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September 1995, Vol 149, No. 9 >
Article | September 1995

A Multifaceted Intervention for Infants With Failure to Thrive-Reply FREE

Patrick Casey, MD; Kelly J. Kellener, MD, MPH; Robert H. Bradley, PhD; Kimberlea W. Kellogg, MBA; Russell S. Kirby, PhD, MS; Leanne Whiteside, MS
Arch Pediatr Adolesc Med. 1995;149(9):1041. doi:10.1001/archpedi.1995.02170220105021.
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Drs Karp and Wadoski do not appear to dispute the major findings of our recent publication; rather, they attempt to explain why the Infant Health and Development Program intervention failed to decrease the incidence of FTT in this low-birth-weight (LBW) population.1 This occurred, they believe, because most of the subjects did not in fact have FTT and also because nutrition was not a major factor in influencing growth in these infants.

Regarding the diagnosis of FTT in our subjects, Drs Karp and Wadoski are unhappy with our case definition. Because of the absence of a uniformly accepted definition of FTT in the clinical and research literature, we developed a case definition that we believed was cautious in requiring (1) clinician identification, (2) documentation of low weight for gender and gestation-corrected age on more than one occasion, and (3) less than expected growth velocity. We stand by this

REFERENCES

1 +
Casey PH, Kelleher KJ, Bradley RH, Kellogg KW, Kirby RS, Whiteside L.  A multifaceted intervention for infants with failure to thrive: a prospective study . Arch Pediatr Adolesc Med . 1994;;148:1071-1077.
2 +
Hack M, Merkatz IR, McGrath SK, Jones PK, Fanaroff AA.  Catch-up growth in very-low-birth-weight infants . AJDC . 1984;;138:370-375.
3 +
Kelleher KJ, Casey PH, Bradley RH, et al.  Risk factors and outcomes for failure to thrive in low birth weight preterm infants . Pediatrics . 1993;;91:941-948.
4 +
Bradley RH, Whiteside L, Mundfrom DJ, Casey PH, Kelleher KJ, Pope SK.  Contribution of early intervention and early caregiving experiences to resilience in low-birthweight, premature children living in poverty . J Clin Child Psychiatry . 1994;;23:425-434.
5 +
Bradley RH, Whiteside L, Mundfrom DJ, Casey PH, Kelleher KJ, Pope SK.  Early indicators of resilience and their relation to experiences in the home environments of low birth weight, premature children living in poverty . Child Dev . 1994;;65:346-360.
6 +
Bithoney WG, Dubowitz HG.  Organic concomitants of nonorganic failure to thrive: implications for research . In: Drotar D, ed. New Directions in Failure to Thrive . New York, NY: Plenum Press; 1985;:47-56.
7 +
Casey PH.  Failure to thrive . In: Levine MD, Carey WB, Crocker AC, eds. Developmental-Behavioral Pediatrics . Philadelphia, Pa: WB Saunders Co; 1992;: 375-382.
8 +
Frank DA, Zeisel SH.  Failure to thrive . Pediatr Clin North Am . 1988;;35:1187-1206.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Casey PH, Kelleher KJ, Bradley RH, Kellogg KW, Kirby RS, Whiteside L.  A multifaceted intervention for infants with failure to thrive: a prospective study . Arch Pediatr Adolesc Med . 1994;;148:1071-1077.
2 +
Hack M, Merkatz IR, McGrath SK, Jones PK, Fanaroff AA.  Catch-up growth in very-low-birth-weight infants . AJDC . 1984;;138:370-375.
3 +
Kelleher KJ, Casey PH, Bradley RH, et al.  Risk factors and outcomes for failure to thrive in low birth weight preterm infants . Pediatrics . 1993;;91:941-948.
4 +
Bradley RH, Whiteside L, Mundfrom DJ, Casey PH, Kelleher KJ, Pope SK.  Contribution of early intervention and early caregiving experiences to resilience in low-birthweight, premature children living in poverty . J Clin Child Psychiatry . 1994;;23:425-434.
5 +
Bradley RH, Whiteside L, Mundfrom DJ, Casey PH, Kelleher KJ, Pope SK.  Early indicators of resilience and their relation to experiences in the home environments of low birth weight, premature children living in poverty . Child Dev . 1994;;65:346-360.
6 +
Bithoney WG, Dubowitz HG.  Organic concomitants of nonorganic failure to thrive: implications for research . In: Drotar D, ed. New Directions in Failure to Thrive . New York, NY: Plenum Press; 1985;:47-56.
7 +
Casey PH.  Failure to thrive . In: Levine MD, Carey WB, Crocker AC, eds. Developmental-Behavioral Pediatrics . Philadelphia, Pa: WB Saunders Co; 1992;: 375-382.
8 +
Frank DA, Zeisel SH.  Failure to thrive . Pediatr Clin North Am . 1988;;35:1187-1206.

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