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AAP Grand Rounds 3:59 (2000)
© 2000 American Academy of Pediatrics

CHILDREN WITH DISABILITIES

Using Growth Charts: A Routine Overlooked?

Source: Chen RS, Shiffman RN. Assessing growth patterns—routine but sometimes overlooked. Clin Pediatr. 2000;39:97–102.

The first 20% of the full text of this article appears below.

At Yale-NewHaven’s pediatric primary care department, charts from 163 well-child visits (during September and April to balance resident experience) were reviewed for standard growth measurements (height, weight, head circumference) plotted on a growth chart and growth problems noted. In this setting, the growth measurements were performed and recorded by nurses and nursing assistants, while the pediatric residents/nurse practitioners were expected to plot them at each encounter and record relevant interpretations. For the 147 visits that fit study parameters, at least 1 growth measure went unplotted for 21% of visits; 22 of 65 clinicians (34%) failed . . . [Full Text of this Article]

Pasquale Accardo, MD, FAAP
Department of Pediatrics, New York Medical College, Valhalla, NY