Failure to thrive: Case definition &amp; guidelines for data collection, analysis, and presentation of maternal immunisation safety data

Ross, Elizabeth; Edem, Bassey E.; Nan, Cassandra; Jehan, Fyezah; Quinn, Julie; Moore, Tamala Mallett; Sesay, Sanie; Spiegel, Hans; Fortuna, Librada; Kochhar, Sonali; Buttery, Jim

doi:10.1016/j.vaccine.2017.01.051

Cited by 20 publications

(18 citation statements)

References 26 publications

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“…The international classification of diseases (ICD-10) defines FTT as the lack of expected normal physiological development and defines malnutrition as "The degree of malnutrition is usually measured in terms of weight, expressed in standard deviations from the mean of the relevant reference population. 25 Our study showed that 75% of children with cyanotic CHD had a weight below 5 th percentile while acyanotic CHD patients who had a weight below 5 th percentile resembled 15.6%. Likewise, height below 5 th percentile was much more common in cyanotic CHD in comparison with acyanotic CHD (65.6% vs 9.1%).…”

Section: Discussionmentioning

confidence: 50%

Implications of congenital heart disease on growth and development of paediatric cardiac surgical patients

Khasawneh¹,

Mohammad

Alfawares³

et al. 2021

Int J Adv Med

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Background: To identify the prevalence, predictors and implications of malnutrition and failure to thrive (FTT) in paediatric cardiac surgical patients.Methods: Observational retrospective analysis of data of paediatric patients presenting for cardiac surgery at Queen Alia heart institute/Amman/Jordan between April 2020 and October 2020. Patients' ages, anthropometric measurements, diagnoses, type of surgical intervention, ICU stay and perioperative outcomes were recorded on a special form designed for the purpose of this study. Prevalence of malnutrition based on world health organization (WHO) and centers for disease control (CDC) growth charts was determined using height-for-age z-score (HAZ) and percentile, weight-for-age z-score (WAZ) and percentile, weight-for-height z-score (WHZ) and percentile. BMI was used for patients above 2 years of age in 109 paediatric cardiac surgical patients. Prevalence of malnutrition and FTT was examined according to age category and cardiac pathology). Patients were divided according to heart pathology into cyanotic and acyanotic CHD.Results: One hundred and nine pediatric cardiac surgical patients were presented for cardiac surgery (59 males and 50 females). Patients' age ranged from 2 days to 17 years (mean 3.7 years, SD±4.5 years). Patients' body weight ranged from 2.7 to 70 kg (mean 14.98 kg, SD±14.2 kg). Average weight percentile was 19.26 (SD±20.01) and ranged between 0.1 and 88.5 and the average Z-score for weight was -1.274±1.037 (mean±SD). The overall height percentile for the all patients with CHD averaged 18.53±17.1 (mean±SD) and the average Z-score for height was -1.1029±0.743 (mean±SD). Prevalence of isolated malnutrition and FTT was 33.2% and 20.2%. Normal nutritional status was found in 46.78%. Cyanotic type CHD was more commonly associated with FTT (p=0.001), longer cardiopulmonary bypass (p=0.001), higher intraoperative lactate (p=0.012) and aortic cross clamp times (p=0.001). Patients with malnutrition and FTT had average ICU stay of 4.32±2.219 days and averaged 4.772±2.065 days (mean±SD) respectively, which was almost double of the ICU stay of patients who had normal nutritional status 2.32±2.261 days (mean±SD).Conclusions: Prevalence of malnutrition and FTT is high in paediatric patients with CHD at time of presentation for surgery. Predicting factors for malnutrition and FTT are cyanotic type of CHD and smaller age. Malnutrition was associated with longer ICU stay.

