全美儿科医院营养筛查实践调查。

IF 2.1 4区 医学 Q3 NUTRITION & DIETETICS
Nutrition in Clinical Practice Pub Date : 2024-12-01 Epub Date: 2024-07-24 DOI:10.1002/ncp.11193
Coral Rudie, Sabrina Persaud, Bridget M Hron, Michelle Raymond, Susanna Y Huh
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引用次数: 0

摘要

背景:入院时的营养筛查对于系统识别营养不良患者至关重要,因为营养不良与有害的临床结果之间存在已知的关系。有关儿科营养筛查最佳流程和标准的数据有限。因此,我们试图了解儿科医院营养筛查做法的特点:方法:我们在美国共确定了 365 家儿科住院医院,并与符合条件的医院取得了联系。符合条件的医院包括综合儿科医院、设有儿科的成人医院以及儿科专科医院。每家符合条件的医院都有一名受访者被要求完成一份包含 33 个问题的入院营养筛查实践调查:在 268 位调查对象中,37% 代表成人医院的儿科部门,35% 代表综合儿科医院,28% 代表儿科专科医院或精神病院。98.5%的受访者赞成入院时进行营养筛查。人体测量(如体重指数 Z 值,84%)和营养状况(如摄入量变化,67%)是最常用的筛查标准。37%的机构使用了营养筛查工具,只有31%的机构报告使用了儿科专用筛查工具。成人医院中的儿科单位使用在任何人群中均有效的筛查工具的可能性是成人医院的1.38倍。营养筛查的障碍包括缺乏标准筛查程序和筛查人员不足。54%的受访者表示希望改变医院的营养筛查流程:结论:大多数儿科医院都会在入院时进行营养风险筛查。结论:大多数儿科医院都会在入院时进行营养风险筛查,但各儿科医院的方法和标准差异很大,这凸显了标准化最佳实践的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Survey of nutrition screening practices in pediatric hospitals across the United States.

Background: Nutrition screening on admission is critically important to systematically identify patients with undernutrition given the known relationship with deleterious clinical outcomes. Limited data exist regarding optimal processes and criteria for pediatric nutrition screening. Therefore, we sought to characterize nutrition screening practices in pediatric hospitals.

Methods: A total of 365 inpatient pediatric hospitals in the United States were identified, eligible, and contacted. Eligible hospitals included general pediatric hospitals, adult hospitals with pediatric units, and specialty pediatric hospitals. One respondent at each eligible hospital was asked to complete a 33-question survey of admission nutrition screening practices.

Results: Of 268 survey respondents, 37% represented pediatric units in adult hospitals, 35% general pediatric hospitals, and 28% pediatric specialty or psychiatric hospitals. A total of 98.5% endorsed the existence of a screening process on admission. Anthropometrics (eg, body mass index z score, 84%) and nutrition status (eg, change in intake, 67%) were the most common screening criteria applied. A nutrition screening instrument was used in 37% of institutions, and only 31% of institutions reported using pediatric-specific screening instruments. Pediatric units within adult hospitals were 1.38 times more likely to use a screening instrument validated in any population. Barriers to nutrition screening included the lack of a standard screening procedure and insufficient staff to conduct screening. Fifty-four percent of respondents reported a desire to change their hospital's nutrition screening process.

Conclusion: Most pediatric hospitals screen for nutrition risk on admission. However, methods and criteria varied widely across pediatric hospitals, highlighting the importance of standardized best practices.

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来源期刊
CiteScore
6.00
自引率
9.70%
发文量
128
审稿时长
3 months
期刊介绍: NCP is a peer-reviewed, interdisciplinary publication that publishes articles about the scientific basis and clinical application of nutrition and nutrition support. NCP contains comprehensive reviews, clinical research, case observations, and other types of papers written by experts in the field of nutrition and health care practitioners involved in the delivery of specialized nutrition support. This journal is a member of the Committee on Publication Ethics (COPE).
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