{Reference Type}: Journal Article {Title}: A clinical consensus guideline for nutrition in infants with congenital diaphragmatic hernia from birth through discharge. {Author}: 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; {Journal}: J Perinatol {Volume}: 44 {Issue}: 5 {Year}: 2024 May 16 {Factor}: 3.225 {DOI}: 10.1038/s41372-024-01965-9 {Abstract}: OBJECTIVE: To develop a consensus guideline to meet nutritional challenges faced by infants with congenital diaphragmatic hernia (CDH).
METHODS: 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.