Adjustable feedings plus accurate serial length measurements decrease discharge weight-length disproportion in very preterm infants: quality improvement project.
Body Height
Body Mass Index
Body Weight
Feeding Methods
Female
Humans
Infant
Infant, Extremely Premature
/ growth & development
Infant, Newborn
Infant, Premature
/ growth & development
Infant, Very Low Birth Weight
/ growth & development
Intensive Care Units, Neonatal
Leptin
/ blood
Male
Quality Improvement
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
received:
16
02
2019
accepted:
26
05
2019
revised:
05
05
2019
pubmed:
3
7
2019
medline:
30
5
2020
entrez:
3
7
2019
Statut:
ppublish
Résumé
Preterm very-low-birth-weight (≤1500 g) infants exhibit disproportionate weight-for-length growth in the Neonatal Intensive Care Unit. High frequency of body mass index (BMI) > 90th centile at discharge and 1-year postnatal age associated with elevated blood pressure and serum leptin in infancy and adolescence. Single-institution quality improvement project in appropriately grown infants born at 23 Adjustable feeding protocol based on valid serial length measurements (board or caliper). The average monthly percentage of weight-for-length disproportion at discharge decreased from 13% in Epoch 1 to 0% in Epoch 2 (P < 0.05). Although the average Z-score for BMI at discharge was lower in Epoch 2 versus Epoch 1 (P < 0.01), this was absent by 1 year follow-up (P = 0.91). Adjustable feedings plus use of accurate serial length measurements decreases weight-for-length disproportion at hospital discharge but not at 1 year.
Sections du résumé
BACKGROUND
BACKGROUND
Preterm very-low-birth-weight (≤1500 g) infants exhibit disproportionate weight-for-length growth in the Neonatal Intensive Care Unit.
LOCAL PROBLEM
OBJECTIVE
High frequency of body mass index (BMI) > 90th centile at discharge and 1-year postnatal age associated with elevated blood pressure and serum leptin in infancy and adolescence.
METHODS
METHODS
Single-institution quality improvement project in appropriately grown infants born at 23
INTERVENTION
METHODS
Adjustable feeding protocol based on valid serial length measurements (board or caliper).
RESULTS
RESULTS
The average monthly percentage of weight-for-length disproportion at discharge decreased from 13% in Epoch 1 to 0% in Epoch 2 (P < 0.05). Although the average Z-score for BMI at discharge was lower in Epoch 2 versus Epoch 1 (P < 0.01), this was absent by 1 year follow-up (P = 0.91).
CONCLUSIONS
CONCLUSIONS
Adjustable feedings plus use of accurate serial length measurements decreases weight-for-length disproportion at hospital discharge but not at 1 year.
Identifiants
pubmed: 31263201
doi: 10.1038/s41372-019-0424-8
pii: 10.1038/s41372-019-0424-8
doi:
Substances chimiques
Leptin
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1131-1139Commentaires et corrections
Type : ErratumIn