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A clinical consensus guideline for nutrition in infants with congenital diaphragmatic hernia from birth through
Patrick Sloan1, Sandy Johng2, John M Daniel3
1Department of Pediatrics, Division of Newborn Medicine, Washington University School of Medicine, 660 S. Euclid Ave, Campus Box 8116, St. Louis, MO, 63110-1093, USA. sloan.patrick@wustl.edu.
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.
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