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A clinical consensus guideline for nutrition in infants with congenital diaphragmatic hernia from birth through discharge.
Sloan, Patrick; Johng, Sandy; Daniel, John M; Rhee, Christopher J; Mahmood, Burhan; Gravari, Evangelia; Marshall, Susan; Downey, Ann G; Braski, Katie; Gowda, Sharada H; Fernandes, Caraciolo J; Dariya, Vedanta; Haberman, Beth E; Seabrook, Ruth; Makkar, Abhishek; Gray, Brian W; Cookson, Michael W; Najaf, Tasnim; Rintoul, Natalie; Hedrick, Holly L; DiGeronimo, Robert; Weems, Mark F; Ades, Anne; Chapman, Rachel; Grover, Theresa R; Keene, Sarah.
Afiliação
  • Sloan P; Department of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine, 660 S. Euclid Ave, Campus Box 8116, St. Louis, MO, 63110-1093, USA. sloan.patrick@wustl.edu.
  • Johng S; Department of Pediatrics, Division of Neonatology, University of Washington, Seattle Children's Hospital, Seattle, WA, USA.
  • Daniel JM; Department of Pediatrics, Division of Neonatology, University of Missouri Kansas School of Medicine, Kansas City, MO, USA.
  • Rhee CJ; Department of Pediatrics, Division of Neonatology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
  • Mahmood B; Department of Pediatrics, Division of Newborn Medicine, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
  • Gravari E; Department of Pediatrics, Division of Neonatology, University of Minnesota Medical School, Minneapolis, MN, USA.
  • Marshall S; Children's Hospital Colorado, Aurora, CO, USA.
  • Downey AG; Department of Pediatrics, Division of Neonatology, University of Minnesota Medical School, Minneapolis, MN, USA.
  • Braski K; Department of Pediatrics, Division of Neonatology, University of Minnesota Medical School, Minneapolis, MN, USA.
  • Gowda SH; Department of Pediatrics, Division of Neonatology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
  • Fernandes CJ; Department of Pediatrics, Division of Neonatology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
  • Dariya V; Department of Pediatrics, Division of Neonatal-Perinatal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
  • Haberman BE; Department of Pediatrics, Division of Neonatology, University of Cincinnati College of Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
  • Seabrook R; Department of Pediatrics, Division of Neonatology, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH, USA.
  • Makkar A; Department of Pediatrics, Division of Neonatal-Perinatal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
  • Gray BW; Department of Surgery, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, IN, USA.
  • Cookson MW; Department of Pediatrics, Section of Neonatology, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, CO, USA.
  • Najaf T; Department of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine, 660 S. Euclid Ave, Campus Box 8116, St. Louis, MO, 63110-1093, USA.
  • Rintoul N; Department of Pediatrics, Division of Neonatology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
  • Hedrick HL; Department of Pediatric General Thoracic and Fetal Surgery Children's Hospital of Philadelphia Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
  • DiGeronimo R; Department of Pediatrics, Division of Neonatology, University of Washington, Seattle Children's Hospital, Seattle, WA, USA.
  • Weems MF; Division of Neonatology and Le Bonheur Children's Hospital, Department of Pediatrics, University of Tennessee Health Science Center, Memphis, TN, USA.
  • Ades A; Department of Pediatrics, Division of Neonatology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
  • Chapman R; Department of Pediatrics, USC Keck School of Medicine, Fetal & Neonatal Institute, Children's Hospital Los Angeles, Los Angeles, CA, USA.
  • Grover TR; Department of Pediatrics, Section of Neonatology, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, CO, USA.
  • Keene S; Division of Neonatal-Perinatal Medicine, Emory University School of Medicine, Children's Healthcare of Atlanta, Atlanta, GA, USA.
J Perinatol ; 44(5): 694-701, 2024 May.
Article em En | MEDLINE | ID: mdl-38627594
ABSTRACT

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.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Técnica Delphi / Consenso / Hérnias Diafragmáticas Congênitas Limite: Humans / Infant / Newborn Idioma: En Revista: J Perinatol Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Técnica Delphi / Consenso / Hérnias Diafragmáticas Congênitas Limite: Humans / Infant / Newborn Idioma: En Revista: J Perinatol Ano de publicação: 2024 Tipo de documento: Article