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Hulst JM, de Lange A, DaSilva K, Owens J, Bannister L, Beaulieu J, Chowdhury F, Fleming-Carroll B, Haliburton B, Kalnins D, Mahant S, McEwan S, Morra A, Talone L, Pai N. Malnutrition care in hospitalized pediatric inpatients: comparison of perceptions and experiences across two pediatric academic health sciences centres. Appl Physiol Nutr Metab 2024; 49:712-717. [PMID: 38290115 DOI: 10.1139/apnm-2023-0189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2024]
Abstract
Malnutrition affects up to one in three Canadian children admitted to hospital. Awareness among pediatric healthcare providers (HCPs) of the prevalence and impacts of hospitalized malnutrition is critical for optimal management. The purpose of this study was to determine perceptions of malnutrition among pediatric HCP across two major academic health sciences centres, and to determine how the use of a standardized pediatric nutritional screening tool at one institution affects responses. Between 2020 and 2022, 192 HCPs representing nursing, dietetics, medicine, and other allied health were surveyed across McMaster Children's Hospital and The Hospital for Sick Children. 38% of respondents from both centres perceived rates of malnutrition between approximately one in three patients. Perceptions of the need for nutritional screening, assessment, and management were similar between centres. All respondents identified the need for better communication of hospitalized malnutrition status to community providers at discharge, and resource limitations affecting nutritional management of pediatric inpatients. This study represents the largest and most diverse survey of inpatient pediatric HCPs to date. We demonstrate high rates of baseline knowledge of hospital malnutrition, ongoing resource challenges, and the need for a systematic approach to pediatric nutritional management.
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Affiliation(s)
- Jessie M Hulst
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, ON, Canada
- Department of Pediatrics, University of Toronto, Toronto, ON, Canada
- Department of Nutritional Sciences, University of Toronto, Toronto, ON, Canada
| | - Anna de Lange
- McMaster Children's Hospital, Hamilton, ON, Canada
- School of Food and Nutritional Sciences, Brescia University College, Western University, London, ON, Canada
| | - Kristen DaSilva
- School of Food and Nutritional Sciences, Brescia University College, Western University, London, ON, Canada
| | | | - Louise Bannister
- Department of Clinical Dietetics, The Hospital for Sick Children, Toronto, ON, Canada
| | - Jordan Beaulieu
- Department of Clinical Dietetics, The Hospital for Sick Children, Toronto, ON, Canada
| | - Fariha Chowdhury
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, McMaster Children's Hospital, Hamilton, ON, Canada
| | | | - Beth Haliburton
- Department of Clinical Dietetics, The Hospital for Sick Children, Toronto, ON, Canada
| | - Daina Kalnins
- Department of Clinical Dietetics, The Hospital for Sick Children, Toronto, ON, Canada
| | - Sanjay Mahant
- Department of Pediatrics, University of Toronto, Toronto, ON, Canada
- Division of Pediatric Medicine, The Hospital for Sick Children, Toronto, ON, Canada
| | - Sarah McEwan
- Division of Pediatric Surgery, The Hospital for Sick Children, Toronto, ON, Canada
| | - Adelina Morra
- Division of Pediatric Medicine, The Hospital for Sick Children, Toronto, ON, Canada
| | - Lisa Talone
- McMaster Children's Hospital, Hamilton, ON, Canada
| | - Nikhil Pai
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, McMaster Children's Hospital, Hamilton, ON, Canada
- Department of Pediatrics, McMaster University, Hamilton, ON, Canada
- Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, ON, Canada
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Chavarro-Carvajal DA, Ayala AM, Venegas-Sanabria LC, Gomez G, Sulo S, Misas JD, Cano-Gutiérrez C. Use of a nutrition-focused quality improvement program for community-living older adults at malnutrition risk is associated with better nutritional outcomes. Clin Nutr ESPEN 2022; 48:291-297. [DOI: 10.1016/j.clnesp.2022.01.032] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 01/10/2022] [Accepted: 01/25/2022] [Indexed: 10/19/2022]
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