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Failure to Thrive Evaluation

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1. Failure to thrive

Failure to thrive Failure to thrive - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Failure to thrive Last reviewed: February 2019 Last updated: January 2018 Summary The diagnosis of failure to thrive (FTT) requires a careful assessment of growth parameters (weight, length/height, and head circumference) over time. The condition requires a comprehensive evaluation as both medical and psychosocial problems may (...) ://www.ncbi.nlm.nih.gov/pubmed/12043359?tool=bestpractice.com However, the definition varies between different healthcare providers, and the criteria used to diagnose the condition must be specified. FTT can be a pejorative term. Under-nutrition is a descriptive term for poor growth and is preferred because it is more specific than FTT; it does not compound the possible failure parents may feel due to their infant's poor growth. Kessler DB. Failure to thrive and pediatric undernutrition: historical and theoretical

2018 BMJ Best Practice

2. Failure to Thrive Evaluation

Failure to Thrive Evaluation Failure to Thrive Evaluation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Failure to Thrive Evaluation (...) Failure to Thrive Evaluation Aka: Failure to Thrive Evaluation II. Evaluation: Step 1 - Review Growth Patterns See See See Expected Weight gain (g/day) Age 0 to 3 months: 26-31 grams weight gained per day Age 3 to 9 months: 13-18 grams weight gained per day Age 9 to 14 months: 10-11 grams weight per day Age 15 to 24 months: 7-9 grams weight per day Plot weight, height and Correct (<24 months) 35% of infants <5% at age 4 III. Evaluation: Step 2- Determine if Failure to Thrive is present and to what

2018 FP Notebook

3. The Heart Failure Readmission Intervention by Variable Early Follow-up (THRIVE) Study

adding more. The Heart Failure Readmission Intervention by Variable Early Follow-up (THRIVE) Study (THRIVE) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03524534 Recruitment Status : Completed First Posted : May 15, 2018 Last Update Posted : January 9, 2019 Sponsor: Kaiser Permanente Collaborator (...) The Heart Failure Readmission Intervention by Variable Early Follow-up (THRIVE) Study The Heart Failure Readmission Intervention by Variable Early Follow-up (THRIVE) Study - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before

2018 Clinical Trials

4. Cricopharyngeal achalasia associated with laryngomalacia as a cause of failure to thrive. (PubMed)

and resolution of failure to thrive. The literature review revealed no reported case of the combined pathologies as a cause of failure to thrive.Functional endoscopic evaluation of swallowing and videofluoroscopic evaluation of swallowing are complimentary in the evaluation of paediatric patients with failure to thrive and suspected oropharyngeal dysphagia. Both supraglottoplasty and botulinum toxin injection are effective for definitive management in cases of combined pathology, and can be safely performed (...) Cricopharyngeal achalasia associated with laryngomalacia as a cause of failure to thrive. To describe a case of concurrent cricopharyngeal achalasia with laryngomalacia as a cause of failure to thrive, and to review the literature and management options of cricopharyngeal achalasia in the paediatric population.A chart review was performed on a four-month-old male, referred for failure to thrive, and diagnosed with cricopharyngeal achalasia and laryngomalacia. A PubMed and Embase search

2018 Journal of Laryngology & Otology

5. Helicobacter pylori infection is not associated with failure to thrive: a case control study (PubMed)

Helicobacter pylori infection is not associated with failure to thrive: a case control study The long-term impact of Helicobacter pylori infection is complex, and concerns about the need for eradication exist. We conducted this case control study to investigate the association between H. pylori infection and failure to thrive (FTT).From January 2009 to December 2011, 53 children with FTT group and matched children with the same sex and age and similar socioeconomic status without FTT (control (...) . pylori-positive and -negative groups, abdominal pain (87.1% vs 64%; P=0.032) and the frequency of endoscopy (74.2% vs 32%; P<0.001) were significantly more common in the H. pylori-positive group.We found that children with H. pylori infection are at an increased risk for abdominal pain and that FTT is not associated with H. pylori infection. The decision for eradication should be evaluated carefully and individualized.