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Section: Discussionmentioning

confidence: 50%

Implications of congenital heart disease on growth and development of paediatric cardiac surgical patients

Khasawneh¹,

Mohammad

Alfawares³

et al. 2021

Int J Adv Med

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“…Social-withdrawal behavior has been described in infants at risk of failure to thrive ( Guedeney, 2007 ). In these infants, the insufficient growth is attributed to both organic causes, such as acute and chronic disorders, and nonorganic causes, which could be due to environmental influences, stimulation deprivation, and poor feeding techniques ( Ross et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

The Feasibility of the Full and Modified Versions of the Alarm Distress Baby Scale (ADBB) and the Prevalence of Social Withdrawal in Infants in Nepal

et al. 2020

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Background: Sustained social withdrawal in infancy may have organic and nonorganic causes and could hinder normal development. The Alarm Distress Baby (ADBB) scale is a widely validated screening tool of social withdrawal in children 2-24 months. The aim of the current study was to evaluate the full and modified ADBB in Nepalese infants in a community-based study. Methods: We enrolled 600 infants who were video recorded during a pediatric examination. The 36 infants first enrolled were scored by an expert rater, and the subsequent 64 infants were scored by two trained staff with the full ADBB scale. Of the 600 enrolled infants, 597 videos (including the 100 infants scored with the full ADBB) were scored with the modified ADBB (m-ADBB) scale by the trained staff, with 7% double scoring. We measured the interrater agreement and psychometric properties of both scales. Results: In the 64 infants scored with the full ADBB by two raters, the concordance correlation coefficients (CCCs) indicated poor interrater agreement. For the m-ADBB, the CCCs were better indicating acceptable agreement between raters. The greatest lower bound (GLB) for reliability coefficient for the full ADBB scored by an expert rater indicated good internal consistency, whereas the GLB coefficient for the m-ADBB indicated poorer internal consistency. The Spearman correlation coefficient between the total scores of the two versions was 0.82 (P < 0.001). Among the infants scored with the full ADBB, 25% had a score above cutoff (≥5). Scored with the m-ADBB in the full sample, 11.4% of the infants had a score above the suggested cutoff (≥2). In both versions, children achieved high scores on vocalization.

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“…Growth impairment is often multi-factorial and depends on various factors. One of the main causes of GI is the reduction in consumption, high activity and increased intake of calories (17,18). In fact, there are several pathological factors that can lead to GI, including those who have eating disorders and do not receive the necessary calories, children with chronic diarrhea who need more calories and children with congenital heart disease that increases calorie requirements (4,17).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Factors Affecting Growth Impairment of Children Aged Below 6 Years by Using Marginal Models

et al. 2019

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Background: Child growth impairment (GI) causes much psychological, physical and economic harm to the community while a healthy growth and development at early childhood ensures access to a healthy society. Objectives: This study aimed to evaluate the factors affecting GI of children under 6 years of age by using marginal models in West Azerbaijan Province, Iran. Methods: In this longitudinal cohort study, 1070 children below 6 years were in a two-stage cluster sampling randomly selected and studied. The growth characteristics of the studied children (height, weight) and their development features (walking, speaking and teething age) were recorded, during a 6-year follow-up. Data were collected by R statistical software and analyzed by using independent marginal model. Results: The results of this study showed that maternal age at the time of birth (P = 0.001) also her educational level (P < 0.05) and occupational status (P = 0.000), birthing method (P = 0.001), child's gender (P = 0.000), breastfeeding (P = 0.000) and child's walking age (P = 0.000) had a significant effect on GI. Conclusions: Present study revealed that the demographic factors and child's walking age have a significant effect on children's GI. At early childhood, GI influences many domains of individual's life and subsequently the society status. So, it is recommended that the determinants of this crucial threat to be identified and effective plans to be provided for any problems that may arise at this time.

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Failure to thrive: Case definition & guidelines for data collection, analysis, and presentation of maternal immunisation safety data

Cited by 20 publications

References 26 publications

Implications of congenital heart disease on growth and development of paediatric cardiac surgical patients

Implications of congenital heart disease on growth and development of paediatric cardiac surgical patients

The Feasibility of the Full and Modified Versions of the Alarm Distress Baby Scale (ADBB) and the Prevalence of Social Withdrawal in Infants in Nepal

Evaluation of the Factors Affecting Growth Impairment of Children Aged Below 6 Years by Using Marginal Models

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