Journal article
Inadequate oral feeding as a barrier to discharge in moderately preterm infants
Journal of perinatology, Vol.39(9), pp.1219-1228
09/2019
DOI: 10.1038/s41372-019-0422-x
PMCID: PMC7246972
PMID: 31296918
Abstract
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.
Details
- Title: Subtitle
- Inadequate oral feeding as a barrier to discharge in moderately preterm infants
- Creators
- Laura Edwards - Duke UniversityC Michael Cotten - Duke UniversityP Brian Smith - Duke UniversityRonald Goldberg - Duke UniversityShampa Saha - RTI InternationalAbhik Das - RTI InternationalAbbot R Laptook - Women & Infants Hospital of Rhode IslandBarbara J Stoll - Children's Healthcare of AtlantaEdward F Bell - University of IowaWaldemar A Carlo - University of Alabama at BirminghamCarl T D'Angio - University of RochesterSara B DeMauro - Children's Hospital of PhiladelphiaPablo J Sanchez - Nationwide Children's HospitalSeetha Shankaran - Wayne State UniversityKrisa P Van Meurs - Lucile Packard Children's HospitalBetty R Vohr - Women & Infants Hospital of Rhode IslandMichele C Walsh - Case Western Reserve UniversityWilliam F Malcolm - Duke UniversityEunice Kennedy Shriver National Institute of Child Health and Human Development
- Resource Type
- Journal article
- Publication Details
- Journal of perinatology, Vol.39(9), pp.1219-1228
- DOI
- 10.1038/s41372-019-0422-x
- PMID
- 31296918
- PMCID
- PMC7246972
- NLM abbreviation
- J Perinatol
- ISSN
- 0743-8346
- eISSN
- 1476-5543
- Grant note
- UL1 TR003142 / NCATS NIH HHS UG1 HD053089 / NICHD NIH HHS UL1 TR000006 / NCATS NIH HHS UG1 HD027904 / NICHD NIH HHS UL1 TR000041 / NCATS NIH HHS UL1 TR000442 / NCATS NIH HHS M01 RR000080 / NCRR NIH HHS U10 HD021373 / NICHD NIH HHS U10 HD040492 / NICHD NIH HHS U10 HD068244 / NICHD NIH HHS U10 HD036790 / NICHD NIH HHS U10 HD068270 / NICHD NIH HHS U10 HD053089 / NICHD NIH HHS U10 HD040689 / NICHD NIH HHS U10 HD027904 / NICHD NIH HHS UG1 HD068263 / NICHD NIH HHS UL1 TR002489 / NCATS NIH HHS U10 HD053109 / NICHD NIH HHS UL1 TR001449 / NCATS NIH HHS UL1 TR000454 / NCATS NIH HHS U10 HD027856 / NICHD NIH HHS U10 HD027880 / NICHD NIH HHS U10 HD027853 / NICHD NIH HHS U10 HD021364 / NICHD NIH HHS U10 HD068278 / NICHD NIH HHS U10 HD068284 / NICHD NIH HHS U10 HD027851 / NICHD NIH HHS UL1 TR000077 / NCATS NIH HHS UG1 HD068270 / NICHD NIH HHS U10 HD034216 / NICHD NIH HHS UL1 TR001111 / NCATS NIH HHS UL1 TR000042 / NCATS NIH HHS UL1 TR001117 / NCATS NIH HHS U10 HD021385 / NICHD NIH HHS UG1 HD034216 / NICHD NIH HHS U10 HD068263 / NICHD NIH HHS UL1 TR000093 / NCATS NIH HHS UG1 HD027856 / NICHD NIH HHS
- Language
- English
- Date published
- 09/2019
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology
- Record Identifier
- 9984353828602771
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