Prevalence, trends, and correlates of malnutrition among hospitalized children with cerebral palsy
Aim This cross‐sectional study characterized the prevalence, trends, sociodemographic factors, and clinical factors that are associated with a coded diagnosis of malnutrition (CDM) among hospitalized children with cerebral palsy (CP) in the USA. Method We used data from the 2002 to 2015 National Inp...
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| Veröffentlicht in: | Developmental medicine and child neurology 2019-12, Vol.61 (12), p.1432-1438 |
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| container_title | Developmental medicine and child neurology |
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| creator | Reyes, Fabiola I Salemi, Jason L Dongarwar, Deepa Magazine, Caila B Salihu, Hamisu M |
| description | Aim
This cross‐sectional study characterized the prevalence, trends, sociodemographic factors, and clinical factors that are associated with a coded diagnosis of malnutrition (CDM) among hospitalized children with cerebral palsy (CP) in the USA.
Method
We used data from the 2002 to 2015 National Inpatient Sample database and restricted the analysis to hospitalized children with CP between 2 and 17 years of age. International Classification of Diseases, Ninth Edition, Clinical Modification diagnosis codes for CP, malnutrition, and comorbidities associated with CP were used to characterize hospitalizations for this population. Logistic regression models were conducted to identify the sociodemographic factors and comorbidities associated with a diagnosis of malnutrition.
Results
The average documented rate of CDM among hospitalized children with CP was 7.9% and nearly doubled during the study period. The model suggests that younger age, non‐white ethnicity, lower income, and non‐private insurance/payer status were associated with increased odds of documented malnutrition. Concomitant inpatient diagnoses of epilepsy, dysphagia, scoliosis, reflux, and constipation were associated with higher rates of CDM.
Interpretation
The rate of CDM in hospitalized patients with CP is well under the estimated clinical prevalence of 30% to 40%. Multiple sociodemographic, hospital, and clinical factors are associated with higher rates of CDM.
What this paper adds
The documented rate of malnutrition in hospitalized children with cerebral palsy (CP) averaged 7.9% yearly.
For hospitalized children with CP, documentation of malnutrition nearly doubled between 2002 and 2015.
Economically disadvantaged and minority ethnic groups had a greater likelihood of malnutrition documentation.
Inpatient malnutrition documentation was more likely with some comorbidities indicative of greater impairments.
Gastrointestinal disorders increased the likelihood of an inpatient‐documented diagnosis of malnutrition.
What this paper adds
The documented rate of malnutrition in hospitalized children with cerebral palsy (CP) averaged 7.9% yearly.
For hospitalized children with CP, documentation of malnutrition nearly doubled between 2002 and 2015.
Economically disadvantaged and minority ethnic groups had a greater likelihood of malnutrition documentation.
Inpatient malnutrition documentation was more likely with some comorbidities indicative of greater impairments.
Gastrointestinal disorders increased the |
| doi_str_mv | 10.1111/dmcn.14329 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2268573782</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2268573782</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3659-815d758050f7454e44fb22ac03d58f282ce68704de0620b4a20225255c44a6e83</originalsourceid><addsrcrecordid>eNp9kMtOwzAQRS0EoqWw4QOQlwg1YDt2ki5ReUrlsYB15DgTauQ4wU6oytfjksKS2dzNmaOZi9AxJec0zEVZK3tOecxmO2hMeTKLspTPdtGYEMoimjA2QgfevxNC4kTwfTSKaZxmszgZo-LZwac0YBVMcefAln6KpS2xapwDIzvwuKlwLY3tO6c73Vgs68a-4WXjW91Jo78g0EttyrCNV7pbYgUOCicNbqXx60O0V4WEo21O0OvN9cv8Llo83d7PLxeRCleFm6koU5ERQaqUCw6cVwVjUpG4FFnFMqYgyVLCSyAJIwWXjDAmmBCKc5lAFk_Q6eBtXfPRg-_yWnsFxkgLTe9zxpJMpOFxFtCzAVWu8d5BlbdO19Ktc0ryTaf5ptP8p9MAn2y9fVFD-Yf-lhgAOgArbWD9jyq_epg_DtJv4AOBkA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2268573782</pqid></control><display><type>article</type><title>Prevalence, trends, and correlates of malnutrition among hospitalized children with cerebral palsy</title><source>MEDLINE</source><source>Wiley Online Library Free Content</source><source>Wiley Online Library All Journals</source><creator>Reyes, Fabiola I ; Salemi, Jason L ; Dongarwar, Deepa ; Magazine, Caila B ; Salihu, Hamisu M</creator><creatorcontrib>Reyes, Fabiola I ; Salemi, Jason L ; Dongarwar, Deepa ; Magazine, Caila B ; Salihu, Hamisu M</creatorcontrib><description>Aim
This cross‐sectional study characterized the prevalence, trends, sociodemographic factors, and clinical factors that are associated with a coded diagnosis of malnutrition (CDM) among hospitalized children with cerebral palsy (CP) in the USA.
