![]() It appears mainly in 1–2-year-old children but can occur at any time during childhood. Supporting definitions includes weight for length below the 5th percentile body mass index for age below the 5th percentile or a sustained drop in growth velocity, in which weight for age or weight for length/height decreases by two major percentiles (percentile markers 95th, 90th, 75th, 50th, 25th, 10th, and 5th) over time. The term “failure to thrive” (FTT) is often used for infants and children with weight below the 5th percentile according to gender and age however, there is no objective consensus on its definition. It was cost-effective to avoid unnecessary blood test or consultations in most non-organic diagnoses. The flow chart we presented was accurate for diagnosing children with failure to thrive in a hospital setting and distinct organic and non-organic forms. Most patients with non-organic forms (88%) did not undergo in-depth blood test or specialist advice. Age at diagnosis and Z-score weight were lower in organic than in non-organic forms. Patients with organic failure to thrive had significantly lower gestational age and birth weight. Gastrointestinal and genetic diagnoses were the most frequent. ResultsĪmong the 74 subjects included in the study, the diagnosis of organic failure to thrive was reached by 42%. ![]() The pediatricians used a practical flow chart, took the medical history, created a growth chart, performed clinical examinations, and requested blood test and consultations in a step by step approach. MethodsĬonduct a prospective single-center study in children up to 2 years of age with growth faltering. By this study we evaluate the application of a cost-effective flow chart that helps the clinician in a hospital setting discern accurately organic and non-organic failure to thrive. ![]() Malnutrition or inadequate caloric intake is the most common cause, while organic form is unlikely in children who are asymptomatic and healthy on examination. Failure to thrive is a common reason for referral to paediatric services.
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