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

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

doi:10.1038/s41372-024-01965-9

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

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. HedrickRobert DiGeronimo, Mark F. Weems, Anne Ades, Rachel Chapman, Theresa R. Grover, Sarah Keene

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Abstract

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.

Original language	English
Pages (from-to)	694-701
Number of pages	8
Journal	Journal of Perinatology
Volume	44
Issue number	5
DOIs	https://doi.org/10.1038/s41372-024-01965-9
State	Published - May 2024

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Sloan, P., Johng, S., Daniel, J. M., Rhee, C. J., Mahmood, B., Gravari, E., Marshall, S., Downey, A. G., Braski, K., Gowda, S. H., Fernandes, C. J., Dariya, V., Haberman, B. E., Seabrook, R., Makkar, A., Gray, B. W., Cookson, M. W., Najaf, T., Rintoul, N., ... Keene, S. (2024). A clinical consensus guideline for nutrition in infants with congenital diaphragmatic hernia from birth through discharge. Journal of Perinatology, 44(5), 694-701. https://doi.org/10.1038/s41372-024-01965-9

@article{783eb0c6670149c4b4125e8b41fd5353,

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

abstract = "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.",

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

note = "Publisher Copyright: {\textcopyright} The Author(s), under exclusive licence to Springer Nature America, Inc. 2024.",

year = "2024",

month = may,

doi = "10.1038/s41372-024-01965-9",

language = "English",

volume = "44",

pages = "694--701",

journal = "Journal of Perinatology",

issn = "0743-8346",

number = "5",

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Sloan, P, Johng, S, Daniel, JM, Rhee, CJ, Mahmood, B, Gravari, E, Marshall, S, Downey, AG, Braski, K, Gowda, SH, Fernandes, CJ, Dariya, V, Haberman, BE, Seabrook, R, Makkar, A, Gray, BW, Cookson, MW, Najaf, T, Rintoul, N, Hedrick, HL, DiGeronimo, R, Weems, MF, Ades, A, Chapman, R, Grover, TR & Keene, S 2024, 'A clinical consensus guideline for nutrition in infants with congenital diaphragmatic hernia from birth through discharge', Journal of Perinatology, vol. 44, no. 5, pp. 694-701. https://doi.org/10.1038/s41372-024-01965-9

TY - JOUR

T1 - A clinical consensus guideline for nutrition in infants with congenital diaphragmatic hernia from birth through discharge

AU - Sloan, Patrick

AU - Johng, Sandy

AU - Daniel, John M.

AU - Rhee, Christopher J.

AU - Mahmood, Burhan

AU - Gravari, Evangelia

AU - Marshall, Susan

AU - Downey, Ann G.

AU - Braski, Katie

AU - Gowda, Sharada H.

AU - Fernandes, Caraciolo J.

AU - Dariya, Vedanta

AU - Haberman, Beth E.

AU - Seabrook, Ruth

AU - Makkar, Abhishek

AU - Gray, Brian W.

AU - Cookson, Michael W.

AU - Najaf, Tasnim

AU - Rintoul, Natalie

AU - Hedrick, Holly L.

AU - DiGeronimo, Robert

AU - Weems, Mark F.

AU - Ades, Anne

AU - Chapman, Rachel

AU - Grover, Theresa R.

AU - Keene, Sarah

PY - 2024/5

Y1 - 2024/5

N2 - 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.

AB - 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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U2 - 10.1038/s41372-024-01965-9

DO - 10.1038/s41372-024-01965-9

M3 - Article

C2 - 38627594

AN - SCOPUS:85190527156

SN - 0743-8346

VL - 44

SP - 694

EP - 701

JO - Journal of Perinatology

JF - Journal of Perinatology

IS - 5

ER -

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

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