Method
We used data from the 2002 to 2015 National Inpatient Sample database and restricted the analysis to hospitalized children with CP between 2 and 17 years of age. International Classification of Diseases, Ninth Edition, Clinical Modification diagnosis codes for CP, malnutrition, and comorbidities associated with CP were used to characterize hospitalizations for this population. Logistic regression models were conducted to identify the sociodemographic factors and comorbidities associated with a diagnosis of malnutrition.
Results
The average documented rate of CDM among hospitalized children with CP was 7.9% and nearly doubled during the study period. The model suggests that younger age, non‐white ethnicity, lower income, and non‐private insurance/payer status were associated with increased odds of documented malnutrition. Concomitant inpatient diagnoses of epilepsy, dysphagia, scoliosis, reflux, and constipation were associated with higher rates of CDM.
Interpretation
The rate of CDM in hospitalized patients with CP is well under the estimated clinical prevalence of 30% to 40%. Multiple sociodemographic, hospital, and clinical factors are associated with higher rates of CDM.
What this paper adds
The documented rate of malnutrition in hospitalized children with cerebral palsy (CP) averaged 7.9% yearly.
For hospitalized children with CP, documentation of malnutrition nearly doubled between 2002 and 2015.
Economically disadvantaged and minority ethnic groups had a greater likelihood of malnutrition documentation.
Inpatient malnutrition documentation was more likely with some comorbidities indicative of greater impairments.
Gastrointestinal disorders increased the likelihood of an inpatient‐documented diagnosis of malnutrition.
What this paper adds
The documented rate of malnutrition in hospitalized children with cerebral palsy (CP) averaged 7.9% yearly.
For hospitalized children with CP, documentation of malnutrition nearly doubled between 2002 and 2015.
Economically disadvantaged and minority ethnic groups had a greater likelihood of malnutrition documentation.
Inpatient malnutrition documentation was more likely with some comorbidities indicative of greater impairments.
Gastrointestinal disorders increased the likelihood of an inpatient‐documented diagnosis of malnutrition.
This article is commented on by Aumar and Gottrand on page 1357 of this issue.</description><identifier>ISSN: 0012-1622</identifier><identifier>EISSN: 1469-8749</identifier><identifier>DOI: 10.1111/dmcn.14329</identifier><identifier>PMID: 31378936</identifier><language>eng</language><publisher>England</publisher><subject>Adolescent ; Cerebral Palsy - epidemiology ; Cerebral Palsy - therapy ; Child ; Child, Hospitalized - statistics & numerical data ; Child, Preschool ; Comorbidity ; Cross-Sectional Studies ; Female ; Gastrointestinal Diseases - epidemiology ; Humans ; Male ; Malnutrition - epidemiology ; Minority Groups - statistics & numerical data ; Prevalence ; Retrospective Studies ; Socioeconomic Factors ; Vulnerable Populations - statistics & numerical data</subject><ispartof>Developmental medicine and child neurology, 2019-12, Vol.61 (12), p.1432-1438</ispartof><rights>2019 Mac Keith Press</rights><rights>2019 Mac Keith Press.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3659-815d758050f7454e44fb22ac03d58f282ce68704de0620b4a20225255c44a6e83</citedby><cites>FETCH-LOGICAL-c3659-815d758050f7454e44fb22ac03d58f282ce68704de0620b4a20225255c44a6e83</cites><orcidid>0000-0001-8867-2247</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fdmcn.14329$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fdmcn.14329$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31378936$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Reyes, Fabiola I</creatorcontrib><creatorcontrib>Salemi, Jason L</creatorcontrib><creatorcontrib>Dongarwar, Deepa</creatorcontrib><creatorcontrib>Magazine, Caila B</creatorcontrib><creatorcontrib>Salihu, Hamisu M</creatorcontrib><title>Prevalence, trends, and correlates of malnutrition among hospitalized children with cerebral palsy</title><title>Developmental medicine and child neurology</title><addtitle>Dev Med Child Neurol</addtitle><description>Aim
This cross‐sectional study characterized the prevalence, trends, sociodemographic factors, and clinical factors that are associated with a coded diagnosis of malnutrition (CDM) among hospitalized children with cerebral palsy (CP) in the USA.
