The impact of implementation of oral dextrose gel on the incidence of multiple hypoglycemia events in the well newborn nursery.

Autor: Vaidyanathan L; Department of Pediatrics, Dell Medical School, The University of Texas at Austin, Austin, TX, USA. lakshmy.vaidyanathan@pediatrix.com.; Pediatrix, Sunrise, FL, USA. lakshmy.vaidyanathan@pediatrix.com., Reid D; Pediatrix, Sunrise, FL, USA., Yuan Y; Department of Pediatrics, Dell Medical School, The University of Texas at Austin, Austin, TX, USA., Groves A; Department of Pediatrics, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.; Pediatrix, Sunrise, FL, USA.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2024 Nov; Vol. 44 (11), pp. 1635-1639. Date of Electronic Publication: 2024 Jun 26.
DOI: 10.1038/s41372-024-02032-z
Abstrakt: Objective: Evaluate the impact of 40% oral dextrose gel (DG) for management of neonatal hypoglycemia (NH) on the incidence of multiple hypoglycemic events in the well-baby nursery.
Study Design: A retrospective chart review of 738 at-risk infants in 2 cohorts before (Cohort 1) and after (Cohort 2) DG implementation. Primary outcome was the incidence of ≥2 hypoglycemic episodes. Secondary outcomes were number of lowest median glucose level, and incidence of NICU admission.
Results: There were 384 and 354 at-risk newborns in Cohorts 1 & 2. The incidence of developing ≥2 hypoglycemia episodes significantly decreased following DG implementation [62(42.5%) vs 29(25.9%), p = 0.0058]. There were no differences in lowest glucose level [37 (14-45) vs 37 (10-45), p = 0.31], and NICU admission rate [31 (21.2%) vs 21 (18.8%), p = 0.62].
Conclusions: Implementation of DG lowers the incidence of subsequent hypoglycemia episodes.
(© 2024. The Author(s), under exclusive licence to Springer Nature America, Inc.)
Databáze: MEDLINE
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