Diagnosis and Screening of Overweight and Obese Children in a Resident Continuity Clinic
| Autor: | Scott T. McEwen, Megan McCarville, Alanna Higgins, Jacob Kurowski, Robert R. Tanz |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
screening recommendations
Pediatric resident obesity Percentile Pediatrics medicine.medical_specialty Screening test business.industry lcsh:RJ1-570 Excess weight Electronic medical record lcsh:Pediatrics Overweight medicine.disease Obesity Pediatrics Perinatology and Child Health residents medicine overweight Original Article medicine.symptom electronic medical record business Body mass index |
| Zdroj: | Global Pediatric Health Global Pediatric Health, Vol 1 (2014) |
| ISSN: | 2333-794X |
| Popis: | Objective. To evaluate the association between documenting excess weight and ordering screening tests. Methods. We retrospectively reviewed well-child visits for patients 2 to 18 years old at a pediatric resident clinic. We evaluated visits of patients with body mass index ≥ 85th percentile for documentation of excess weight in the electronic medical record (EMR) and screening tests ordered. Associations were investigated with χ2 tests. Results. Of 522 patients, 215 (41%) were overweight (19%) or obese (22%). Among obese and overweight patients, 92/215 (43%) had documentation of excess weight in the EMR. Screening tests were ordered for 39/92 (42%) patients with a diagnosis of excess weight versus 8/123 (6.5%) of those without one ( P < .001). Conclusions. Documentation rates of excess weight by practitioners were low and worse for younger children and those with milder degrees of excess weight. Documenting excess weight in the EMR was highly associated with ordering of screening tests. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|