Delay in Growth in Adolescents: Clinical Validation of a Proposed Nursing Diagnosis

This study aims to analyse the accuracy of clinical indicators of the proposed diagnosis of delayed growth in school-aged adolescents. This is a diagnostic accuracy study of 385 adolescents in public schools from July to September 2017 that aimed to assess the accuracy of clinical indicators of the...

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Bibliographic Details
Published in:Journal of pediatric nursing 2019-05, Vol.46, p.e72-e76
Main Authors: Lucio, Kadyjina Daiane Batista, Andriola, Isadora Costa, Tinôco, Jéssica Dantas de Sá, Fernandes, Maria Isabel da Conceição Dias, Macedo, Beatriz Medeiros de, Cossi, Marcelly Santos, Lopes, Marcos Venicios de Oliveira, Lira, Ana Luisa Brandão de Carvalho
Format: Article
Language:English
Subjects:
Adolescent
Brazil
Failure to thrive
Female
Growth and development
Growth Disorders - diagnosis
Humans
Latent Class Analysis
Male
Nursing
Nursing Diagnosis
Sensitivity and Specificity
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Summary:This study aims to analyse the accuracy of clinical indicators of the proposed diagnosis of delayed growth in school-aged adolescents. This is a diagnostic accuracy study of 385 adolescents in public schools from July to September 2017 that aimed to assess the accuracy of clinical indicators of the proposed nursing diagnosis of delayed growth; the sensitivity and specificity values were calculated using latent class analysis. Growth velocity less than expected was associated with sensitivity and specificity. The clinical indicator short stature for age and sex showed sensitivity. Low weight for age and sex, stature below genetic target and delayed sexual maturation were specific indicators. In a sample of adolescents in public schools in northeastern Brazil, a set of five clinical indicators best indicated delayed growth in adolescents. Two clinical indicators showed sensitivity, and four clinical indicators showed specificity. This study contributes to refining the diagnostic proposition of delayed growth in adolescents. Accurate measures for nursing diagnoses can help paediatric nurse practitioners confirm or exclude this diagnosis in adolescents with a similar profile. •A set of five clinical indicators best represent the delay in growth in public schools’ adolescents in northeastern Brazil.•The clinical indicator of growth velocity in adolescents showed sensitivity and specificity for the identification of delay in growth.•These accurate measures contribute to refining this nursing problem and provides the best indicators to confirm this in clinical practice.
ISSN:0882-5963
1532-8449
DOI:10.1016/j.pedn.2019.03.009