Short-term weight gain velocity in infants with congenital diaphragmatic hernia (CDH)

Gien, Jason; Murthy, Karna; Pallotto, Eugenia K.; Brozanski, Beverly; Chicoine, Louis G.; Zaniletti, Isabella; Seabrook, Ruth; Keene, Sarah; Alapati, Deepthi; Porta, Nicolas F M; Rintoul, Natalie E.; Grover, Theresa R.

doi:10.1016/j.earlhumdev.2017.01.010

Cited by 17 publications

(20 citation statements)

References 26 publications

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“…Gien et al calculated the overall WGV from birth to discharge among CDH infants and reported that WGV during hospitalization was evidently lower in CDH infants than in normal infants. The slope of WGV, however, was not constant; there were often periods of negative WGV in the acute phase, followed by periods of positive WGV [8]. Leeuwen et al performed anthropometric measurements among infants with CDH at 3, 6, and 12 months of age and reported that catch-up growth occurred during infancy [2].…”

Section: Introductionmentioning

confidence: 99%

Weight gain velocity and adequate amount of nutrition for infants with congenital diaphragmatic hernia

et al. 2020

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Purpose Growth retardation is a severe morbidity in infants with congenital diaphragmatic hernia (CDH). This study aimed to determine when catch-up growth starts in infants with CDH and to determine the adequate amount of nutrition required during catch-up growth. Methods This was a multicenter retrospective cohort study involving neonates with isolated CDH (born 2006-2010; n = 98). Weight gain velocity (WGV) was calculated using body weight Z-scores. The minimum required weight gain was defined as WGV ≥ 0. Patients were dichotomized into severe and non-severe cases according to diaphragmatic defects. Results Average monthly WGV changed from < 0 to ≥ 0 at 2 months of age. Total caloric intake at 2 months of age was lower when the WGV between 1 and 3 months was < 0 in both severe cases [122 (95% confidence interval (CI) 116-128) vs. 97 (95% CI 84-110) kcal/kg/day, p = 0.02] and non-severe cases [115 (95% CI 110-120) vs. 99 (95% CI 87-111) kcal/ kg/day, p < 0.001)]. Conclusion Catch-up growth started at approximately 2 months of age. During this period, total caloric intake of > 122 kcal/ kg/day was needed to avoid decreases in the body weight Z-score in severe cases.

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Section: Introductionmentioning

confidence: 99%

Weight gain velocity and adequate amount of nutrition for infants with congenital diaphragmatic hernia

et al. 2020

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“…22 Approximately 20-30% experience FTT within the first few years of life which may persist into adolescence. 87,88 However, Gien et al 89 revealed the highest risk for comorbidities at both extremes of growth velocity. Leeuwen et al 88 observed stunting and wasting up to 12 years of age, although growth failure became less prevalent after correcting for individual target height.…”

Section: Literature Review Pulmonary Function a Literature Overview mentioning

confidence: 99%

Defining outcomes following congenital diaphragmatic hernia using standardised clinical assessment and management plan (SCAMP) methodology within the CDH EURO consortium

et al. 2018

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Treatment modalities for neonates born with congenital diaphragmatic hernia (CDH) have greatly improved in recent times with a concomitant increase in survival. In 2008, CDH EURO consortium, a collaboration of a large volume of CDH centers in Western Europe, was established with a goal to standardize management and facilitate multicenter research. However, limited knowledge on long-term outcomes restricts the identification of optimal care pathways for CDH survivors in adolescence and adulthood. This review aimed to evaluate the current practice of long-term follow-up within the CDH EURO consortium centers, and to review the literature on long-term outcomes published from 2000 onward. Apart from having disease-specific morbidities, children with CDH are at risk for impaired neurodevelopmental problems and failure of educational attainments which may affect participation in society and the quality of life in later years. Thus, there is every reason to offer them long-term multidisciplinary follow-up programs. We discuss a proposed collaborative project using standardized clinical assessment and management plan (SCAMP) methodology to obtain uniform and standardized follow-up of CDH patients at an international level.

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“…Congenital diaphragmatic hernia (CDH) is a relatively uncommon, life-threatening anomaly affecting 1 in 3000 infants. [1][2][3] In utero, these infants experience incomplete formation of the diaphragm, resulting in abdominal organs herniating into the thoracic cavity. 4 Many suffer from stillbirth, and of those that are born, varying degrees of pulmonary hypoplasia, neurological consequences, and gastrointestinal distress may result.…”

Section: Introductionmentioning

confidence: 99%

“…19 Regardless, it cannot be ignored that symptoms of intolerance, often vaguely labeled as GER, lead to interruptions in enteral feeding advancement and impede the transition from PN to EN, causing underdelivery of calories. 10 Infants with CDH frequently require FT placement prior to hospital discharge, 2,8,14 which should increase enteral caloric delivery when infants have varying degrees of oral dysphagia. Even though FTs are used in >10% of infants, 8,14 increases in growth velocity may not result.…”

Section: Introductionmentioning

confidence: 99%

Nutrition Interventions Associated With Favorable Growth in Infants With Congenital Diaphragmatic Hernia

et al. 2020

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Nutrition complications are common in survivors of congenital diaphragmatic hernia (CDH). Infants diagnosed with CDH may demonstrate poor growth despite receiving enteral tube feedings and gastroesophageal reflux treatment. This literature review was conducted to determine nutrition interventions resulting in favorable growth, which may improve outcomes in these infants. Results indicate that early nutrition support, including supplemental parenteral nutrition with provisions of ≥125 kcal/kg/d and ≥2.3 g/kg/d protein (which are higher than dietary reference intakes for infants), may have a positive impact on growth, potentially impacting neurological development.

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Short-term weight gain velocity in infants with congenital diaphragmatic hernia (CDH)

Cited by 17 publications

References 26 publications

Weight gain velocity and adequate amount of nutrition for infants with congenital diaphragmatic hernia

Weight gain velocity and adequate amount of nutrition for infants with congenital diaphragmatic hernia

Defining outcomes following congenital diaphragmatic hernia using standardised clinical assessment and management plan (SCAMP) methodology within the CDH EURO consortium

Nutrition Interventions Associated With Favorable Growth in Infants With Congenital Diaphragmatic Hernia

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