Approaching the diagnosis of growth-restricted neonates: a cohort study.

BMC Pregnancy and Childbirth
Popi Sifianou

Abstract

The consequences of in utero growth restriction have been attracting scholarly attention for the past two decades. Nevertheless, the diagnosis of growth-restricted neonates is as yet an unresolved issue. Aim of this study is the evaluation of the performance of simple, common indicators of nutritional status, which are used in the identification of growth-restricted neonates. In a cohort of 418 consecutively born term and near term neonates, four widely used anthropometric indices of body proportionality and subcutaneous fat accretion were applied, singly and in combination, as diagnostic markers for the detection of growth-restricted babies. The concordance of the indices was assessed in terms of positive and negative percent agreement and of Cohen's kappa. The agreement between the anthropometric indices was overall poor with a highest positive percent agreement of 62.5% and a lowest of 27.9% and the kappa ranging between 0.19 and 0.58. Moreover, 6% to 32% of babies having abnormal values in just one index were apparently well-grown and the median birth weight centile of babies having abnormal values of either of two indices was found to be as high as the 46th centile for gestational age (95%CI 35.5 to 60.4 and 29.8 to 63.9, ...Continue Reading

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Citations

Sep 7, 2012·Growth Hormone & IGF Research : Official Journal of the Growth Hormone Research Society and the International IGF Research Society·Popi Sifianou, Dimitris Zisis
Oct 17, 2013·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Carolyn M Allen, Sandra A Founds
May 13, 2011·Early Human Development·Popi SifianouHelen Karga
Oct 18, 2015·American Journal of Obstetrics and Gynecology·Meng Yuan ZhuMike Seed
Nov 7, 2015·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·S Martínez-NadalP Sala
Feb 7, 2019·Ultrasound Quarterly·Theodore J DubinskyMariam Moshiri

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