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Impact of the HAS 2019 French guidelines on the frequency of hospital undernutrition in children.
Richou, Margaux; Mantha, Olivier L; Peretti, Noël; Dubern, Béatrice; Mas, Emmanuel; Hankard, Régis; De Luca, Arnaud.
Afiliação
  • Richou M; Inserm, Université François Rabelais, UMR 1069, PEDSTART, F-CRIN, 2 boulevard Tonnellé, Tours F-37044, France; CHU Tours, HUGOPEREN, 2 boulevard Tonnellé, Tours F-37044, France.
  • Mantha OL; Inserm, Université François Rabelais, UMR 1069, PEDSTART, F-CRIN, 2 boulevard Tonnellé, Tours F-37044, France.
  • Peretti N; Univ. Lyon, Hospices Civil de Lyon, Pediatric Nutrition, Hôpital Femme Mere Enfant HFME, Bron F-69500, France; CarMeN Laboratory, INRAE, UMR1397, INSERM, Univ. Lyon, UMR1060, Pierre-Bénite F-69310, France.
  • Dubern B; INSERM Nutriomics, Nutrition et Gastroentérologie Pédiatriques, Hôpital Trousseau, AP-HP, Sorbonne Université, Paris F-75012, France.
  • Mas E; Unité de Gastroentérologie, Hépatologie, Nutrition, Diabétologie et Maladies Héréditaires du Métabolisme, Hôpital des Enfants, CHU de Toulouse, and IRSD, Toulouse University, INSERM, INRA, ENVT, UPS, Toulouse, France.
  • Hankard R; Inserm, Université François Rabelais, UMR 1069, PEDSTART, F-CRIN, 2 boulevard Tonnellé, Tours F-37044, France; CHU Tours, HUGOPEREN, 2 boulevard Tonnellé, Tours F-37044, France.
  • De Luca A; Inserm, Université François Rabelais, UMR 1069, PEDSTART, F-CRIN, 2 boulevard Tonnellé, Tours F-37044, France; CHU Tours, HUGOPEREN, 2 boulevard Tonnellé, Tours F-37044, France. Electronic address: arnaud.deluca@univ-tours.fr.
Arch Pediatr ; 30(1): 36-41, 2023 Jan.
Article em En | MEDLINE | ID: mdl-36473753
In 2019, the French National Authority for Health (Haute Autorité de Santé, HAS) published guidelines on the diagnosis of undernutrition. The present article focuses on the impact of switching from the 2012 guidelines of the Nutrition Committee of the French Paediatric Society (CNSFP) to the HAS guidelines on the frequency of hospital undernutrition in children. We selected for the period 2010-2019 from the ePINUT database: (1) all children aged more than 2 years with (2) clinically confirmed nutritional status in (3) French sites. The frequency of undernutrition was 15.4% vs. 28.8% using the CNSFP and HAS criteria, respectively (p < 0.01; n = 6304). When compared to non-malnourished children regardless of the criteria used, malnourished children: (1) stayed longer in hospital (CNSFP: 9.0 ±â€¯11.8 vs. 6.5 ±â€¯8.7 days, p < 0.01; HAS: 7.8 ±â€¯10.1 vs. 6.4 ±â€¯8.4 days, p < 0.01), (2) gained more weight during hospitalization (% of weight at admission) (CNSFP: +1.4 ±â€¯4.1 vs. -0.3 ±â€¯3.5%, p < 0.01; HAS: +2.3 ±â€¯4.7 vs. -0.1 ±â€¯3.4%, p < 0.01), and (3) received nutritional support more frequently during hospitalization (CNSFP: 20% vs. 5%, p < 0.01; HAS: 13% vs. 4%, p < 0.01). Switching to the HAS guidelines resulted in an almost twofold higher frequency of undernutrition in hospitalized children. Initiation of nutritional care remained low considering the nutritional status. The present study warrants interventional studies to determine which children may benefit more from nutritional therapy to improve their outcome.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Desnutrição Tipo de estudo: Guideline Limite: Child / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Desnutrição Tipo de estudo: Guideline Limite: Child / Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article