Achievement of maturational milestones among very low birth weight infants.

Autor: Sullivan BA; Department of Pediatrics, Division of Neonatology, University of Virginia School of Medicine, Charlottesville, VA, USA., Slevin CC; University of Virginia School of Medicine, Charlottesville, VA, USA., Ahmad SM; University of Virginia School of Medicine, Charlottesville, VA, USA., Sinkin RA; Department of Pediatrics, Division of Neonatology, University of Virginia School of Medicine, Charlottesville, VA, USA., Fairchild KD; Department of Pediatrics, Division of Neonatology, University of Virginia School of Medicine, Charlottesville, VA, USA.
Jazyk: angličtina
Zdroj: Journal of neonatal-perinatal medicine [J Neonatal Perinatal Med] 2022; Vol. 15 (1), pp. 155-163.
DOI: 10.3233/NPM-200698
Abstrakt: Background: Very low birth weight (VLBW) infants must achieve several maturational milestones to be discharged home from the NICU.
Objective: Describe the timing of maturational milestones in VLBW infants and the impact of clinical variables and milestone achievement on postmenstrual age (PMA) at discharge.
Methods: For VLBW infants without severe lung disease discharged home from a level IV NICU, we assessed PMA at the achievement of thermoregulation, cardiorespiratory stability, feeding, and discharge.
Results: In 400 infants (median GA 28.4 weeks), lower birth weight, white race, and having multiple comorbidities of prematurity predicted later discharge PMA. The most common milestone sequence was CPAP discontinuation, caffeine discontinuation, thermoregulation, apnea resolution, and full oral feeds. PMA at apnea resolution and full oral feeds correlated highly with discharge PMA.
Conclusions: In a single-center VLBW cohort, comorbidities of prematurity impacted the timing of NICU discharge through delay in oral feeding and cardiorespiratory stability.
Databáze: MEDLINE
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