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Canadian Nationwide Survey on Pediatric Malnutrition Management in Tertiary Hospitals

Background: Disease-associated malnutrition (DAM) is common in hospitalized children. This survey aimed to assess current in-hospital practices for clinical care of pediatric DAM in Canada. Methods: An electronic survey was sent to all 15 tertiary pediatric hospitals in Canada and addressed all pill...

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Autores principales: Huysentruyt, Koen, Brunet-Wood, Kim, Bandsma, Robert, Gramlich, Leah, Fleming-Carroll, Bonnie, Hotson, Brenda, Byers, Rebecca, Lovelace, Heather, Persad, Rabin, Kalnins, Daina, Martinez, Andrea, Marchand, Valerie, Vachon, Mélanie, Hulst, Jessie M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8397996/
https://www.ncbi.nlm.nih.gov/pubmed/34444796
http://dx.doi.org/10.3390/nu13082635
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author Huysentruyt, Koen
Brunet-Wood, Kim
Bandsma, Robert
Gramlich, Leah
Fleming-Carroll, Bonnie
Hotson, Brenda
Byers, Rebecca
Lovelace, Heather
Persad, Rabin
Kalnins, Daina
Martinez, Andrea
Marchand, Valerie
Vachon, Mélanie
Hulst, Jessie M.
author_facet Huysentruyt, Koen
Brunet-Wood, Kim
Bandsma, Robert
Gramlich, Leah
Fleming-Carroll, Bonnie
Hotson, Brenda
Byers, Rebecca
Lovelace, Heather
Persad, Rabin
Kalnins, Daina
Martinez, Andrea
Marchand, Valerie
Vachon, Mélanie
Hulst, Jessie M.
author_sort Huysentruyt, Koen
collection PubMed
description Background: Disease-associated malnutrition (DAM) is common in hospitalized children. This survey aimed to assess current in-hospital practices for clinical care of pediatric DAM in Canada. Methods: An electronic survey was sent to all 15 tertiary pediatric hospitals in Canada and addressed all pillars of malnutrition care: screening, assessment, treatment, monitoring and follow-up. Results: Responses of 120 health care professionals were used from all 15 hospitals; 57.5% were medical doctors (MDs), 26.7% registered dietitians (RDs) and 15.8% nurses (RNs). An overarching protocol for prevention, detection and intervention of pediatric malnutrition was present or “a work in progress”, according to 9.6% of respondents. Routine nutritional screening on admission was sometimes or always performed, according to 58.8%, although the modality differed among hospitals and profession. For children with poor nutritional status, lack of nutritional follow-up after discharge was reported by 48.5%. Conclusions: The presence of a standardized protocol for the clinical assessment and management of DAM is uncommon in pediatric tertiary care hospitals in Canada. Routine nutritional screening upon admission has not been widely adopted. Moreover, ongoing nutritional care of malnourished children after discharge seems cumbersome. These findings call for the adoption and implementation of a uniform clinical care pathway for malnutrition among pediatric hospitals.
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spelling pubmed-83979962021-08-29 Canadian Nationwide Survey on Pediatric Malnutrition Management in Tertiary Hospitals Huysentruyt, Koen Brunet-Wood, Kim Bandsma, Robert Gramlich, Leah Fleming-Carroll, Bonnie Hotson, Brenda Byers, Rebecca Lovelace, Heather Persad, Rabin Kalnins, Daina Martinez, Andrea Marchand, Valerie Vachon, Mélanie Hulst, Jessie M. Nutrients Article Background: Disease-associated malnutrition (DAM) is common in hospitalized children. This survey aimed to assess current in-hospital practices for clinical care of pediatric DAM in Canada. Methods: An electronic survey was sent to all 15 tertiary pediatric hospitals in Canada and addressed all pillars of malnutrition care: screening, assessment, treatment, monitoring and follow-up. Results: Responses of 120 health care professionals were used from all 15 hospitals; 57.5% were medical doctors (MDs), 26.7% registered dietitians (RDs) and 15.8% nurses (RNs). An overarching protocol for prevention, detection and intervention of pediatric malnutrition was present or “a work in progress”, according to 9.6% of respondents. Routine nutritional screening on admission was sometimes or always performed, according to 58.8%, although the modality differed among hospitals and profession. For children with poor nutritional status, lack of nutritional follow-up after discharge was reported by 48.5%. Conclusions: The presence of a standardized protocol for the clinical assessment and management of DAM is uncommon in pediatric tertiary care hospitals in Canada. Routine nutritional screening upon admission has not been widely adopted. Moreover, ongoing nutritional care of malnourished children after discharge seems cumbersome. These findings call for the adoption and implementation of a uniform clinical care pathway for malnutrition among pediatric hospitals. MDPI 2021-07-30 /pmc/articles/PMC8397996/ /pubmed/34444796 http://dx.doi.org/10.3390/nu13082635 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Huysentruyt, Koen
Brunet-Wood, Kim
Bandsma, Robert
Gramlich, Leah
Fleming-Carroll, Bonnie
Hotson, Brenda
Byers, Rebecca
Lovelace, Heather
Persad, Rabin
Kalnins, Daina
Martinez, Andrea
Marchand, Valerie
Vachon, Mélanie
Hulst, Jessie M.
Canadian Nationwide Survey on Pediatric Malnutrition Management in Tertiary Hospitals
title Canadian Nationwide Survey on Pediatric Malnutrition Management in Tertiary Hospitals
title_full Canadian Nationwide Survey on Pediatric Malnutrition Management in Tertiary Hospitals
title_fullStr Canadian Nationwide Survey on Pediatric Malnutrition Management in Tertiary Hospitals
title_full_unstemmed Canadian Nationwide Survey on Pediatric Malnutrition Management in Tertiary Hospitals
title_short Canadian Nationwide Survey on Pediatric Malnutrition Management in Tertiary Hospitals
title_sort canadian nationwide survey on pediatric malnutrition management in tertiary hospitals
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8397996/
https://www.ncbi.nlm.nih.gov/pubmed/34444796
http://dx.doi.org/10.3390/nu13082635
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