Method
We used data from the 2002 to 2015 National Inpatient Sample database and restricted the analysis to hospitalized children with CP between 2 and 17 years of age. International Classification of Diseases, Ninth Edition, Clinical Modification diagnosis codes for CP, malnutrition, and comorbidities associated with CP were used to characterize hospitalizations for this population. Logistic regression models were conducted to identify the sociodemographic factors and comorbidities associated with a diagnosis of malnutrition.
Results
The average documented rate of CDM among hospitalized children with CP was 7.9% and nearly doubled during the study period. The model suggests that younger age, non‐white ethnicity, lower income, and non‐private insurance/payer status were associated with increased odds of documented malnutrition. Concomitant inpatient diagnoses of epilepsy, dysphagia, scoliosis, reflux, and constipation were associated with higher rates of CDM.
Interpretation
The rate of CDM in hospitalized patients with CP is well under the estimated clinical prevalence of 30% to 40%. Multiple sociodemographic, hospital, and clinical factors are associated with higher rates of CDM.
What this paper adds
The documented rate of malnutrition in hospitalized children with cerebral palsy (CP) averaged 7.9% yearly.
For hospitalized children with CP, documentation of malnutrition nearly doubled between 2002 and 2015.
Economically disadvantaged and minority ethnic groups had a greater likelihood of malnutrition documentation.
Inpatient malnutrition documentation was more likely with some comorbidities indicative of greater impairments.
Gastrointestinal disorders increased the likelihood of an inpatient‐documented diagnosis of malnutrition.
What this paper adds
The documented rate of malnutrition in hospitalized children with cerebral palsy (CP) averaged 7.9% yearly.
For hospitalized children with CP, documentation of malnutrition nearly doubled between 2002 and 2015.
Economically disadvantaged and minority ethnic groups had a greater likelihood of malnutrition documentation.
Inpatient malnutrition documentation was more likely with some comorbidities indicative of greater impairments.
Gastrointestinal disorders increased the likelihood of an inpatient‐documented diagnosis of malnutrition.
This article is commented on by Aumar and Gottrand on page 1357 of this issue.</description><subject>Adolescent</subject><subject>Cerebral Palsy - epidemiology</subject><subject>Cerebral Palsy - therapy</subject><subject>Child</subject><subject>Child, Hospitalized - statistics & numerical data</subject><subject>Child, Preschool</subject><subject>Comorbidity</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Gastrointestinal Diseases - epidemiology</subject><subject>Humans</subject><subject>Male</subject><subject>Malnutrition - epidemiology</subject><subject>Minority Groups - statistics & numerical data</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Socioeconomic Factors</subject><subject>Vulnerable Populations - statistics & numerical data</subject><issn>0012-1622</issn><issn>1469-8749</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOwzAQRS0EoqWw4QOQlwg1YDt2ki5ReUrlsYB15DgTauQ4wU6oytfjksKS2dzNmaOZi9AxJec0zEVZK3tOecxmO2hMeTKLspTPdtGYEMoimjA2QgfevxNC4kTwfTSKaZxmszgZo-LZwac0YBVMcefAln6KpS2xapwDIzvwuKlwLY3tO6c73Vgs68a-4WXjW91Jo78g0EttyrCNV7pbYgUOCicNbqXx60O0V4WEo21O0OvN9cv8Llo83d7PLxeRCleFm6koU5ERQaqUCw6cVwVjUpG4FFnFMqYgyVLCSyAJIwWXjDAmmBCKc5lAFk_Q6eBtXfPRg-_yWnsFxkgLTe9zxpJMpOFxFtCzAVWu8d5BlbdO19Ktc0ryTaf5ptP8p9MAn2y9fVFD-Yf-lhgAOgArbWD9jyq_epg_DtJv4AOBkA</recordid><startdate>201912</startdate><enddate>201912</enddate><creator>Reyes, Fabiola I</creator><creator>Salemi, Jason L</creator><creator>Dongarwar, Deepa</creator><creator>Magazine, Caila B</creator><creator>Salihu, Hamisu M</creator><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/0000-0001-8867-2247</orcidid></search><sort><creationdate>201912</creationdate><title>Prevalence, trends, and correlates of malnutrition among hospitalized children with cerebral palsy</title><author>Reyes, Fabiola I ; Salemi, Jason L ; Dongarwar, Deepa ; Magazine, Caila B ; Salihu, Hamisu M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3659-815d758050f7454e44fb22ac03d58f282ce68704de0620b4a20225255c44a6e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Cerebral Palsy - epidemiology</topic><topic>Cerebral Palsy - therapy</topic><topic>Child</topic><topic>Child, Hospitalized - statistics & numerical data</topic><topic>Child, Preschool</topic><topic>Comorbidity</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Gastrointestinal Diseases - epidemiology</topic><topic>Humans</topic><topic>Male</topic><topic>Malnutrition - epidemiology</topic><topic>Minority Groups - statistics & numerical data</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><topic>Socioeconomic Factors</topic><topic>Vulnerable Populations - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Reyes, Fabiola I</creatorcontrib><creatorcontrib>Salemi, Jason L</creatorcontrib><creatorcontrib>Dongarwar, Deepa</creatorcontrib><creatorcontrib>Magazine, Caila B</creatorcontrib><creatorcontrib>Salihu, Hamisu M</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>Developmental medicine and child neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Reyes, Fabiola I</au><au>Salemi, Jason L</au><au>Dongarwar, Deepa</au><au>Magazine, Caila B</au><au>Salihu, Hamisu M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence, trends, and correlates of malnutrition among hospitalized children with cerebral palsy</atitle><jtitle>Developmental medicine and child neurology</jtitle><addtitle>Dev Med Child Neurol</addtitle><date>2019-12</date><risdate>2019</risdate><volume>61</volume><issue>12</issue><spage>1432</spage><epage>1438</epage><pages>1432-1438</pages><issn>0012-1622</issn><eissn>1469-8749</eissn><abstract>Aim
This cross‐sectional study characterized the prevalence, trends, sociodemographic factors, and clinical factors that are associated with a coded diagnosis of malnutrition (CDM) among hospitalized children with cerebral palsy (CP) in the USA.
Method
We used data from the 2002 to 2015 National Inpatient Sample database and restricted the analysis to hospitalized children with CP between 2 and 17 years of age. International Classification of Diseases, Ninth Edition, Clinical Modification diagnosis codes for CP, malnutrition, and comorbidities associated with CP were used to characterize hospitalizations for this population. Logistic regression models were conducted to identify the sociodemographic factors and comorbidities associated with a diagnosis of malnutrition.
Results
The average documented rate of CDM among hospitalized children with CP was 7.9% and nearly doubled during the study period. The model suggests that younger age, non‐white ethnicity, lower income, and non‐private insurance/payer status were associated with increased odds of documented malnutrition. Concomitant inpatient diagnoses of epilepsy, dysphagia, scoliosis, reflux, and constipation were associated with higher rates of CDM.
Interpretation
The rate of CDM in hospitalized patients with CP is well under the estimated clinical prevalence of 30% to 40%. Multiple sociodemographic, hospital, and clinical factors are associated with higher rates of CDM.
What this paper adds
The documented rate of malnutrition in hospitalized children with cerebral palsy (CP) averaged 7.9% yearly.
For hospitalized children with CP, documentation of malnutrition nearly doubled between 2002 and 2015.
Economically disadvantaged and minority ethnic groups had a greater likelihood of malnutrition documentation.
Inpatient malnutrition documentation was more likely with some comorbidities indicative of greater impairments.
Gastrointestinal disorders increased the likelihood of an inpatient‐documented diagnosis of malnutrition.
What this paper adds
The documented rate of malnutrition in hospitalized children with cerebral palsy (CP) averaged 7.9% yearly.
For hospitalized children with CP, documentation of malnutrition nearly doubled between 2002 and 2015.
Economically disadvantaged and minority ethnic groups had a greater likelihood of malnutrition documentation.
Inpatient malnutrition documentation was more likely with some comorbidities indicative of greater impairments.
Gastrointestinal disorders increased the likelihood of an inpatient‐documented diagnosis of malnutrition.
This article is commented on by Aumar and Gottrand on page 1357 of this issue.</abstract><cop>England</cop><pmid>31378936</pmid><doi>10.1111/dmcn.14329</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-8867-2247</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Developmental medicine and child neurology, 2019-12, Vol.61 (12), p.1432-1438 |
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| subjects | Adolescent Cerebral Palsy - epidemiology Cerebral Palsy - therapy Child Child, Hospitalized - statistics & numerical data Child, Preschool Comorbidity Cross-Sectional Studies Female Gastrointestinal Diseases - epidemiology Humans Male Malnutrition - epidemiology Minority Groups - statistics & numerical data Prevalence Retrospective Studies Socioeconomic Factors Vulnerable Populations - statistics & numerical data |
| title | Prevalence, trends, and correlates of malnutrition among hospitalized children with cerebral palsy |
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