A clinical consensus guideline for nutrition in infants with congenital diaphragmatic hernia from birth through discharge

期刊论文
发表日期：

2024年4月16日

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Patrick Sloan,
Sandy Johng,
John M. Daniel,
Christopher J. Rhee,
Burhan Mahmood,
Evangelia Gravari,
Susan Marshall,
Ann G. Downey,
Katie Braski,
Sharada H. Gowda,
Caraciolo J. Fernandes,
Vedanta Dariya,
Beth E. Haberman,
Ruth Seabrook,
Abhishek Makkar,
Brian W. Gray,
Michael W. Cookson,
Tasnim Najaf,
Natalie Rintoul,
Holly L. Hedrick,
Robert DiGeronimo,
Mark F. Weems,
Anne Ades,
Rachel Chapman,
Theresa R. Grover,
Sarah Keene

摘要

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.