Delay in Growth in Adolescents: Clinical Validation of a Proposed Nursing Diagnosis
This study aims to analyse the accuracy of clinical indicators of the proposed diagnosis of delayed growth in school-aged adolescents. This is a diagnostic accuracy study of 385 adolescents in public schools from July to September 2017 that aimed to assess the accuracy of clinical indicators of the...
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| Veröffentlicht in: | Journal of pediatric nursing 2019-05, Vol.46, p.e72-e76 |
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| container_title | Journal of pediatric nursing |
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| creator | Lucio, Kadyjina Daiane Batista Andriola, Isadora Costa Tinôco, Jéssica Dantas de Sá Fernandes, Maria Isabel da Conceição Dias Macedo, Beatriz Medeiros de Cossi, Marcelly Santos Lopes, Marcos Venicios de Oliveira Lira, Ana Luisa Brandão de Carvalho |
| description | This study aims to analyse the accuracy of clinical indicators of the proposed diagnosis of delayed growth in school-aged adolescents.
This is a diagnostic accuracy study of 385 adolescents in public schools from July to September 2017 that aimed to assess the accuracy of clinical indicators of the proposed nursing diagnosis of delayed growth; the sensitivity and specificity values were calculated using latent class analysis.
Growth velocity less than expected was associated with sensitivity and specificity. The clinical indicator short stature for age and sex showed sensitivity. Low weight for age and sex, stature below genetic target and delayed sexual maturation were specific indicators.
In a sample of adolescents in public schools in northeastern Brazil, a set of five clinical indicators best indicated delayed growth in adolescents. Two clinical indicators showed sensitivity, and four clinical indicators showed specificity.
This study contributes to refining the diagnostic proposition of delayed growth in adolescents. Accurate measures for nursing diagnoses can help paediatric nurse practitioners confirm or exclude this diagnosis in adolescents with a similar profile.
•A set of five clinical indicators best represent the delay in growth in public schools’ adolescents in northeastern Brazil.•The clinical indicator of growth velocity in adolescents showed sensitivity and specificity for the identification of delay in growth.•These accurate measures contribute to refining this nursing problem and provides the best indicators to confirm this in clinical practice. |
| doi_str_mv | 10.1016/j.pedn.2019.03.009 |
| format | Article |
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This is a diagnostic accuracy study of 385 adolescents in public schools from July to September 2017 that aimed to assess the accuracy of clinical indicators of the proposed nursing diagnosis of delayed growth; the sensitivity and specificity values were calculated using latent class analysis.
Growth velocity less than expected was associated with sensitivity and specificity. The clinical indicator short stature for age and sex showed sensitivity. Low weight for age and sex, stature below genetic target and delayed sexual maturation were specific indicators.
In a sample of adolescents in public schools in northeastern Brazil, a set of five clinical indicators best indicated delayed growth in adolescents. Two clinical indicators showed sensitivity, and four clinical indicators showed specificity.
This study contributes to refining the diagnostic proposition of delayed growth in adolescents. Accurate measures for nursing diagnoses can help paediatric nurse practitioners confirm or exclude this diagnosis in adolescents with a similar profile.
•A set of five clinical indicators best represent the delay in growth in public schools’ adolescents in northeastern Brazil.•The clinical indicator of growth velocity in adolescents showed sensitivity and specificity for the identification of delay in growth.•These accurate measures contribute to refining this nursing problem and provides the best indicators to confirm this in clinical practice.</description><identifier>ISSN: 0882-5963</identifier><identifier>EISSN: 1532-8449</identifier><identifier>DOI: 10.1016/j.pedn.2019.03.009</identifier><identifier>PMID: 30940407</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Brazil ; Failure to thrive ; Female ; Growth and development ; Growth Disorders - diagnosis ; Humans ; Latent Class Analysis ; Male ; Nursing ; Nursing Diagnosis ; Sensitivity and Specificity</subject><ispartof>Journal of pediatric nursing, 2019-05, Vol.46, p.e72-e76</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-fe3f55531c4bea32e8f78024a79d9b2e8f3518db75202b3ea240b29716873f5c3</citedby><cites>FETCH-LOGICAL-c356t-fe3f55531c4bea32e8f78024a79d9b2e8f3518db75202b3ea240b29716873f5c3</cites><orcidid>0000-0002-7255-960X ; 0000-0002-1111-0390 ; 0000-0001-5867-8023</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.pedn.2019.03.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30940407$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lucio, Kadyjina Daiane Batista</creatorcontrib><creatorcontrib>Andriola, Isadora Costa</creatorcontrib><creatorcontrib>Tinôco, Jéssica Dantas de Sá</creatorcontrib><creatorcontrib>Fernandes, Maria Isabel da Conceição Dias</creatorcontrib><creatorcontrib>Macedo, Beatriz Medeiros de</creatorcontrib><creatorcontrib>Cossi, Marcelly Santos</creatorcontrib><creatorcontrib>Lopes, Marcos Venicios de Oliveira</creatorcontrib><creatorcontrib>Lira, Ana Luisa Brandão de Carvalho</creatorcontrib><title>Delay in Growth in Adolescents: Clinical Validation of a Proposed Nursing Diagnosis</title><title>Journal of pediatric nursing</title><addtitle>J Pediatr Nurs</addtitle><description>This study aims to analyse the accuracy of clinical indicators of the proposed diagnosis of delayed growth in school-aged adolescents.