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2017 Therapeutics and clinical risk management

6. Homozygous EEF1A2 mutation causes dilated cardiomyopathy, failure to thrive, global developmental delay, epilepsy and early death (PubMed)

Homozygous EEF1A2 mutation causes dilated cardiomyopathy, failure to thrive, global developmental delay, epilepsy and early death Eukaryotic elongation factor 1A (EEF1A), is encoded by two distinct isoforms, EEF1A1 and EEF1A2; whereas EEF1A1 is expressed almost ubiquitously, EEF1A2 expression is limited such that it is only detectable in skeletal muscle, heart, brain and spinal cord. Currently, the role of EEF1A2 in normal cardiac development and function is unclear. There have been several (...) reports linking de novo dominant EEF1A2 mutations to neurological issues in humans. We report a pair of siblings carrying a homozygous missense mutation p.P333L in EEF1A2 who exhibited global developmental delay, failure to thrive, dilated cardiomyopathy and epilepsy, ultimately leading to death in early childhood. A third sibling also died of a similar presentation, but DNA was unavailable to confirm the mutation. Functional genomic analysis was performed in S. cerevisiae and zebrafish. In S

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2017 Human molecular genetics

7. Retroperitoneal Mass Masquerading as Failure to Thrive in a 91-year-old Woman (PubMed)

Retroperitoneal Mass Masquerading as Failure to Thrive in a 91-year-old Woman Failure to thrive (FTT) is a state of overall decline. Patients often present with weight loss, poor appetite, malnutrition, and decreased physical functioning. The etiology is multifactorial including chronic diseases, functional impairments, and acute illnesses. Evaluation for reversible causes is paramount, and treatment is aimed at maintaining or improving functional status. We present a case of a 91-year-old (...) woman with a retroperitoneal mass that was found on workup for failure to thrive.

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2017 Cureus

8. Evaluation of Lung Atelectasis During Apneic Oxygenation Using THRIVE in Adults During Laryngeal Surgery.

Evaluation of Lung Atelectasis During Apneic Oxygenation Using THRIVE in Adults During Laryngeal Surgery. Evaluation of Lung Atelectasis During Apneic Oxygenation Using THRIVE in Adults During Laryngeal Surgery. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100 (...) ). Please remove one or more studies before adding more. Evaluation of Lung Atelectasis During Apneic Oxygenation Using THRIVE in Adults During Laryngeal Surgery. (A-THRIVE) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03458091 Recruitment Status : Enrolling by invitation First Posted : March 8, 2018

2018 Clinical Trials

9. Parent-Infant Interaction for Non-Organic Failure to Thrive

intake? Is there a way to reliably evaluate parent-child interactions during feeding and provide strategies for improving interaction that may facilitate improved growth? Clinical Question P (population/problem) Among formula-fed infants admitted for inpatient hospitalization with non- organic failure to thrive and their primary caregivers I (intervention) does focused parent-child interaction education in addition to standard care C (comparison) compared with standard care O(outcome) improve weight (...) of a consistent feeding routine to reinforce the feeding process. Recommendations (See Table of Recommendation Strength following references) 1. It is recommended that caregiver-child attachment/bonding be evaluated to determine if there are concerns that are impacting the feeding and developmental interaction (Coolbear, 1999 [3a]; Ward, 2000 [3a]; Benoit, 1997 [4a]). Note: There are distinct differences in attachment/bonding between mothers and children with failure to thrive (Coolbear, 1999 [3a]; Ward, 2000

2011 Cincinnati Children's Hospital Medical Center

10. The Effects of a High-fiber Formula in Children With Failure to Thrive

of a High-fiber Formula in Children With Failure to Thrive The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02819401 Recruitment Status : Completed First Posted : June 30, 2016 Last Update Posted : June 30, 2016 Sponsor: Abbott Nutrition Information provided by (Responsible Party): Abbott Nutrition Study (...) to Layout table for study information Study Type : Observational Actual Enrollment : 345 participants Observational Model: Cohort Time Perspective: Prospective Official Title: A Prospective, Open-label, Post-marketing Observational Study to Evaluate the Effects of High-fiber Enteral Pediatric Formula in Children With Failure to Thrive Due to Malnutrition Study Start Date : February 2013 Actual Primary Completion Date : June 2015 Actual Study Completion Date : June 2015 Resource links provided

