Research Article

Suboptimal Clinical Documentation in Young Children with Severe Obesity at Tertiary Care Centers

Table 5

Characteristics of documentation of obesity.

OverallBCHCCHMC

unique patients557362195
visits1336867467
documented visits per person2 1, 32 1, 32 1, 3
 Percent of visits correctly documented per person50 25, 75%50 25, 75%50 33, 80%
Patients correctly documented at 1st 99% percentile visit 244 (44%)130 (36%)114 (58%)
 Where first visit age <2 years35/150 (23%)15/109 (14%)20/41 (49%)
 Where first visit age ≥2 years209/407 (51%)115/253 (45%)94/154 (61%)
Age at first documentation, months48 35, 6048 35, 6048 35, 59
Lag to documentation, months1.5 0, 135 0, 180 0, 4
BMI % of 95% percentile at first documentation125 116, 140121 114, 133133 121, 147
% visits correctly documented, by clinic
 Primary care191/1272 (15%)151/1146 (13%)40/126 (32%)
 Obesity/endocrine/nutrition665/952 (70%)505/731 (69%)160/221 (72%)
 Other subspecialty430/5051 (9%)195/3584 (5%)235/1467 (16%)

Total visits with clinic indicated are 5461 for BCH (851 documented) and 1814 for CCHMC (435 documented).
(%) or median [IQR] presented.