Weight Gain in FTT Population Post RD Intervention

Abstract

Three months of outcome data on failure to thrive patients demonstrated the positive effects of intervention by an RD via improved weight status. All patients included in the study had to meet the criteria: 1) have a primary diagnosis of FTT, and 2) must be free from other diseases that have an impact on weight Within the data collection period 8/13/98-11/17/98,12 subjects met this criteria, to include 4 females and 8 males. Subjects ranged in age from 14 months to 9 years of age. The primary interventions provided to the subjects during the visit were nutritional counseling and medical intervention to rule out any organic causes for FTT. Weight information prior to the visit was obtained from the patient's medical record. Each patient's care giver was counseled for a 20-30minute period of time using an individualized education approach appropriate for the age of the patient The mam outcome, growth, was measured by weighing the child and converting to a percentage of expected weight gain based on Foman's expected weight gain for age data. Descriptive statistics to include percent of net change in weight were derived from this data. The z score was calculated to assess discrete changes in growth. Comparing baseline to post RD intervention data the percentage of children exhibiting > 100% of expected growth (catch up growth) improved from 16.7% (2/12) to 58.3% (7/12). The patients exhibiting weight gain of 50-100% of expected growth changed from 41.7% (5/12) to 16.7% (2/12). The patients exhibiting weight gain of 50% or less of expected growth changed from 33.3% (4/12) to 25% (3/12). The z score statistical analysis demonstrated that 75% (9/12) of patients experienced an improvement in weight status (z score increased post intervention.) The results illustrate a marked increase in the number of patients experiencing catch up growth (>100% of expected), as well as an increase in z score, a sensitive monitor of discrete weight changes. The integral role of RD intervention in the FTT population can be defined not only as improvement in patient care, but also as a significant cost savings per case. The ADA has derived that upwards of $13,758 can be saved when the complications of Pediatric FTT ( hospitalizations, and resulting mental and physical retardation) are treated.