Risk factors associated with growth failure in the follow-up of very low birth weight newborns

Autor: Milene M.S. Rover, Cláudia S. Viera, Rita C. Silveira, Ana T.B. Guimarães, Sabrina Grassiolli
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Jornal de Pediatria, Vol 92, Iss 3, Pp 307-313 (2016)
Druh dokumentu: article
ISSN: 0021-7557
DOI: 10.1016/j.jped.2015.09.006
Popis: Objective: To determine risk factors during neonatal hospital stay and follow-up associated with failure to thrive in the first year of life of very low birth weight newborns. Methods: Study of preterm very low birth weight newborns followed from 2006 to 2013 in a public institutional hospital program. The study included newborns that attended at least one appointment in each of the three periods: Period I, up to 3 months of corrected age (CA); Period II, 4–6 months of CA; and Period III, 7–12 months of CA. The variables were analyzed by logistic regression with XLSTAT 2014 software (Microsoft®, WA, USA). Failure to thrive (Z-score below −2 SD) was classified as a dichotomous dependent variable (0 – failure/1 – success), while the other variables were classified as explanatory variables for the hospitalization periods and for each of the follow-up periods (I, II, and III). Results: Children born adequate for gestational age increased the chance of Z-score for weight at discharge > −2 SD (OR = 10.217; 95% CI: 1.117–93.436). Metabolic bone disease and retinopathy of prematurity in Period I, as well as hospital readmissions in Periods II and III during follow-up increased the chance of Z-score
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