Wright C, Avery A, Epstein M, Birks E, Croft D
Community Child Health Unit, Newcastle University.
Arch Dis Child. 1998 Jan;78(1):40-3. doi: 10.1136/adc.78.1.40.
A new chart was designed to aid accurate identification of weight faltering and failure to thrive. It provides guidance on the lower limits of expected weight gain for children, whatever their initial centile position. The chart's theoretical basis, the process of its construction, and its evaluation are described in this paper. Evaluation was by a self completion questionnaire, where respondents answered questions about a range of standardised growth patterns, plotted on old and new charts. Forty five health visitors, 28 general practitioner principals and registrars, and nine community paediatricians provided 328 chart ratings. These showed that the new format significantly increased the proportion of correctly rated charts (old: 45 (28%); new: 82 (51%)), with the greatest impact in severe cases. This suggests that the new chart improves the precision of judgments made about weight gain in infancy.
设计了一种新图表，以帮助准确识别体重增长缓慢和发育不良。它为儿童预期体重增加的下限提供了指导，无论其最初的百分位数位置如何。本文描述了该图表的理论基础、构建过程及其评估。评估采用自我完成问卷的方式，受访者回答有关一系列标准化生长模式的问题，并绘制在新旧图表上。45名健康访视员、28名全科医生负责人和注册医生以及9名社区儿科医生提供了328份图表评分。结果表明，新格式显著提高了正确评分图表的比例（旧图表：45份（28%）；新图表：82份（51%）），在严重病例中影响最大。这表明新图表提高了对婴儿期体重增加判断的准确性。
