Malnutrition (Undernutrition) Clinical Pathway — Inpatient
Malnutrition (Undernutrition) Clinical Pathway — Inpatient
Growth Charts
Ensuring Use of the Appropriate Growth Chart
There are many different growth charts available in Epic. For most patients, the appropriate growth chart will be the default in Epic. Clinician should be aware of the appropriate chart for the patient being measured. Plotting on the wrong chart can result in misclassification of growth percentiles.
Standard Growth Charts in Use at CHOP in Epic
Other growth charts are available in Epic but are not considered standard practice at CHOP.
Growth Chart | Age | Gender Specific | Measurement | Comments |
---|---|---|---|---|
Intrauterine Growth Curves for premature infants ("FENTON PREMATURE" in Epic) |
Premature Infants ages 22-40 wks gestational age | Yes | Weight Recumbent length Head circumference |
"FENTON PREMATURE" must be selected in Epic |
World Health Organization (WHO), Birth-24 mos | Full-term infants (≥ 37 wks) & premature infants with a corrected age > 41 wks, until 24 mos of age | Yes | Weight Recumbent length Head circumference |
This is the default chart in Epic for this age group The age of premature infants is corrected until the patient is 2 yrs of age |
Center for Disease Control (CDC), 2-20 yrs | 2-20 yrs | Yes | Weight Standing height |
This is the default chart in Epic for this age group Recumbent lengths and alternative height measurement may also be used on this chart BMI calculated in Epic from weight and height |