This is a diagnostic accuracy study of 385 adolescents in public schools from July to September 2017 that aimed to assess the accuracy of clinical indicators of the proposed nursing diagnosis of delayed growth; the sensitivity and specificity values were calculated using latent class analysis.
Growth velocity less than expected was associated with sensitivity and specificity. The clinical indicator short stature for age and sex showed sensitivity. Low weight for age and sex, stature below genetic target and delayed sexual maturation were specific indicators.
In a sample of adolescents in public schools in northeastern Brazil, a set of five clinical indicators best indicated delayed growth in adolescents. Two clinical indicators showed sensitivity, and four clinical indicators showed specificity.
This study contributes to refining the diagnostic proposition of delayed growth in adolescents. Accurate measures for nursing diagnoses can help paediatric nurse practitioners confirm or exclude this diagnosis in adolescents with a similar profile.
•A set of five clinical indicators best represent the delay in growth in public schools’ adolescents in northeastern Brazil.•The clinical indicator of growth velocity in adolescents showed sensitivity and specificity for the identification of delay in growth.•These accurate measures contribute to refining this nursing problem and provides the best indicators to confirm this in clinical practice.</description><subject>Adolescent</subject><subject>Brazil</subject><subject>Failure to thrive</subject><subject>Female</subject><subject>Growth and development</subject><subject>Growth Disorders - diagnosis</subject><subject>Humans</subject><subject>Latent Class Analysis</subject><subject>Male</subject><subject>Nursing</subject><subject>Nursing Diagnosis</subject><subject>Sensitivity and Specificity</subject><issn>0882-5963</issn><issn>1532-8449</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFO3DAQhq2Kqiy0L9AD8pFL0rEdJ3HVC9oFioQKEoWr5dgT8Cprb-1sEW9PoqUce_JY-v5fMx8hXxmUDFj9bV1u0YWSA1MliBJAfSALJgUv2qpSB2QBbcsLqWpxSI5yXgMwJhv1iRwKUBVU0CzI3QoH80J9oJcpPo9P83Tm4oDZYhjzd7ocfPDWDPTBDN6Z0cdAY08NvU1xGzM6-muXsg-PdOXNY4jZ58_kY2-GjF_e3mNyf3H-e_mzuL65vFqeXRdWyHosehS9lFIwW3VoBMe2b1rglWmUU938FZK1rmskB94JNLyCjquG1W0zJa04Jqf73m2Kf3aYR73x09rDYALGXdZ8ytW1kNBMKN-jNsWcE_Z6m_zGpBfNQM8y9VrPMvUsU4PQk8wpdPLWv-s26N4j_-xNwI89gNOVfz0mna3HYNH5hHbULvr_9b8CH9mEuA</recordid><startdate>201905</startdate><enddate>201905</enddate><creator>Lucio, Kadyjina Daiane Batista</creator><creator>Andriola, Isadora Costa</creator><creator>Tinôco, Jéssica Dantas de Sá</creator><creator>Fernandes, Maria Isabel da Conceição Dias</creator><creator>Macedo, Beatriz Medeiros de</creator><creator>Cossi, Marcelly Santos</creator><creator>Lopes, Marcos Venicios de Oliveira</creator><creator>Lira, Ana Luisa Brandão de Carvalho</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7255-960X</orcidid><orcidid>https://orcid.org/0000-0002-1111-0390</orcidid><orcidid>https://orcid.org/0000-0001-5867-8023</orcidid></search><sort><creationdate>201905</creationdate><title>Delay in Growth in Adolescents: Clinical Validation of a Proposed Nursing Diagnosis</title><author>Lucio, Kadyjina Daiane Batista ; Andriola, Isadora Costa ; Tinôco, Jéssica Dantas de Sá ; Fernandes, Maria Isabel da Conceição Dias ; Macedo, Beatriz Medeiros de ; Cossi, Marcelly Santos ; Lopes, Marcos Venicios de Oliveira ; Lira, Ana Luisa Brandão de Carvalho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-fe3f55531c4bea32e8f78024a79d9b2e8f3518db75202b3ea240b29716873f5c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Brazil</topic><topic>Failure to thrive</topic><topic>Female</topic><topic>Growth and development</topic><topic>Growth