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Compliance with nutrition screening in a children’s hospital
  1. Luise V Marino1,
  2. Robert Mark Beattie2
  1. 1Department of Dietetics/ SLT, University Hospital Southampton NHS Foundation Trust, Southampton, UK
  2. 2Department of Paediatric Gastroenterology, Southampton Children’s Hospital, University Hospital Southampton NHS Foundation Trust, Southampton, UK
  1. Correspondence to Professor Robert Mark Beattie, University Hospital Southampton NHS Foundation Trust, Southampton S016 6YD, UK; mark.beattie{at}uhs.nhs.uk

Abstract

Introduction There has been an increased emphasis on the nutritional care of children in hospital with the recognition that those admitted to hospital, particularly with chronic conditions, are at significant nutrition risk. However, although nutrition risk screening tools (NRST) are widely used in acute hospital settings compliance with their use is poorly reported.

Methods One-day cross-sectional audit of anthropometry/NRST records, Southampton Children’s Hospital. Inclusion criteria were all in-patients present on the ward between 8 am and 4 pm. Comparison was made with previous data.

Results One hundred and thirteen records were reviewed. Anthropometric measures; weight recorded in 96.4% length/height recorded in 64% . This reflects a significant improvement on previous length/height data of 19%. Compliance with NRST was poor; only 17% of records were completed.

Conclusion Compliance with basic anthropometry was high and better than previously reported although use of nutritional screening tools was poor. This raises questions about the usefulness of current tools in clinical practice and whether measurement of height, weight and assessment of intake and nutrition risk may be more appropriate.

  • nutrition
  • screening
  • growth

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Footnotes

  • Contributors LVM and RMB: conceived the project. LVM: completed part of the data collection, data input and analysis; drafted the manuscript. RMB: edited, read and approved the final manuscript.

  • Funding This report is independent research arising from an Integrated Clinical Academic Clinical Lectureship, Luise Marino - ICA-CL-2016-02-001 supported by the National Institute for Health Research and Health Education England.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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