Demographics of children with feeding difficulties from a large electronic health record database.

Autor: Edwards ST; Division of Gastroenterology, Children's Mercy Kansas City, Kansas City, Missouri, USA.; University of Missouri School of Medicine, Kansas City, Missouri, USA., Glynn EF; Children's Research Institute, Children's Mercy Kansas City, Kansas City, Missouri, USA., Slogic M; University of Missouri School of Medicine, Kansas City, Missouri, USA.; Division of Developmental and Behavioral Sciences, Children's Mercy Kansas City, Kansas City, Missouri, USA., Davis AM; Department of Pediatrics, University of Kansas Medical Center, Kansas City, Kansas, USA.; Center for Children's Healthy Lifestyles & Nutrition, Kansas City, Missouri, USA., Killian HJ; University of Missouri School of Medicine, Kansas City, Missouri, USA.; Department of Pediatrics, University of Kansas Medical Center, Kansas City, Kansas, USA.; Center for Children's Healthy Lifestyles & Nutrition, Kansas City, Missouri, USA., Cocjin J; Division of Gastroenterology, Children's Mercy Kansas City, Kansas City, Missouri, USA.; University of Missouri School of Medicine, Kansas City, Missouri, USA., Attard TM; Division of Gastroenterology, Children's Mercy Kansas City, Kansas City, Missouri, USA.; University of Missouri School of Medicine, Kansas City, Missouri, USA.
Jazyk: angličtina
Zdroj: JPEN. Journal of parenteral and enteral nutrition [JPEN J Parenter Enteral Nutr] 2022 Jul; Vol. 46 (5), pp. 1022-1030. Date of Electronic Publication: 2022 Apr 30.
DOI: 10.1002/jpen.2379
Abstrakt: Background: Feeding difficulties are among the most common concerns expressed by parents in younger children. However, few studies have reported on the characteristics of patients with clinically significant feeding diagnoses. The aim of the current study is to describe the characteristics of patients diagnosed with feeding difficulties including concurrent conditions, age, and sex, sampled nationwide utilizing the Cerner Health Facts Database.
Methods: We identified patients with a diagnosis of feeding difficulties (ICD-9 783.3 or ICD-10 R63.3), age 7 months to 17 years, with an outpatient visit between 2010 and 2017. The demographics and complex clinical conditions of this population were categorized. The cohort was then collapsed into a matrix defining recognized phenotype codes for ICD-9 and ICD-10 diagnoses to identify associated conditions.
Results: We identified 39,674 patients (0.95%) representing 101,684 encounters from 68 health systems across the United States; 43% of patients were female. Gastrointestinal conditions were the most common, followed by malnutrition, developmental and behavioral diagnoses, and neurologic conditions.
Conclusions: This study is one of the most robust studies defining the prevalence, demographic characteristics, and phenotypic profiling of patients with feeding difficulties. Our observations have implications on screening and resource allocation to recognize and manage this poorly understood population.
(© 2022 American Society for Parenteral and Enteral Nutrition.)
Databáze: MEDLINE
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