition in acute care hospitals at a rate of about 24% 25 . When comparing this rate with the 2018 Healthcare Cost and Utilization Project (HCUP) data at 8.9% for nonmaternal, nonneonatal patients and 6.4% in pediatric 2019 HCUP data, 4 a noted difference is apparent 3,4 . These HCUP data analyses show hospitalized patients who had a coded diagnosis of malnutrition on discharge, that is, the diagnosis that makes it to the problem list and claims codes.…”

Section: Discussionmentioning

confidence: 99%

“…25 When comparing this rate with the 2018 Healthcare Cost and Utilization Project (HCUP) data at 8.9% for nonmaternal, nonneonatal patients and 6.4% in pediatric 2019 HCUP data, 4 a noted difference is apparent. 3,4 These HCUP data analyses show hospitalized patients who had a coded diagnosis of malnutrition on discharge, that is, the diagnosis that makes it to the problem list and claims codes. The differences between HCUP results and these other study findings suggest that patients with a coded diagnosis of malnutrition likely represent only a fraction of the true prevalence of hospitalized patients with malnutrition.…”

Section: Malnutrition Diagnosis and Carementioning

confidence: 99%

“…Malnutrition is a significant problem among hospitalized patients in the United States and is associated with poor outcomes, including hospital readmissions and higher costs. [1][2][3][4] Although the assessment of nutrition status is an important step in recognizing malnutrition, the recommended indicators for identifying malnutrition are not always utilized in patients across US healthcare settings. Even those patients who may be screened and identified as being at risk for malnutrition do not always undergo a full nutrition assessment.…”

Section: Introductionmentioning

confidence: 99%

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Current nutrition assessment practice: A 2022 survey

et al. 2023

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BackgroundMalnutrition remains a significant problem in patients with acute or chronic illnesses. Nutrition assessment is an important component in detecting malnutrition; but not always performed using a standardized tool. This survey on nutrition assessment evaluates current clinical practices on the assessment, diagnosis, and treatment of malnutrition.MethodsThis 2022 survey of US‐based nutrition clinicians collected data on assessment parameters used in hospitals, long‐term care facilities, and the home care setting.ResultsA total of 686 surveys were available for analysis. Ninety‐seven percent of adult and 91% of pediatric responding clinicians indicated that a dietitian completed the assessment. Parameters used most frequently among adult clinician respondents included nutrient intake, current weight, and weight history, those used by pediatric clinician respondents included nutrient intake, weight‐for‐age z score, and weight‐for‐length/height z score. Eighty‐nine percent of adult clinicians in all care settings and 85% of pediatric clinicians use the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition Indicators of Malnutrition (AAIM). Respondents reported malnutrition rates of 32%–40% for adults and 4%–30% for pediatric patients, depending on the setting. Appropriate interventions for those with malnutrition (as perceived by the survey respondents) were ordered 70% of the time.ConclusionThis survey demonstrated significant use of the AAIM by both adult and pediatric clinicians across care settings. Reported malnutrition rates are consistent with others published in the literature. The authors suggest that quality improvement efforts should focus on the 30% of patients with malnutrition but without a reported appropriate nutrition intervention.

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“…Malnutrition prevalence in US hospitalized children has increased from 1.2% in 2002 to 6.4% in 2019, although malnutrition is often diagnosed using BMI or weight for age 167,168 . It is important to note that pediatrics has their own unique set of malnutrition risk screening tools based mainly on weight changes 169 .…”

Section: The Impact Of Malnutrition In Orthopaedic Surgerymentioning

confidence: 99%

The Role of Perioperative Nutritional Status and Supplementation in Orthopaedic Surgery

Tedesco,

Sharma,

Acharya

et al. 2024

JBJS Reviews

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» Identification of malnourished and at-risk patients should be a standardized part of the preoperative evaluation process for every patient.» Malnourishment is defined as a disorder of energy, protein, and nutrients based on the presence of insufficient energy intake, weight loss, muscle atrophy, loss of subcutaneous fat, localized or generalized fluid accumulation, or diminished functional status.» Malnutrition has been associated with worse outcomes postoperatively across a variety of orthopaedic procedures because malnourished patients do not have a robust metabolic reserve available for recovery after surgery.» Screening assessment and basic laboratory studies may indicate patients' nutritional risk; however, laboratory values are often not specific for malnutrition, necessitating the use of prognostic screening tools.» Nutrition consultation and perioperative supplementation with amino acids and micronutrients are 2 readily available interventions that orthopaedic surgeons can select for malnourished patients.

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Malnutrition among Hospitalized Children in the United States: A 2012-2019 Update of Annual Trends

Cited by 11 publications

References 26 publications

Lysophosphatidylcholine-Rich Nutrition Therapy Increased Gut Absorption of Coingested Dietary Fat: a Randomized Controlled Trial

Lysophosphatidylcholine-Rich Nutrition Therapy Increased Gut Absorption of Coingested Dietary Fat: a Randomized Controlled Trial

Current nutrition assessment practice: A 2022 survey

The Role of Perioperative Nutritional Status and Supplementation in Orthopaedic Surgery

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