ReviewFrontiers in pediatrics2026
Neonatal and pediatric nutritional care: a modified Delphi consensus on dietary management for infants with congenital heart disease in four Middle Eastern countries.
Review in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: In the absence of localized guidelines for the Middle East region, management of infant malnutrition secondary to congenital heart disease (CHD) can lead to suboptimal outcomes and may aggravate patient conditions. In this consensus document, we aimed to guide health care professionals on care pathways and establish regionally relevant recommendations for the nutritional assessment and management of infants with CHD. Methods: Fifteen experts from four Middle Eastern countries participated in a two-round modified Delphi process. The included statements were initially developed following a literature review and subsequently refined based on feedback from a steering committee of five experts preselected from the panelists' group for the first voting round. The second voting round, involving the other ten panelists, determined the final voting results. Follow-up discussions were utilized when needed. Consensus was predefined as ≥80% agreement, and statements meeting this threshold were included in the final document. Results: Consensus was reached with a total of 43 statements, representing 87.8% of the suggested statements. The consensus statements established essential components and cut-off points for diagnosing malnutrition, specified values for enteral and parenteral feeding, caloric and fluid requirements and management, feeding practices and use of formula, and care in acute and critical settings. The highest agreement level was associated with the perioperative nutrition recommendations, while nutritional support recommendations faced the largest variability in response. In the latter, areas where a heterogeneity in clinical practice was observed, reflected by the lack of consensus, were identified. Conclusion: This consensus document provides a general framework for the assessment, management, and follow-up of infants with CHD with compromised nutritional status in four Middle Eastern countries, bridging the gap between existing international guidelines and real-world clinical practice.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.