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A Multifaceted Intervention for Infants With Failure to Thrive

Robert J. Karp, MD; Stephen Wadowski, MD
Arch Pediatr Adolesc Med. 1995;149(9):1039-1040. doi:10.1001/archpedi.1995.02170220105020.
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The study by Casey and colleagues1 published in the October 1994 issue of the Archives compared outcomes for 64 low-birth-weight or premature infants who received subsequent diagnoses of failure to thrive (FTT) with those of 102 infants with similar diagnoses who were provided with careful pediatric management without intervention. Both groups of children were from an initial pool of 985 children. The authors made an important observation showing that an intense, interactive intervention program substantially and significantly improved developmental (IQ) scores in the study group when measured at 36 months of age. Moreover, the better the compliance with the intervention, the better the IQ scores and a measure of child behavior were. "Conversely," they report, "there seemed to be little effect of this intervention on the incidence of FTT." The authors do note differences in growth (significant for length) among children within the study group whose parents were more


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