Disorders - diagnosis</topic><topic>Humans</topic><topic>Latent Class Analysis</topic><topic>Male</topic><topic>Nursing</topic><topic>Nursing Diagnosis</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lucio, Kadyjina Daiane Batista</creatorcontrib><creatorcontrib>Andriola, Isadora Costa</creatorcontrib><creatorcontrib>Tinôco, Jéssica Dantas de Sá</creatorcontrib><creatorcontrib>Fernandes, Maria Isabel da Conceição Dias</creatorcontrib><creatorcontrib>Macedo, Beatriz Medeiros de</creatorcontrib><creatorcontrib>Cossi, Marcelly Santos</creatorcontrib><creatorcontrib>Lopes, Marcos Venicios de Oliveira</creatorcontrib><creatorcontrib>Lira, Ana Luisa Brandão de Carvalho</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lucio, Kadyjina Daiane Batista</au><au>Andriola, Isadora Costa</au><au>Tinôco, Jéssica Dantas de Sá</au><au>Fernandes, Maria Isabel da Conceição Dias</au><au>Macedo, Beatriz Medeiros de</au><au>Cossi, Marcelly Santos</au><au>Lopes, Marcos Venicios de Oliveira</au><au>Lira, Ana Luisa Brandão de Carvalho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delay in Growth in Adolescents: Clinical Validation of a Proposed Nursing Diagnosis</atitle><jtitle>Journal of pediatric nursing</jtitle><addtitle>J Pediatr Nurs</addtitle><date>2019-05</date><risdate>2019</risdate><volume>46</volume><spage>e72</spage><epage>e76</epage><pages>e72-e76</pages><issn>0882-5963</issn><eissn>1532-8449</eissn><abstract>This study aims to analyse the accuracy of clinical indicators of the proposed diagnosis of delayed growth in school-aged adolescents.
This is a diagnostic accuracy study of 385 adolescents in public schools from July to September 2017 that aimed to assess the accuracy of clinical indicators of the proposed nursing diagnosis of delayed growth; the sensitivity and specificity values were calculated using latent class analysis.
Growth velocity less than expected was associated with sensitivity and specificity. The clinical indicator short stature for age and sex showed sensitivity. Low weight for age and sex, stature below genetic target and delayed sexual maturation were specific indicators.
In a sample of adolescents in public schools in northeastern Brazil, a set of five clinical indicators best indicated delayed growth in adolescents. Two clinical indicators showed sensitivity, and four clinical indicators showed specificity.
This study contributes to refining the diagnostic proposition of delayed growth in adolescents. Accurate measures for nursing diagnoses can help paediatric nurse practitioners confirm or exclude this diagnosis in adolescents with a similar profile.
•A set of five clinical indicators best represent the delay in growth in public schools’ adolescents in northeastern Brazil.•The clinical indicator of growth velocity in adolescents showed sensitivity and specificity for the identification of delay in growth.•These accurate measures contribute to refining this nursing problem and provides the best indicators to confirm this in clinical practice.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>30940407</pmid><doi>10.1016/j.pedn.2019.03.009</doi><orcidid>https://orcid.org/0000-0002-7255-960X</orcidid><orcidid>https://orcid.org/0000-0002-1111-0390</orcidid><orcidid>https://orcid.org/0000-0001-5867-8023</orcidid></addata></record> |
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| subjects | Adolescent Brazil Failure to thrive Female Growth and development Growth Disorders - diagnosis Humans Latent Class Analysis Male Nursing Nursing Diagnosis Sensitivity and Specificity |
| title | Delay in Growth in Adolescents: Clinical Validation of a Proposed Nursing Diagnosis |
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