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Growth in children with congenital diaphragmatic hernia during the first year of life.
[congenital diaphragmatic hernia]
Infants
with
congenital
diaphragmatic
hernia
(
CDH
)
have
high
rates
of
mortality
and
long
-term
morbidity
,
including
poor
growth
and
failure
to
thrive
.
The
aim
of
this
study
was
to
describe
growth
patterns
during
the
first
year
of
life
in
infants
with
congenital
diaphragmatic
hernia
in
a
non-
ECMO
cohort
.
Medical
records
of
infants
with
CDH
admitted
to
our
center
between
January
2005
and
December
2011
were
reviewed
.
Infants
with
anthropometric
measurements
at
3
,
6
and
12
months
were
included
.
Anthropometric
measurements
were
obtained
for
the
first
year
of
life
.
Logistic
regression
analyses
were
performed
to
find
predictive
associations
with
failure
to
thrive
(
FTT
)
.
Of
the
45
survivors
,
38
were
seen
twice
(
84
%
)
and
24
(
53
%
)
were
seen
on
three
occasions
to
age
12
months
.
Poor
growth
was
observed
with
weight
being
most
affected
.
FTT
was
present
in
63
%
during
the
first
six
months
of
life
.
Days
of
mechanical
ventilation
were
the
only
predictor
of
FTT
.
Besides
poor
weight
gain
,
height
and
head
circumference
were
also
reduced
.
However
,
catch-up
growth
occurred
during
the
second
half
of
infancy
and
at
age
12
months
failure
to
thrive
had
reduced
by
two
thirds
to
21
%
.
Poor
growth
is
a
common
early
finding
in
CDH
patients
,
which
improves
during
infancy
.
This
emphasizes
the
importance
of
close
follow-up
and
aggressive
nutritional
management
in
CDH
patients
.
Diseases
Validation
Diseases presenting
"high rates"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
carcinoma of the gallbladder
congenital diaphragmatic hernia
congenital toxoplasmosis
cowden syndrome
cystinuria
dracunculiasis
dystrophic epidermolysis bullosa
locked-in syndrome
pyomyositis
von hippel-lindau disease
x-linked adrenoleukodystrophy
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