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Article

Canadian Nationwide Survey on Pediatric Malnutrition Management in Tertiary Hospitals

1
Division of Paediatric Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada
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Department of Pediatric Gastroenterology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel (VUB), 1090 Brussels, Belgium
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Canadian Malnutrition Task Force, Canadian Nutrition Society, Ottawa, ON K1C 6A8, Canada
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Department of Nutritional Sciences, University of Toronto, Toronto, ON M5S 1A8, Canada
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Division of Gastroenterology, University of Alberta, Edmonton, AB T6G 2G3, Canada
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SickKids Learning Institute, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada
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Health Sciences Centre, Winnipeg, MB R3A 1R9, Canada
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Canadian Nutrition Society, Ottawa, ON K1C 6A8, Canada
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Nutritional Services, BC Children’s Hospital, Vancouver, BC V6H 3N1, Canada
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Division of Pediatric Gastroenterology, Hepatology and Nutrition, University of Alberta, Edmonton, AB T6G 1C9, Canada
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Department of Clinical Dietetics, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada
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Division of Paediatric Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, IWK Health Centre, University of Dalhousie, Halifax, NS B3K 6R8, Canada
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Division of Paediatric Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, Ste-Justine UHC, University of Montreal, Montreal, QC H3T 1C5, Canada
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Department of Clinical Nutrition, Quebec University Hospital, Quebec, QC G1R 2J6, Canada
*
Author to whom correspondence should be addressed.
Membership of the Canadian Malnutrition Task Force—Pediatric Working group is provided in the Acknowledgments.
Academic Editors: Arved Weimann and Roberto Iacone
Received: 18 June 2021 / Revised: 13 July 2021 / Accepted: 17 July 2021 / Published: 30 July 2021
(This article belongs to the Section Pediatric Nutrition)
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. View Full-Text
Keywords: child; disease-related malnutrition; nutritional assessment; nutritional screening child; disease-related malnutrition; nutritional assessment; nutritional screening
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MDPI and ACS Style

Huysentruyt, K.; Brunet-Wood, K.; Bandsma, R.; Gramlich, L.; Fleming-Carroll, B.; Hotson, B.; Byers, R.; Lovelace, H.; Persad, R.; Kalnins, D.; Martinez, A.; Marchand, V.; Vachon, M.; Hulst, J.M.; on behalf of the Canadian Malnutrition Task Force—Pediatric Working Group. Canadian Nationwide Survey on Pediatric Malnutrition Management in Tertiary Hospitals. Nutrients 2021, 13, 2635. https://0-doi-org.brum.beds.ac.uk/10.3390/nu13082635

AMA Style

Huysentruyt K, Brunet-Wood K, Bandsma R, Gramlich L, Fleming-Carroll B, Hotson B, Byers R, Lovelace H, Persad R, Kalnins D, Martinez A, Marchand V, Vachon M, Hulst JM, on behalf of the Canadian Malnutrition Task Force—Pediatric Working Group. Canadian Nationwide Survey on Pediatric Malnutrition Management in Tertiary Hospitals. Nutrients. 2021; 13(8):2635. https://0-doi-org.brum.beds.ac.uk/10.3390/nu13082635

Chicago/Turabian Style

Huysentruyt, Koen, Kim Brunet-Wood, Robert Bandsma, Leah Gramlich, Bonnie Fleming-Carroll, Brenda Hotson, Rebecca Byers, Heather Lovelace, Rabin Persad, Daina Kalnins, Andrea Martinez, Valerie Marchand, Mélanie Vachon, Jessie M. Hulst, and on behalf of the Canadian Malnutrition Task Force—Pediatric Working Group. 2021. "Canadian Nationwide Survey on Pediatric Malnutrition Management in Tertiary Hospitals" Nutrients 13, no. 8: 2635. https://0-doi-org.brum.beds.ac.uk/10.3390/nu13082635

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