Factors that Influence Longitudinal Growth from Birth to 18 Months of Age in Infants with Gastroschisis
| Autor: | Jacqueline Wessel, Stephanie L. Merhar, Eric S. Hall, Paul S. Kingma, Nitya Nair |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Day of life Nutritional Status Gestational Age Weight Gain 03 medical and health sciences 0302 clinical medicine Weight loss 030225 pediatrics Humans Medicine Longitudinal Studies Growth Disorders Gastroschisis 030219 obstetrics & reproductive medicine Nutritional Support business.industry Obstetrics Body Weight Longitudinal growth Infant Newborn Infant Obstetrics and Gynecology Gestational age After discharge medicine.disease Body Height Optimal management Pediatrics Perinatology and Child Health Female medicine.symptom Energy Intake business Weight gain Infant Premature |
| Zdroj: | American Journal of Perinatology. 37:1438-1445 |
| ISSN: | 1098-8785 0735-1631 |
| DOI: | 10.1055/s-0039-1693988 |
| Popis: | Objective This study aimed to investigate factors that influence growth in infants with gastroschisis. Study Design Growth parameters at birth, discharge, 6, 12, and 18 months of age were collected from 42 infants with gastroschisis. Results The mean z-scores for weight, length, and head circumference were below normal at birth and decreased between birth and discharge. Lower gestational age correlated with a worsening change in weight z-score from birth to discharge (rho 0.38, p = 0.01), but not with the change in weight z-score from discharge to 18 months (rho 0.04, p = 0.81). There was no correlation between the day of life when the enteral feeds were started and the change in weight z-score from birth to discharge (rho 0.12, p = 0.44) or discharge to 18 months (rho −0.15, p = 0.41). Conclusion Our study demonstrates that infants with gastroschisis experience a significant decline in weight z-score between birth and discharge, and start to catch up on all growth parameters after discharge. Prematurity in gastroschisis infants is associated with a greater risk for weight loss during this time. This information emphasizes the importance of minimizing weight loss prior to discharge in premature infants with gastroschisis and highlights the need for optimal management strategies for these infants. |
| Databáze: | OpenAIRE |
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