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The Effect of a Multidisciplinary Team Approach on Weight Gain in Nonorganic Failure‐to-Thrive Children

 

作者: WILLIAM BITHONEY,   JAMES McJUNKIN,   JOANNE MICHALEK,   JOHN SNYDER,   HARWOOD EGAN,   DANIEL EPSTEIN,  

 

期刊: Journal of Developmental & Behavioral Pediatrics  (OVID Available online 1991)
卷期: Volume 12, issue 4  

页码: 254-258

 

ISSN:0196-206X

 

年代: 1991

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Failure-to-thrive (FTT) is a chronic symptom accounting for 1% of all patients admitted to pediatric hospitals. FTT, which is traditionally attributed to organic (OFTT) and/or nonorganic (NFTT) causes, results in undernutrition. Undernutrition has potentially serious effects on child development, behavior, and cognitive skills. We undertook a study of children with FTT to determine whether multidisciplinary team treatment resulted in improved weight gain compared with children treated in a primary care setting. Fifty-three children with NFTT referred to our outpatient FTT consultative clinic and 107 children with NFTT identified as comparision subjects from our primary care clinic (PCC) were enrolled in the study. Growth outcomes over a 6-month follow-up were analyzed using growth quotient (GQ) analysis. Children followed in the multidisciplinary team clinic grew better (GQ = 1.75 ± 0.39 SD) than did children in the PCC (GQ = 1.18 ± 0.42 SD,p< .001). The use of a multidisciplinary team offers special advantages in the rapid correction of undernutrition in children with NFTT.

 

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