儿科人群营养不良风险筛查的使用模式:北美儿科医院现行做法调查。

IF 2.1 4区 医学 Q3 NUTRITION & DIETETICS
Nutrition in Clinical Practice Pub Date : 2024-12-01 Epub Date: 2024-10-08 DOI:10.1002/ncp.11222
Sarah Gunnell Bellini, Patricia J Becker, Ruba A Abdelhadi, Catherine A Karls, Alyssa L Price, Teresa D Puthoff, Ainsley Malone
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引用次数: 0

摘要

有关儿科医疗机构使用经过验证的营养不良风险筛查工具来指导营养不良的识别、诊断和治疗的信息很少。因此,我们对儿科医疗机构和从业人员进行了一项调查,以确定北美地区的营养不良风险筛查实践。调查对象包括美国肠外肠内营养学会、儿科营养专业委员会以及营养与饮食学院儿科营养实践小组的成员。受访者代表了美国的 113 家儿科医院和加拿大的 6 家医院,其中 94 家为住院医院,59 家为门诊医院。90%的住院患者完成了营养风险筛查,63%的患者使用了经过验证的筛查工具。大多数营养不良风险筛查是由护士在住院环境中完成的。51%的门诊病人进行了营养风险筛查,53%使用了有效的筛查工具。78%的住院患者使用测量的人体测量数据,45%使用口头报告的人体测量数据。97%的门诊病人使用测量的人体测量方法。80% 的住院患者和 81% 的门诊患者通过电子健康记录完成了营养风险筛查。在 80% 的住院机构和 45% 的门诊机构中,电子健康记录中的阳性筛查结果会自动转诊。在这个儿科医疗机构样本中,结果显示了北美地区儿科营养不良风险筛查的差异。这些不一致证明有必要使用经过验证的儿科工具对儿科营养不良风险筛查进行标准化,并分配资源进行筛查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patterns of use of malnutrition risk screening in pediatric populations: A survey of current practice among pediatric hospitals in North America.

Information on the use of validated malnutrition risk screening tools in pediatric facilities to guide malnutrition identification, diagnosis, and treatment is scarce. Therefore, a survey of pediatric healthcare facilities and practitioners to ascertain malnutrition risk screening practices in North America was conducted. A pediatric nutrition screening practices survey was developed and sent to members of the American Society for Parenteral and Enteral Nutrition, the Council for Pediatric Nutrition Professionals and the Academy of Nutrition and Dietetics Pediatric Nutrition Practice Group. Respondents represented 113 pediatric hospitals in the United States and six in Canada, of which 94 were inpatient and 59 were outpatient. Nutrition risk screening was completed in 90% inpatient settings, and 63% used a validated screening tool. Nurses performed most malnutrition risk screens in the inpatient setting. Nutrition risk screening was reported in 51% of outpatient settings, with a validated screening tool being used in 53%. Measured anthropometrics were used in 78% of inpatient settings, whereas 45% used verbally reported anthropometrics. Measured anthropometrics were used in 97% outpatient settings. Nutrition risk screening was completed in the electronic health record in 80% inpatient settings and 81% outpatient settings. Electronic health record positive screen generated an automatic referral in 80% of inpatient and 45% of outpatient settings. In this sample of pediatric healthcare organizations, the results demonstrate variation in pediatric malnutrition risk screening in North America. These inconsistencies justify the need to standardize pediatric malnutrition risk screening using validated pediatric tools and allocate resources to perform screening.

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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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