Clinical Practice Guideline for Diagnosis and Management of Faltering Weight - PubMed
3 hours ago
- #clinical guideline
- #pediatrics
- #faltering weight
- Updates the term 'failure to thrive' to 'faltering weight' and uses z score cutoffs for diagnosis.
- Diagnostic criteria include weight-for-length/BMI-for-age < -1.65 z score, weight gain velocity < -2 z score in children under 2, or a decline ≥1 z score.
- Provides 8 Key Action Statements and 4 Good Practice Statements using the GRADE approach.
- Recommends diagnostic testing only for specific conditions or persistent faltering weight.
- Suggests endoscopy with biopsy for persistent faltering weight or undiagnosed conditions.
- Recommends increased calories, oral nutritional supplementation, and therapy for pediatric feeding disorder.
- Aims to improve diagnostic accuracy, reduce unnecessary testing, and enhance healthcare utilization.