2016 Clinical Trials

11. Investigating Transitional Care to Decrease Post-pancreatectomy 30-Day Hospital Readmissions for Dehydration or Failure to Thrive. (PubMed)

Investigating Transitional Care to Decrease Post-pancreatectomy 30-Day Hospital Readmissions for Dehydration or Failure to Thrive. Current literature emphasizes post-operative complications as a leading cause of post-pancreatectomy readmissions. Transitional care factors associated with potentially preventable conditions such as dehydration and failure to thrive (FTT) may play a significant role in readmission after pancreatectomy and have not been studied.Thirty-one post-pancreatectomy (...) patients, who were readmitted for dehydration or FTT between 2009 and 2014, were compared to 141 nonreadmitted patients. Medical record review and a questionnaire-based survey, specifically designed to assess transitional care, were used to identify predictors of readmissions for dehydration or FTT. Logistic regression models were used to evaluate outcomes.On multivariable analysis, the strongest predictors of readmission for dehydration and FTT were the patient's lower educational level (P = 0.0233

2016 Journal of Gastrointestinal Surgery

12. Hematological Indices in Children with Non-organic Failure to Thrive: a Case-Control Study (PubMed)

Hematological Indices in Children with Non-organic Failure to Thrive: a Case-Control Study Non-organic failure to thrive (NFTT) is the most common cause of failure to thrive (FTT) which is attributed to inadequate nutrition due to economic factors or parental neglect . NFTT can lead to a vicious cycle of poor and inadequate eating and severity of anemia. The aim of this study was to determine the hematological indices in children with NFTT.In a cross sectional case control study, iron status (...) and blood indices of forty five aged 6-60 months children with NFTT were evaluated and compared with 45 healthy control children (with matching of age and sex).In this study, the prevalence of anemia was 48.9% in NFTT compared to 11.4% in the control group (p<0.001). Microcytic anemia was significantly more prevalent among the subjects than the controls (77.8% versus 27.3%; p<0. 001). The serum iron level was 73.2 and 62.8 mcg/dl for the case and control groups (P=0.29). The ferritin level in the study

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2016 Iranian journal of pediatric hematology and oncology

13. Failure to Thrive in the Elderly

Failure to Thrive in the Elderly Failure to Thrive in the Elderly Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Failure to Thrive (...) in the Elderly Failure to Thrive in the Elderly Aka: Failure to Thrive in the Elderly II. Epidemiology: Incidence Community adults: >5% : >25% Hosptalized: >50% III. Pathophysiology: Contributing Factors Physical function decline: Weakness, falls, ADL decline : Weight loss, , decreased immunity Depression Cognitive ( , ) IV. Causes Medications See See Most common medication culprits Psychotropic medications s Recently added medications Consider non-prescription drug use, Missed dose and non-compliance

2018 FP Notebook

14. Failure to Thrive in the Elderly

Failure to Thrive in the Elderly Failure to Thrive in the Elderly Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Failure to Thrive (...) in the Elderly Failure to Thrive in the Elderly Aka: Failure to Thrive in the Elderly From Related Chapters II. Epidemiology: Incidence Community adults: >5% : >25% Hosptalized: >50% III. Pathophysiology: Contributing Factors Physical function decline: Weakness, falls, ADL decline : Weight loss, , decreased immunity Depression Cognitive ( , ) IV. Causes Medications See See Most common medication culprits Psychotropic medications s Recently added medications Consider non-prescription drug use, Missed dose

