Outcomes of a nutrition audit in a tertiary paediatric hospital: Implications for service improvement

O’Connor, Janice; Youde, LS; Allen, JR; Rm, Hanson; Baur, Louise A.

doi:10.1111/j.1440-1754.2004.00367.x

Cited by 25 publications

(38 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Frequency of addressing overweight/obesity during the hospitalization (4%) and specifically percentage of patients for whom a nutrition consult was performed (2.7%) were lower in our study compared with rates reported by both O’Connor (4.8%) 10 and Sleeper (24%). 11 This is likely, at least in part, a reflection of hospital protocol.…”

Section: Discussioncontrasting

confidence: 82%

Physicians and Physician Trainees Rarely Identify or Address Overweight/Obesity in Hospitalized Children

King

Nkoy

Maloney

et al. 2015

The Journal of Pediatrics

View full text Add to dashboard Cite

Objectives To determine how frequently physicians identify and address overweight/obesity in hospitalized children and to compare physician documentation across training level (medical student, intern, resident, attending). Study design We conducted a retrospective chart review. Using an administrative database, Centers for Disease Control and Prevention body mass index calculator, and random sampling technique, we identified a study population of 300 children aged 2–18 years with overweight/obesity hospitalized on the general medical service of a tertiary care pediatric hospital. We reviewed admission, progress, and discharge notes to determine how frequently physicians and physician trainees identified (documented in history, physical exam, or assessment) and addressed (documented in hospital or discharge plan) overweight/obesity. Results Physicians and physician trainees identified overweight/obesity in 8.3% (n = 25) and addressed it in 4% (n = 12) of 300 hospitalized children with overweight/obesity. Interns were most likely to document overweight/obesity in history (8.3% of the 266 patients they followed). Attendings were most likely to document overweight/obesity in physical examination (8.3%), assessment (4%), and plan (4%) of the 300 patients they followed. Medical students were least likely to document overweight/obesity including it in the assessment (0.4%) and plan (0.4%) of the 244 hospitalized children with overweight/obesity they followed. Conclusions Physicians and physician trainees rarely identify or address overweight/obesity in hospitalized children. This represents a missed opportunity for both patient care and physician trainee education.

show abstract

Section: Discussioncontrasting

confidence: 82%

Physicians and Physician Trainees Rarely Identify or Address Overweight/Obesity in Hospitalized Children

King

Nkoy

Maloney

et al. 2015

The Journal of Pediatrics

View full text Add to dashboard Cite

show abstract

“…This finding is not new: the nutrition audit by Hartman [22] in Israel showed that 24% of the children had no weight recorded during hospitalization and the Australian report of O'Connor et al [23] described that only 27% of the patients had both their weight and height recorded. Interestingly, we were surprised to find data on weight and/or height in only 54% of the transferred children, although this figure is still higher than the 8% found in a Dutch study on communication between general practitioners and specialists concerning adults with head and neck cancer [24].…”

Section: Discussionmentioning

confidence: 99%

Nutritional Status of Children Hospitalized for Parapneumonic Effusion

et al. 2014

View full text Add to dashboard Cite

Background & AimsAmong children hospitalized for pneumonia, those with parapneumonic effusion (PPE) are at particular risk for nutritional deterioration. This study aimed to 1) investigate the evolution of the nutritional status during hospitalization and at outpatient follow-up; 2) determine clinical risk factors for weight loss during hospitalization; 3) describe the nutritional interventions for these children.MethodsRetrospective chart review (January ‘07 - September ‘12) of 56 children with pneumonia, complicated by PPE in two Belgian hospitals for data on body weight and height at admission (t0) and discharge (t1), and two weeks (t2) and one month (t3) after discharge. Length of hospitalization (LoS), length of stay in paediatric intensive care (LoSPICU) and maximal in-hospital weight loss (tmax) were calculated and nutritional interventions were recorded.ResultsThe median (range) age was 3.5 (1.0–14.8) years. Weight or height was lacking in five (8.9%) children at t0 and in 28 (50%) at t1; 21.4% was weighed only once during hospitalization. At tmax, respectively 17/44 and 5/44 children lost ≥5% and ≥10% of their weight. Median (range) LoS and LoSPICU were 18.0 (10–41) and 4.0 (0–23) days. One-fourth received a nutritional intervention. Weight for height at admission (WFH(t0)) significantly predicted maximal weight loss (β (95% CI) = −0.34 (−2.0–−0.1); p = 0.03). At t2 and t3, 13/32 and 5/22 of the children with available follow-up data did not reach WFH(t0), whilst in 4/35 and 5/26 body weight remained ≥5% under the weight(t0).ConclusionsOne-third of children with pneumonia complicated by PPE and monitored for weight and height, lost ≥5% of their body weight during hospitalization. One-fourth did not reach initial WFH one month after discharge. Those with a higher WFH at admission were at higher risk of weight loss. More attention for monitoring of weight loss and the nutritional policy during and after hospitalization is warranted.

show abstract

“…From a study in which GPs and paediatricians attempted to identify child weight status from visual images alone, we know that clinical impression results in under‐recognition of overweight and obesity 11 . A recent audit in an Australian tertiary paediatric hospital found that only 27% of patients had both height/length and weight recorded on their bed chart, and seven out of 12 wards had inaccurate stadiometers 12 . While similar information is not available for GPs, it seems unlikely that they would do systematically better in these areas.…”

Section: Australian Guidelines For Detecting Childhood Overweight Anmentioning

confidence: 99%

Are general practitioners equipped to detect child overweight/obesity? Survey and audit

Gerner

McCallum

Sheehan

et al. 2006

J Paediatrics Child Health

View full text Add to dashboard Cite

show abstract

Outcomes of a nutrition audit in a tertiary paediatric hospital: Implications for service improvement

Cited by 25 publications

References 11 publications

Physicians and Physician Trainees Rarely Identify or Address Overweight/Obesity in Hospitalized Children

Physicians and Physician Trainees Rarely Identify or Address Overweight/Obesity in Hospitalized Children

Nutritional Status of Children Hospitalized for Parapneumonic Effusion

Are general practitioners equipped to detect child overweight/obesity? Survey and audit

Contact Info

Product

Resources

About