{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T07:25:51Z","timestamp":1763018751702,"version":"build-2065373602"},"reference-count":40,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T00:00:00Z","timestamp":1721779200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Nutrition screening on admission is critically important to systematically identify patients with undernutrition given the known relationship with deleterious clinical outcomes. Limited data exist regarding optimal processes and criteria for pediatric nutrition screening. Therefore, we sought to characterize nutrition screening practices in pediatric hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 365 inpatient pediatric hospitals in the United States were identified, eligible, and contacted. Eligible hospitals included general pediatric hospitals, adult hospitals with pediatric units, and specialty pediatric hospitals. One respondent at each eligible hospital was asked to complete a 33\u2010question survey of admission nutrition screening practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 268 survey respondents, 37% represented pediatric units in adult hospitals, 35% general pediatric hospitals, and 28% pediatric specialty or psychiatric hospitals. A total of 98.5% endorsed the existence of a screening process on admission. Anthropometrics (eg, body mass index <jats:italic>z<\/jats:italic> score, 84%) and nutrition status (eg, change in intake, 67%) were the most common screening criteria applied. A nutrition screening instrument was used in 37% of institutions, and only 31% of institutions reported using pediatric\u2010specific screening instruments. Pediatric units within adult hospitals were 1.38 times more likely to use a screening instrument validated in any population. Barriers to nutrition screening included the lack of a standard screening procedure and insufficient staff to conduct screening. Fifty\u2010four percent of respondents reported a desire to change their hospital's nutrition screening process.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Most pediatric hospitals screen for nutrition risk on admission. However, methods and criteria varied widely across pediatric hospitals, highlighting the importance of standardized best practices.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ncp.11193","type":"journal-article","created":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T02:37:51Z","timestamp":1721875071000},"page":"1483-1492","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Survey of nutrition screening practices in pediatric hospitals across the United States"],"prefix":"10.1002","volume":"39","author":[{"given":"Coral","family":"Rudie","sequence":"first","affiliation":[{"name":"Center for Nutrition, Division of Gastroenterology Hepatology, and Nutrition, Boston Children's Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7699-7461","authenticated-orcid":false,"given":"Sabrina","family":"Persaud","sequence":"additional","affiliation":[{"name":"Center for Nutrition, Division of Gastroenterology Hepatology, and Nutrition, Boston Children's Hospital Boston Massachusetts USA"},{"name":"Clinical Education, Informatics, Quality, and Professional Practice Department Boston Children's Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6482-0150","authenticated-orcid":false,"given":"Bridget M.","family":"Hron","sequence":"additional","affiliation":[{"name":"Center for Nutrition, Division of Gastroenterology Hepatology, and Nutrition, Boston Children's Hospital Boston Massachusetts USA"},{"name":"Department of Pediatrics Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Raymond","sequence":"additional","affiliation":[{"name":"Center for Nutrition, Division of Gastroenterology Hepatology, and Nutrition, Boston Children's Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanna Y.","family":"Huh","sequence":"additional","affiliation":[{"name":"Center for Nutrition, Division of Gastroenterology Hepatology, and Nutrition, Boston Children's Hospital Boston Massachusetts USA"},{"name":"Department of Pediatrics Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,24]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/19.8.413"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2014.05.011"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.12344"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11020236"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0929-693X(01)00635-2"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph8020514"},{"issue":"2","key":"e_1_2_8_8_1","first-page":"122","article-title":"Cost\u2010effectiveness of an interdisciplinary intervention in geriatric inpatients to prevent malnutrition","volume":"8","author":"Rypkema G","year":"2004","journal-title":"J Nutr Health Aging"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2003.10.008"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-012-0022-3"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCQ.0000000000000177"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607116681468"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.5152\/tpa.2014.2226"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0261-5614(03)00098-0"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0899-9007(99)00084-2"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533608321137"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533614535446"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607114544321"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1079\/BJN20041258"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533614557642"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2012.01234.x"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114510001121"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2013.05.008"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0103-05822013000200005"},{"issue":"1","key":"e_1_2_8_26_1","first-page":"12","article-title":"Nutritional screening tool versus anthropometric assessment in hospitalized children: which method is better associated to clinical outcomes? 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