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Assessment of Child Anthropometry in a Large Epidemiologic Study
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Assessment of Child Anthropometry in a Large Epidemiologic Study

Published on: February 2, 2017

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Inpatient Obesity Recognition and Diagnosis in Pediatric Patients

Mary Katherine Hood, Jeffrey C Winer

    Hospital Pediatrics
    |November 3, 2022
    PubMed

    Insights

    Pediatric hospitalizations offer a chance to diagnose obesity, yet most children with obesity are not properly diagnosed. This study highlights a significant gap in identifying pediatric obesity during inpatient stays.

    Area of Science:

    • Pediatric Health
    • Obesity Research
    • Healthcare Informatics

    Background:

    • Pediatric obesity significantly impacts child health.
    • The role of hospitalizations in diagnosing pediatric obesity is understudied.
    • Effective identification of obesity in children is crucial for timely intervention.

    Purpose of the Study:

    • To determine the prevalence of obesity in pediatric inpatients.
    • To assess the proportion of appropriate International Classification of Diseases, 10th Revision (ICD-10) obesity diagnoses.
    • To identify factors associated with accurate obesity diagnosis in hospitalized children.

    Main Methods:

    • Retrospective cohort study using the CERNER Health Facts database.
    • Analysis of pediatric inpatients aged 2 to 18 years.
    • Statistical comparison of patient demographics and hospital characteristics using frequencies and Chi-Square testing.

    Main Results:

    • 19.5% of hospitalized children had obesity.
    • Only 13.2% of these children received an appropriate ICD-10 obesity diagnosis.
    • Appropriate diagnosis rates varied by obesity class and region, being lowest (8.5%) in the South.

    Conclusions:

    • The majority of hospitalized children with obesity lack an appropriate diagnosis.
    • Pediatric hospitalizations represent a missed opportunity for obesity recognition and intervention.
    • Improved diagnostic practices are needed to address pediatric obesity in inpatient settings.
    Abstract

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