Description of a standardized nutrition classification plan and its relation to nutritional outcomes in children with cystic fibrosis.

Mark McIntosh,'s picture
PubMed URL: 
http://www.ncbi.nlm.nih.gov/pubmed/19420226
Author: 
Mogayzel PJ Jr
Author List: 
Leonard A
Davis E
Rosenstein BJ
Zeitlin PL
Paranjape SM
Peeler D
Maynard C
Mogayzel PJ Jr
Journal: 
J Pediatr Psychol
PubMed ID: 
19420226
Pagination: 
6-13
Volume: 
35
Issue: 
1
Abstract: 
Better nutrition enhances lung function and increases survival for children with cystic fibrosis (CF). Therefore, we developed a standardized strategy to evaluate nutritional status and create individualized treatment plans to ensure that all patients received the same high-quality care in a busy CF Center.A quality improvement approach was undertaken to develop a novel nutrition classification strategy to identify and treat children with subtle manifestations of nutritional deficits in addition to those with obvious nutritional issues.During the 15-month study period, the median body mass index (BMI) percentile increased from 35.2 (0-95.9) to 42.0 (0-97.7), p < .005. Additionally, the number of children with a BMI >or=50th percentile increased by 11.8%.Adoption of a standardized approach to nutritional assessment and treatment led to significant improvement in nutritional outcomes of CF patients, demonstrating that systematic changes in clinical practice can improve clinical outcomes substantially over a short period of time.
Published Date: 
January, 2010

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