학술논문
A clinical consensus guideline for nutrition in infants with congenital diaphragmatic hernia from birth through discharge
Document Type
Original Paper
Author
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
Source
Journal of Perinatology. 44(5):694-701
Subject
Language
English
ISSN
0743-8346
1476-5543
1476-5543
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.