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Failure to ThriveAka: FTT

See Also
1. Delayed Growth
Definition
1. Weight below 3% or 2 major percentile lines crossed
  1. Growth may be adequate for genetic predisposition
  2. Interpret trends (3% is ok if always at 3%)
  3. Consider using modified growth charts
    1. Prematurity
    2. Ethnicity
    3. Down's Syndrome
2. Length and Head Circumference affected in severe cases
Epidemiology
1. Incidence
  1. Hospitalized children <2 years: 1-5%
  2. Families with Medical, Psychosocial problems: 10%
Causes
1. Failure to Thrive Causes
Evaluation
1. See Failure to Thrive Evaluation
2. See Growth Assessment
Management
1. See Failure to Thrive Management
Prognosis
1. Nonorganic Failure to thrive risks poor outcomes
  1. Risk of cognitive delay and school difficulty
    1. Lower Wechsler Intelligence Scale for Children
    2. Poorer language development and reading skills
  2. Social immaturity
    1. More frequent behavior problems
2. References
  1. Oates (1985) Pediatrics 75:36

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.