CONSENSUS OF VIETNAM PEDIATRIC ASSOCIATION: GUIDELINES FOR NUTRITIONAL SCREENING, ASSESSMENT AND INTERVENTION FOR PEDIATRIC PATIENTS
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Tóm tắt
Nutritional status plays an important role in diagnosing and treating nutritional risks or malnutrition and supporting other treatments. Therefore, screening and correct assessment of nutritional status is necessary for early detection and timely intervention for children in the hospital. According to regulations, for inpatients, it is mandatory to classify and determine nutritional risks within 36 hours of admission and prescribe nutritional regimen. For outpatients, all patients need to be screened for nutritional risk factors. Previously, a very large proportion of children were not screened and assessed for nutritional status upon admission, leading to failure to receive timely nutritional interventions. Currently, hospitals have implemented nutritional screening and assessment for children using forms developed by he hospital itself or referenced from other organizations. However, in general, the new forms only focus on inpatients and there is no form for outpatients. Moreover, stunting malnutrition has not received due attention even though the rate of stunted children is still high.
Therefore, there is a need for a unified set of tools in pediatrics to screen, assess and intervene in nutrition for children. The Vietnam Pediatric Association organized an expert workshop on the topic “Nutrition to improve height of Vietnamese children - Timely diagnosis and ntervention of malnutrition” with the participation of Professors, Doctors, and Physicians who are leading experts in nutrition and pediatrics.
Through this workshop, the experts compiled the document “Consensus: GUIDELINES FOR NUTRITIONAL SCREENING, ASSESSMENT AND INTERVENTION FOR PEDIATRIC PATIENTS”. The content of the guideline aims to provide a sample form for risk screening, nutritional status assessment and intervention flowchart For pediatric Inpatients and outpatients in accordance with the policy of the Circular 18/2020/TT-BYT regulating nutrition activities in hospitals and the Hospital Quality Criteria to help medical staff in the pediatric system quickly detect nutritional problems and provide appropriate interventions for pediatric patients as well as accurately report results to the professional system.
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Tài liệu tham khảo
2. UNICEF/WHO/WB. Levels and Trends in Child Malnutrition: UNICEF/WHO/World Bank Group Joint Child Malnutrition Estimates: Key Findings of the 2023 Edition. Accessed August 26, 2024.
3. Shaughnessy EE, Kirkland LL. Malnutrition in Hospitalized Children: A Responsibility and Opportunity for Pediatric Hospitalists.Hosp Pediatr.2016;6(1):37-41.
4. Huong PTT. Nutritional status of hospitalized children at the National Children’s Hospital. Journal of Preventive Medicine. Published online March 2015.
5. Hoa NTN, Nguyet PH, Vinh BQ. Evaluation of the Yorkhill pediatric malnutrition scale (PYMS) in hospitalized children with pneumonia. Ho Chi Minh City Journal of Medicine. 2020;24. Accessed May 24, 2024.
6. Dung NTT, Hau NTT, Phuong TTH, Phuong TP. Current status of nutritional examination indications for inpatients at Children’s Hospital 2. Vietnam Medical Journal.2022:122-128.
7. Linh DM, Lan BN, Hong NTT. Nutritional status and some related factors of cancer patients under 5 years old at the National Children’s Hospital. Journal of Research Medicine. 2023;170(9):254-260.
8. Fact sheets - Malnutrition. Accessed May 24,2024. https://www.who.int/news-room/fact-sheets/detail/malnutrition
9. Martins VJB, Toledo Florêncio TMM, Grillo LP, et al. Long-Lasting Effects of Undernutrition. Int J Environ Res Public Health. 2011;8(6):1817-1846.
10. Gambra-Arzoz M, Alonso-Cadenas JA,Jiménez-Legido M, et al. Nutrition Risk in Hospitalized Pediatric Patients: Higher Complication Rate and Higher Costs Related to Malnutrition. Nutr Clin Pract Off Publ Am Soc Parenter Enter Nutr. 2020;35(1):157-163.
11. Mueller C, Compher C, Ellen DM, the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Board of Directors. A.S.P.E.N. Clinical Guidelines:Nutrition Screening, Assessment, and Intervention in Adults. J Parenter Enter Nutr.2011;35(1):16-24.
12. Joint Commission on Accreditation of Healthcare Organizations. Comprehensive Accreditation Manual for Hospitals.; 2007.
13. Ministry of Health. Circular 18/2020/TT-BYT on regulations on nutrition activities in hospitals.
14. Haute Autorité de Santé, Fédération Française de Nutrition. Diagnostic de la dénutrition chez l’enfant, l’adulte, et la personne de 70 ans et plus.; 2021.
15. Bouma S. Diagnosing Pediatric Malnutrition. Nutr Clin Pract. 2017;32(1):52-67.
16. Development of a WHO growth reference for school-aged children and adolescents - PMC.Accessed September 10, 2024.
17. World Health Organization. WHO Child Growth Standards: Length/Height-for-Age, Weight-for-Age, Weight-for-Length, Weight-for-Height and Body Mass Index-for-Age:Methods and Development. World Health Organization; 2006. Accessed September 8,2024.https://www.who.int/publications/i/item/924154693X