The Current State of Specialty Practice in Pediatric Nutrition and Renal Nutrition

Leonberg, Beth L.; Rops, Mickie Stivers

doi:10.1016/s0002-8223(98)00304-6

Cited by 3 publications

(2 citation statements)

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“…Resting energy expenditure (REE) using the Schofield 20 equation for children, incorporating their weight and age factors, was calculated. Estimated caloric needs were determined by multiplying REE with the current estimated physical activity level (1.1 to 1.2) and stress factor of individual children 21 . Percentage of caloric intake was calculated by dividing the reported intake of children in the past 24 h by estimated caloric needs.…”

Section: Methodsmentioning

confidence: 99%

Validation of AND/ASPEN pediatric malnutrition diagnosis in children admitted to medical wards in two tertiary hospitals in Malaysia

2023

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Background: Identification and management of malnutrition among pediatric hospitalized patients is critical for improved clinical outcomes and recovery. This study investigated the use of the Academy of Nutrition and Dietetics and the American Society for Parenteral and Enteral Nutrition (AND/ASPEN) pediatric malnutrition diagnosis in comparison with the Subjective Global Nutritional Assessment (SGNA) tool and single anthropometric indicators (weight, height, body mass index, and mid-upper arm circumference) among hospitalized children. Methods: A cross-sectional study was conducted among 260 children admitted to general medical wards. SGNA and anthropometric measurements were used as references. Kappa agreement, diagnostic values, and area under the curve (AUC) were analyzed to evaluate the diagnostic ability of the AND/ ASPEN malnutrition diagnosis tool. Logistic binary regression was performed to determine the predictive ability of each malnutrition diagnosis tool on the length of hospital stay. Results: The AND/ASPEN diagnosis tool detected the highest malnutrition rate (41%) among the hospitalized children in comparison with the reference methods. This tool demonstrated fair specificity of 74% and sensitivity of 70% compared with the SGNA. It obtained a weak agreement in determining the presence of malnutrition by kappa (0.06-0.42) and receiver operating characteristic curve analysis (AUC = 0.54-0.72). The use of the AND/ASPEN tool obtained an odds ratio of 0.84 (95% CI, 0.44-1.61; P = 0.59) in predicting the length of hospital stay. Conclusions:The AND/ASPEN malnutrition tool is an acceptable nutrition assessment tool for hospitalized children in general medical wards.

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Section: Methodsmentioning

confidence: 99%

Validation of AND/ASPEN pediatric malnutrition diagnosis in children admitted to medical wards in two tertiary hospitals in Malaysia

2023

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“…The body weight, urine volume, stool volume, weight gain, anhelation and gastrointestinal absorption were monitored every day. According to the guidelines outlined by Leonberg et al ., 15 the target caloric intake was 120–150 kcal/kg/day (600 kJ/kg/d), which can ensure adequate energy intake and eliminate the risk of refeeding syndrome. The amount of daily milk and fluid intake was calculated based on the target caloric goals above.…”

Section: Methodsmentioning

confidence: 99%

Creating the optimal preoperative nutritional status for neonates undergoing cardiac surgery by implementing a preoperative nutritional support plan

Zhang

Zhou

Chen

et al. 2023

J Paediatrics Child Health

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Aim The purpose of this study was to explore the effect of a preoperative nutritional support programme on improving preoperative nutritional status and promoting postoperative recovery in neonates undergoing cardiac surgery. Methods The clinical data of neonates undergoing cardiac surgery who received preoperative nutritional support therapy in our hospital from March 2021 to December 2021 were collected, and the clinical data of neonates undergoing cardiac surgery who did not receive preoperative nutritional support therapy in our hospital from February 2020 to February 2021 were selected as the control. The nutritional status and postoperative recovery of the two groups were compared. Results A total of 30 neonates who received nutritional support before cardiac surgery were included in this study. A total of 28 neonates who did not receive nutritional support before cardiac surgery were included in the control group. There were no significant differences in general information or the nutritional status at birth between the two groups. The duration of nutritional support in the intervention group was 16.8 ± 7.1 days. Before the operation, the intervention group was significantly better than the control group in terms of body weight, albumin, prealbumin and haemoglobin, which indicated that the nutritional status of the intervention group was better than that of the control group. The intensive care time, ventilator time and hospital stay time in the intervention group were significantly lower than those in the control group. Conclusion Nutritional support plans after birth for neonates with severe congenital heart disease can effectively improve the nutritional status of patients before surgery and accelerate the speed of postoperative recovery.

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The history and development of advanced practice nursing: lessons for dietetics

Skipper

2004

Journal of the American Dietetic Association

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The Current State of Specialty Practice in Pediatric Nutrition and Renal Nutrition

Cited by 3 publications

References 0 publications

Validation of AND/ASPEN pediatric malnutrition diagnosis in children admitted to medical wards in two tertiary hospitals in Malaysia

Validation of AND/ASPEN pediatric malnutrition diagnosis in children admitted to medical wards in two tertiary hospitals in Malaysia

Creating the optimal preoperative nutritional status for neonates undergoing cardiac surgery by implementing a preoperative nutritional support plan

The history and development of advanced practice nursing: lessons for dietetics

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