Proposal for An Algorithm for Screening for Undernutrition in Hospitalized Children
Corresponding Author
Koen Huysentruyt
Department of Pediatric Gastroenterology, Universitair Ziekenhuis, Brussel
Address correspondence and reprint requests to Dr. Koen Huysentruyt, MD, PhD, Department of Paediatrics, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium (e-mail: [email protected]).Search for more papers by this authorJean De Schepper
Vakgroep Pediatrie, Faculteit Geneeskunde en Farmacie, Vrije Universiteit Brussel (VUB), Brussels
Search for more papers by this authorPatrick Bontems
Department of Pediatrics, Centre Hospitalier Universitaire Tivoli, La Louviere
Academic Hospital Erasme, Université Libre de Bruxelles, Brussels
Search for more papers by this authorPhilippe Alliet
Department of Pediatrics, Jessa hospital, Hasselt
Search for more papers by this authorEllen Peeters
Department of Pediatrics, ZNA Paloa Kinderziekenhuis, Antwerpen
Search for more papers by this authorMathieu Roelants
Environment and Health, Department of Public Health and Primary Care, KU Leuven-University of Leuven, Leuven
Search for more papers by this authorStephanie Van Biervliet
Department of Pediatric Gastroenterology, Ghent University Hospital, Ghent University, Ghent, Belgium
Search for more papers by this authorBruno Hauser
Department of Pediatric Gastroenterology, Universitair Ziekenhuis, Brussel
Search for more papers by this authorYvan Vandenplas
Department of Pediatric Gastroenterology, Universitair Ziekenhuis, Brussel
Search for more papers by this authorVoedingscel van Vlaamse Vereniging voor Kindergeneeskunde, VVK
Search for more papers by this authorCorresponding Author
Koen Huysentruyt
Department of Pediatric Gastroenterology, Universitair Ziekenhuis, Brussel
Address correspondence and reprint requests to Dr. Koen Huysentruyt, MD, PhD, Department of Paediatrics, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium (e-mail: [email protected]).Search for more papers by this authorJean De Schepper
Vakgroep Pediatrie, Faculteit Geneeskunde en Farmacie, Vrije Universiteit Brussel (VUB), Brussels
Search for more papers by this authorPatrick Bontems
Department of Pediatrics, Centre Hospitalier Universitaire Tivoli, La Louviere
Academic Hospital Erasme, Université Libre de Bruxelles, Brussels
Search for more papers by this authorPhilippe Alliet
Department of Pediatrics, Jessa hospital, Hasselt
Search for more papers by this authorEllen Peeters
Department of Pediatrics, ZNA Paloa Kinderziekenhuis, Antwerpen
Search for more papers by this authorMathieu Roelants
Environment and Health, Department of Public Health and Primary Care, KU Leuven-University of Leuven, Leuven
Search for more papers by this authorStephanie Van Biervliet
Department of Pediatric Gastroenterology, Ghent University Hospital, Ghent University, Ghent, Belgium
Search for more papers by this authorBruno Hauser
Department of Pediatric Gastroenterology, Universitair Ziekenhuis, Brussel
Search for more papers by this authorYvan Vandenplas
Department of Pediatric Gastroenterology, Universitair Ziekenhuis, Brussel
Search for more papers by this authorVoedingscel van Vlaamse Vereniging voor Kindergeneeskunde, VVK
Search for more papers by this authorDrs Schepper and Huysentruyt contributed equally to the article.
The authors report no conflicts of interest.
Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website (www.jpgn.org).
Abstract
The prevalence of disease-related undernutrition in hospitalized children has not decreased significantly in the last decades in Europe. A recent large multicentric European study reported a percentage of underweight children ranging across countries from 4.0% to 9.3%. Nutritional screening has been put forward as a strategy to detect and prevent undernutrition in hospitalized children. It allows timely implementation of adequate nutritional support and prevents further nutritional deterioration of hospitalized children. In this article, a hands-on practical guideline for the implementation of a nutritional care program in hospitalized children is provided. The difference between nutritional status (anthropometry with or without additional technical investigations) at admission and nutritional risk (the risk of the need for a nutritional intervention or the risk for nutritional deterioration during hospital stay) is the focus of this article. Based on the quality control circle principle of Deming, a nutritional care algorithm, with detailed instructions specific for the pediatric population was developed and implementation in daily practice is proposed. Further research is required to prove the applicability and the merit of this algorithm. It can, however, serve as a basis to provide European or even wider guidelines.
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