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J Perinatol ; 44(5): 694-701, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38627594

RESUMEN

OBJECTIVE: To develop a consensus guideline to meet nutritional challenges faced by infants with congenital diaphragmatic hernia (CDH). STUDY DESIGN: The CDH Focus Group utilized a modified Delphi method to develop these clinical consensus guidelines (CCG). Topic leaders drafted recommendations after literature review and group discussion. Each recommendation was sent to focus group members via a REDCap survey tool, and members scored on a Likert scale of 0-100. A score of > 85 with no more than 25% outliers was designated a priori as demonstrating consensus among the group. RESULTS: In the first survey 24/25 recommendations received a median score > 90 and after discussion and second round of surveys all 25 recommendations received a median score of 100. CONCLUSIONS: We present a consensus evidence-based framework for managing parenteral and enteral nutrition, somatic growth, gastroesophageal reflux disease, chylothorax, and long-term follow-up of infants with CDH.


Asunto(s)
Consenso , Técnica Delphi , Hernias Diafragmáticas Congénitas , Humanos , Hernias Diafragmáticas Congénitas/terapia , Recién Nacido , Lactante , Reflujo Gastroesofágico/terapia , Nutrición Enteral , Nutrición Parenteral , Quilotórax/terapia , Alta del Paciente
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