Growth monitoring: testing the new guidelines
Mulligan, J., Voss, L.D., McCaughey, E.S., Bailey, B.J.R. and Betts, P.R. (1998) Growth monitoring: testing the new guidelines. Archives of Disease in Childhood, 79, (4), 318-322.
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Description/Abstract
OBJECTIVE - To assess the impact of recent guidelines from the UK joint working party of child health surveillance recommending that all children be measured at age 5 and again between 7 and 9 years of age to determine how many normal school age children are likely to be referred for specialist assessment.
METHODS - The longitudinal data of 486 children measured by school nurses in a community setting were examined and compared with measurements made in a research setting by a single, skilled observer.
MAIN OUTCOME MEASURES - Number of children identified as having abnormal stature (< 0.4th or > 99.6th centile) and abnormal growth rate height standard deviation score (HSDS) change > 0.67).
RESULTS - The community survey identified seven (1.4%) children as having abnormal stature (four short, three tall), 11 (2.3%) were identified as "slow growing", and nine (1.9%) increased their HSDS by more than 0.67. These results were comparable to data collected in ideal research conditions.
CONCLUSIONS - Following the recommendations would not result in an excess number of inappropriate referrals. However, this study highlights several unresolved issues such as interobserver variablity and time interval between measurements. A large scale prospective study should be considered to establish realistic and cost-effective criteria before implementation of a national screening programme.
| Item Type: | Article |
|---|---|
| ISSNs: | 0003-9888 (print) |
| Related URLs: | |
| Subjects: | H Social Sciences > HA Statistics R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services R Medicine > RA Public aspects of medicine |
| Divisions: | University Structure - Pre August 2011 > School of Mathematics > Statistics University Structure - Pre August 2011 > School of Medicine |
| Item ID: | 30029 |
| Date Deposited: | 19 Mar 2007 |
| Last Modified: | 01 Jun 2011 06:36 |
| Contributors: | Mulligan, J. (Author) Voss, L.D. (Author) McCaughey, E.S. (Author) Bailey, B.J.R. (Author) Betts, P.R. (Author) |
| Date: | 1998 |
| Status: | Published |
| URI: | http://eprints.soton.ac.uk/id/eprint/30029 |
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