Inadequate oral feeding as a barrier to discharge in moderately preterm infants
| Autor: | Shampa Saha, Ronald N. Goldberg, Pablo J. Sánchez, Edward F. Bell, Laura F. Edwards, Abhik Das, C. Michael Cotten, Barbara J. Stoll, Seetha Shankaran, Waldemar A. Carlo, Michele C. Walsh, P. Brian Smith, Betty R. Vohr, Sara B. DeMauro, Carl T. D'Angio, William F. Malcolm, Abbot R. Laptook, Krisa P. Van Meurs |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Logistic regression Article Feeding Methods Sepsis 03 medical and health sciences 0302 clinical medicine Feeding behavior 030225 pediatrics medicine Humans Prospective Studies 030212 general & internal medicine Prospective cohort study Respiratory Distress Syndrome Newborn business.industry Infant Newborn Postmenstrual Age Infant Obstetrics and Gynecology Feeding Behavior medicine.disease Patient Discharge Bottle Feeding Breast Feeding Logistic Models Pediatrics Perinatology and Child Health Female Outcomes research Energy Intake business Breast feeding Infant Premature Oral feeding |
| Zdroj: | J Perinatol |
| ISSN: | 1476-5543 0743-8346 |
| Popis: | The objectives describe the frequency that inadequate oral feeding (IOF) is the reason why moderately preterm (MPT) infants remain hospitalized and its association with neonatal morbidities. Prospective study using the NICHD Neonatal Research Network MPT Registry. Multivariable logistic regression was used to describe associations between IOF and continued hospitalization at 36 weeks postmenstrual age (PMA). A total of 6017 MPT infants from 18 centers were included. Three-thousand three-seventy-six (56%) remained hospitalized at 36 weeks PMA, of whom 1262 (37%) remained hospitalized due to IOF. IOF was associated with RDS (OR 2.02, 1.66–2.46), PDA (OR 1.86, 1.37–2.52), sepsis (OR 2.36, 95% 1.48–3.78), NEC (OR 16.14, 7.27–35.90), and BPD (OR 3.65, 2.56–5.21) compared to infants discharged and was associated with medical NEC (OR 2.06, 1.19–3.56) and BPD (OR 0.46, 0.34–0.61) compared to infants remaining hospitalized for an alternative reason. IOF is the most common barrier to discharge in MPT infants, especially among those with neonatal morbidities. |
| Databáze: | OpenAIRE |
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