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Failure to thrive in infants (review)
1Hamad Medical Corporation, Department of Pediatrics, Doha, Qatar.
Insights
Failure to thrive (FTT) is a common pediatric concern with varied definitions. Early identification of organic or non-organic causes through a systematic approach is crucial for effective management.
Area of Science:
- Pediatrics
- Child Health
- Clinical Practice
Background:
- Failure to thrive (FTT) presents a common challenge in clinical practice.
- Existing definitions of FTT vary among experts and institutions.
- FTT is typically classified into organic and non-organic categories.
Purpose of the Study:
- To review and synthesize information on the definitions, prevalence, assessment, and management of FTT.
- To highlight the importance of a systematic approach in diagnosing FTT.
- To emphasize the need for a comprehensive evaluation beyond medical diagnosis.
Main Methods:
- A literature review was conducted using PubMed and various journal websites.
- Articles containing the term "failure to thrive" were systematically searched.
- Information on definitions, prevalence, assessment, and management was extracted and analyzed.
Main Results:
- The review identified diverse definitions and categorizations of FTT (organic vs. non-organic).
- A system-based approach is recommended for managing infants and children with FTT.
- Comprehensive evaluation includes medical diagnosis, developmental assessment, nutritional status, and psychosocial factors.
Conclusions:
- Accurate definition and consistent classification of FTT are needed.
- A holistic, system-based approach is essential for effective FTT management.
- Pediatricians require a broad skill set encompassing medical, developmental, and psychosocial assessments for FTT cases.
Abstract:
Failure to thrive (FTT) is a common issue in practice. The definition of FTT differs among authors and among practices. FTT is usually categorized into organic vs. non-organic. This paper is a review of different articles that contains the terms "failure to thrive". A Review of articles was performed using Pub med and different journal websites. This article discusses the different definitions of FTT, the prevalence , the assessments , together with information on management. The initial step in managing an infant or child with FTT is to identify the cause whether it is "organic" or " non organic". An appropriate encounter would be by having a system-based approach. In addition to the pediatrician's skills in medical diagnosis and management, there is a need for evaluation of the child's temperament and development, oromotor functioning, nutritional needs and deficits, and family and social support systems.
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