Development of the Pediatric Integrated Nutrition Pathway for Acute Care (P-INPAC) using a modified Delphi technique
Applied Physiology, Nutrition, and Metabolism, Ahead of Print. One in three hospitalized children have disease-related malnutrition (DRM) upon admission to hospital, and all children are at risk for further nutritional deterioration during hospital stay; however, systematic approaches to detect DRM in Canada are lacking. To standardise and improve hospital care, the multidisciplinary pediatric working group of the Canadian Malnutrition Taskforce aimed to develop a pediatric, inpatient nutritional care pathway based on available evidence, feasibility of resources, and expert consensus. The working group (n = 13) undertook a total of four meetings: an in-person meeting to draft the pathway based on existing literature and modelled after the Integrated Nutrition Pathway for Acute Care (INPAC) in adults, followed by three online surveys and three rounds of online Delphi consensus meetings to achieve a greement on the draft pathway. In the first Delphi survey, 32 questions were asked, whereas in the second and third rounds 27 and 8 questions were asked, respectively. Consensus was defined as any question/issue in which at least 80% agreed. The modified Delphi process allowed the development of an evidence-informed, consensus-based pathway for inpatients, the Pediatric Integrated Nutrition Pathway for Acute Care (P-INPAC). It includes screening <24 h of admission, assessment with use of Subjective Global Nutritional Assessment (SGNA) <48 h of admission, as well as preve...
Source: Applied Physiology, Nutrition, and Metabolism - Category: Physiology Authors: Kim Brunet-Wood Zujaja Tul-Noor Robert H.J. Bandsma Laura Carter Bonnie Fleming-Carroll Leah Gramlich Kim Hutchison Koen Huysentruyt Daina Kalnins Valerie Marchand Andrea Martinez Nikhil Pai M élanie Vachon Jessie M. Hulst Source Type: research
More News: Canada Health | Child Development | Children | Hospitals | Nutrition | Pediatrics | Physiology