An electronic medical record (EMR) prompt improves screening rates for metabolic conditions among children with obesity
Authors' conclusion
This study validates the use of an EMR-based prompt to improve metabolic lab screening and health education referrals among children with obesity. During the limited period of follow-up, we found no significant change in BMI percentile.
Study context
- Population
- Pediatric patients aged 10 to 18 with BMI ≥ 95th percentile; 56% Hispanic, 19% White, 11% Filipino, 4% Pacific Islander, 3% Black, 1% East/South Asian
- Participants
- 3,439 vs 3,479
- Exposure
- Post-workflow vs pre-workflow cohort
- Post-workflown = 3,439
- Pre-workflown = 3,479reference
- Outcome
- Orders for metabolic lab tests
Methodological detailsquality improvement study, before-after comparison
- Quality improvement study
- Before-after comparison
Main finding
As reported in the abstract
P < 0.0001
Observational data: associations, not effects.
Further findings
Completed screening rates
P < 0.0001
- Health education referrals
- P < 0.0001
Health education referrals
- Health education referrals increased
BMI percentile
- Mean change in BMI percentile
- −0.13% (p = 0.06)
Original publication
An electronic medical record (EMR) prompt improves screening rates for metabolic conditions among children with obesity. Obesity (Silver Spring). Published 29 March 2023. doi:10.
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