1. Postnatal weight gain in preterm infants with severe bronchopulmonary dysplasia.
- Author
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Natarajan G, Johnson YR, Brozanski B, Farrow KN, Zaniletti I, Padula MA, Asselin JM, Durand DJ, Short BL, Pallotto EK, Dykes FD, Reber KM, Evans JR, and Murthy K
- Subjects
- Bronchopulmonary Dysplasia complications, Bronchopulmonary Dysplasia therapy, Female, Humans, Infant, Newborn, Infant, Premature, Male, Retrospective Studies, Tracheostomy, Bronchopulmonary Dysplasia physiopathology, Growth Disorders etiology, Weight Gain
- Abstract
Objectives: To characterize postnatal growth failure (PGF), defined as weight < 10th percentile for postmenstrual age (PMA) in preterm (≤ 27 weeks' gestation) infants with severe bronchopulmonary dysplasia (sBPD) at specified time points during hospitalization, and to compare these in subgroups of infants who died/underwent tracheostomy and others., Study Design: Retrospective review of data from the multicenter Children's Hospital Neonatal Database (CHND)., Results: Our cohort (n = 375) had a mean ± standard deviation gestation of 25 ± 1.2 weeks and birth weight of 744 ± 196 g. At birth, 20% of infants were small for gestational age (SGA); age at referral to the CHND neonatal intensive care unit (NICU) was 46 ± 50 days. PGF rates at admission and at 36, 40, 44, and 48 weeks' PMA were 33, 53, 67, 66, and 79% of infants, respectively. Tube feedings were administered to > 70% and parenteral nutrition to a third of infants between 36 and 44 weeks' PMA. At discharge, 34% of infants required tube feedings and 50% had PGF. A significantly greater (38 versus 17%) proportion of infants who died/underwent tracheostomy (n = 69) were SGA, compared with those who did not (n = 306; p < 0.01)., Conclusions: Infants with sBPD commonly had progressive PGF during their NICU hospitalization. Fetal growth restriction may be a marker of adverse outcomes in this population., (Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.)
- Published
- 2014
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