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- Title
Are dietitian recommendations followed? A descriptive study of paediatric hospitalised and ambulatory patients.
- Authors
Umentum, Bryanna; Kim, Hannah Jang; Adkins, Ashley; Feuling, Mary Beth; Hilbrands, Julia; Martin, Nicole; Goday, Praveen S.; Smith, Amber
- Abstract
Background: The primary objective of this cross‐sectional retrospective study was to describe the implementation of dietitian prescribed nutrition recommendations in malnourished paediatric patients in the hospital and ambulatory settings. We also aimed to investigate other characteristics that could be associated with differences in implementation. Methods: Data were collected from 186 hospitalised and 565 ambulatory patients between February 2020 and January 2021. Data included age, hospital or ambulatory specialty departments, primary diagnosis, malnutrition status, hospital length of stay (LOS), and medical nutrition therapy recommendations. Implementation by the medical team in the hospital setting and adherence by the family in the outpatient setting were categorised as "Full", "Partial" or "None". "Partial" and "None" were combined for analysis. Results: Dietitian prescribed recommendations were implemented in 79.6% of hospitalised patients. In the ambulatory population, 46.4% of patients were adherent with nutrition recommendations. Within the hospital, there was a significant difference in implementation of nutrition recommendations based on age (p = 0.047), hospital department (p = 0.002) and LOS (p = 0.04), whereas, in the ambulatory population, there were no significant differences in the rate of adherence among any of the studied characteristics. Conclusions: Dietitian recommendations are frequently implemented in the hospital, whereas adherence to such recommendations is poor in the outpatient population. Interventions to improve adherence to nutrition recommendations in the ambulatory setting are needed. Key points: Adherence to and implementation of nutrition therapy recommendations provided by dietitians is important to patient care in children.In the inpatient setting, approximately 80% of dietitian recommendations were implemented.In the outpatient setting, fewer than half of patients adhered to such recommendations.
- Subjects
UNITED States; CROSS-sectional method; HUMAN services programs; MALNUTRITION; HOSPITALS; RETROSPECTIVE studies; PEDIATRICS; NUTRITIONAL status; RESEARCH methodology; CLINICS; LENGTH of stay in hospitals; CHILDREN
- Publication
Journal of Human Nutrition & Dietetics, 2024, Vol 37, Issue 3, p655
- ISSN
0952-3871
- Publication type
Article
- DOI
10.1111/jhn.13291