2018 FP Notebook

15. Failure to Thrive Management

Failure to Thrive Management Failure to Thrive Management Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Failure to Thrive Management (...) Failure to Thrive Management Aka: Failure to Thrive Management II. Management: Calories required for catch-up Children with FTT require 150% of RDA of calories Schedule: Replacement calories needed per day Kg based on expected weight Age 2-4 weeks: 120 KCal/kg/day Age 1-2 months: 115 KCal/kg/day Age 2-3 months: 105 KCal/kg/day Age 3-6 months: 95 KCal/kg/day Age 6 months to 5 years: 90 KCal/kg/day Formula: Replacement calories needed per day KCals/kg = (120 kcal/kg x (Normal kg)) / (current kg) III

2018 FP Notebook

16. Failure to Thrive

to Thrive See Relies on accurately recorded weight and height on growth chart over time Weight below 5th percentile for gender and OR <5th percentile OR BMI for age <5th percentile OR Decreased with falling by more than 2 major percentile lines VII. Evaluation See See VIII. Management See IX. Prognosis Nonorganic Failure to Thrive risks poor outcomes Risk of cognitive delay and school difficulty Lower for Children Poorer language development and reading skills Social immaturity More frequent behavior (...) Failure to Thrive Failure to Thrive Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Failure to Thrive Failure to Thrive Aka: Failure

2018 FP Notebook

17. Failure to Thrive Diagnosis

Failure to Thrive Diagnosis Aka: Failure to Thrive Diagnosis II. Precautions Defining whether a child's growth is normal is difficult due to conflicting guidelines and growth curves Diagnosis relies on accurately recorded weight and height on growth chart over time III. Evaluation: Initial Criteria (expect false positives) Weight for age <5th percentile for gender (or BMI for age <5th percentile, or weight/length <5th percentile) Weight deceleration that crosses 2 or more major percentile lines IV (...) Failure to Thrive Diagnosis Failure to Thrive Diagnosis Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Failure to Thrive Diagnosis

2018 FP Notebook

18. Failure to Thrive Red Flags

Failure to Thrive Red Flags Aka: Failure to Thrive Red Flags II. Indications III. Red Flags Cardiac findings (suggesting. ) Extremity edema See refractory to adequate caloric replacement or Abnormal Recurrent infections (e.g. recurrent respiratory infections, ) Recurrent or with dehydration IV. Interpretation Positive findings suggest organic cause of and warrant diagnostic evaluation Negative findings (no red flags) are reassuring for non-organic cause and empiric caloric management can be instituted (...) Failure to Thrive Red Flags Failure to Thrive Red Flags Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Failure to Thrive Red Flags

2018 FP Notebook

19. Severe Hiatal Hernia as a Cause of Failure to Thrive Discovered by Transthoracic Echocardiogram (PubMed)

Severe Hiatal Hernia as a Cause of Failure to Thrive Discovered by Transthoracic Echocardiogram A newborn infant with failure to thrive presented for murmur evaluation on day of life three due to a harsh 3/6 murmur. During the evaluation, a retrocardiac fluid filled mass was seen by transthoracic echocardiogram. The infant was also found to have a ventricular septal defect and partial anomalous pulmonary venous return. Eventually, a large hiatal hernia was diagnosed on subsequent imaging

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2016 Case reports in pediatrics

20. Failure to thrive in babies and toddlers (PubMed)

Failure to thrive in babies and toddlers Failure to thrive in a child is defined as 'lack of expected normal physical growth' or 'failure to gain weight'. Diagnosis requires repeated growth measurements over time using local, age-appropriate growth centile charts. Premature babies with appropriate growth velocity and children with 'catch-down' growth, constitutional growth delay or familial short stature show normal growth variants, and usually do not require further evaluation. In Singapore (...) , the most common cause of failure to thrive in children is malnutrition secondary to psychosocial and caregiver factors. 'Picky eating' is common in the local setting and best managed with an authoritative feeding style from caregivers. Other causes are malabsorption and existing congenital or chronic medical conditions. Child neglect or abuse should always be ruled out. Iron deficiency is the most common complication. The family doctor plays a pivotal role in early detection, timely treatment

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2016 Singapore medical journal

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