{"doi":"10.1002/jpr3.70091","title":"Impact of anthropometric measurements variability on nutritional status classification in a pediatric quality improvement project","abstract":"Abstract Objectives Inaccurate recording of anthropometrics can compromise nutritional status assessment. Boston Children's Hospital implemented a quality improvement (QI) project which increased anthropometric measurements for hospitalized pediatric patients, and this analysis quantifies its impact on estimated measurement accuracy. Methods From January to April 2016 (pre‐QI project) and January to April 2019 (post‐QI project), all inpatient encounters with age 2–18 years and at least one anthropometric measurement within 26 h of admission were included. Frequency of repeat anthropometrics within 26 h postadmission was quantified. Body mass index (BMI) Z ‐score was used to classify nutritional status. Chart review was performed for any hospitalization with an extreme anthropometric Z ‐score >6 or <−6, or difference in Z ‐score between repeated measurements >1 or <−1. Extremes were deemed errors when discordant with growth trends. Results Among inpatient encounters in 2016 with at least one weight, repeat weights were obtained in 97.7% (724/742), declining to 83.0% (802/966) in 2019 ( p < 0.001). Frequency of repeat heights did not differ (153/520 [29.4%] in 2016 and 236/857 [27.5%] in 2019, p = 0.48), while frequency of repeat BMI increased following the QI project (84/468 [17.9%] vs. 449/837 [53.6%], p < 0.0001). Repeat BMI was more likely to affect nutritional status classification post‐QI (8.9%) compared to pre‐QI (2.4%) project ( p = 0.04). Errors contributing to extreme first measurements were rare (≤0.23% of weight and BMI, and ≤1.2% of height). Conclusions Higher frequency of repeat BMI and lower frequency of repeat weight documentation was observed post‐QI project. Repeat measurements were more likely to impact nutritional status classification with this initiative.","journal":"JPGN Reports","year":2025,"id":576439,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":0.0,"corpus_rank":10062,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.5056,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1485343,"name":"Andrea Quintero","orcid":null,"position":1,"is_corresponding":false},{"id":1151435,"name":"Sabrina Persaud","orcid":"0009-0009-7699-7461","position":2,"is_corresponding":false},{"id":624544,"name":"Coral Rudie","orcid":null,"position":3,"is_corresponding":false},{"id":1485344,"name":"Kayleigh Carroll","orcid":null,"position":4,"is_corresponding":false},{"id":315285,"name":"Christina K. Chan","orcid":"0000-0003-0028-3808","position":5,"is_corresponding":false},{"id":452092,"name":"Enju Liu","orcid":null,"position":6,"is_corresponding":false},{"id":231787,"name":"Susanna Y. Huh","orcid":"0009-0007-0114-2456","position":7,"is_corresponding":false},{"id":1045748,"name":"Shrunjal Trivedi","orcid":null,"position":8,"is_corresponding":false},{"id":1485345,"name":"Sarah Fleet","orcid":null,"position":9,"is_corresponding":false},{"id":455463,"name":"Bridget M. Hron","orcid":"0000-0002-6482-0150","position":10,"is_corresponding":false},{"id":1004412,"name":"Desiree Sierra Velez","orcid":"0000-0001-5746-295X","position":0,"is_corresponding":true}],"reference_count":38,"raw_metadata":null,"created_at":"2026-07-19T02:57:56.636458Z","pmid":"41245053","pmcid":"PMC12611619","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}