Consensus Based Definition of Growth Restriction in the Newborn
Consensus Based Definition of Growth Restriction in the Newborn
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DOI：
10.1016/j.jpeds.2017.12.059
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发表时间：
2018-05-01
影响因子：
5.1
通讯作者：
Gordijn, Sanne J.
中科院分区：
文献类型：
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作者：
Beune, Irene M.;Bloomfield, Frank H.;Gordijn, Sanne J.
目的制定一个共识的定义，在新生儿的生长受限，可用于临床识别新生儿的风险和研究，以协调报告和定义在目前缺乏一个金standard.Study设计一个国际小组的儿科领导人在该领域的新生儿生长被邀请参加一个电子德尔菲程序使用标准化的方法和预定义的共识规则。在小组一级反馈了答复，并提供了与会者名单。无应答者被排除在后续轮次之外。在第一轮中，变量采用5分制李克特量表评分;在随后的几轮中，以70%的一致率确定变量的纳入和临界值。结果共有57名专家参加了第一轮的测试，其中79%的专家完成了测试。就以下定义达成共识：出生体重低于第三百分位数，或以下三项中的三项：出生体重
Objective To develop a consensus definition of growth restriction in the newborn that can be used clinically to identify newborn infants at risk and in research to harmonize reporting and definition in the current absence of a gold standard.Study design An international panel of pediatric leaders in the field of neonatal growth were invited to participate in an electronic Delphi procedure using standardized methods and predefined consensus rules. Responses were fed back at group-level and the list of participants was provided. Nonresponders were excluded from subsequent rounds. In the first round, variables were scored on a 5-point Likert scale; in subsequent rounds, inclusion of variables and cut-offs were determined with a 70% level of agreement. In the final round participants selected the ultimate algorithm.Results In total, 57 experts participated in the first round; 79% completed the procedure. Consensus was reached on the following definition: birth weight less than the third percentile, or 3 out of the following: birth weight