Growth failure of very low birth weight infants during the first 3 years: A Korean neonatal network
We aimed to evaluate risk factors for growth failure in very low birth weight (VLBW) infants at 18–24 months of corrected age (follow-up1, FU1) and at 36 months of age (follow-up2, FU2). In this prospective cohort study, a total of 2,943 VLBW infants from the Korean Neonatal Network between 2013 and...
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2021
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oai:doaj.org-article:12471ee5bf414500af6f50b6811956c82021-11-04T06:49:33ZGrowth failure of very low birth weight infants during the first 3 years: A Korean neonatal network1932-6203https://doaj.org/article/12471ee5bf414500af6f50b6811956c82021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553165/?tool=EBIhttps://doaj.org/toc/1932-6203We aimed to evaluate risk factors for growth failure in very low birth weight (VLBW) infants at 18–24 months of corrected age (follow-up1, FU1) and at 36 months of age (follow-up2, FU2). In this prospective cohort study, a total of 2,943 VLBW infants from the Korean Neonatal Network between 2013 and 2015 finished follow-up at FU1. Growth failure was defined as a z-score below -1.28. Multiple logistic regression was used to analyze risk factors for growth failure after dividing the infants into small for gestational age (SGA) and appropriate for gestational age (AGA) groups. Overall, 18.7% of infants were SGA at birth. Growth failure was present in 60.0% at discharge, 20.3% at FU1, and 35.2% at FU2. Among AGA infants, male sex, growth failure at discharge, periventricular leukomalacia, treatment of retinopathy of prematurity, ventriculoperitoneal shunt status and treatment of rehabilitation after discharge were independent risk factors for growth failure at FU1. Among SGA infants, lower birth weight, pregnancy-induced hypertension, and treatment of rehabilitation after discharge were independent risk factors for growth failure at FU1. Mean weight z-score graphs from birth to 36 month of age revealed significant differences between SGA and non-SGA and between VLBW infants and extremely low birth weight infants. Growth failure remains an issue, and VLBW infants with risk factors should be closely checked for growth and nutrition.Joohee LimSo Jin YoonJeong Eun ShinJung Ho HanSoon Min LeeHo Seon EunMin Soo ParkKook In ParkPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10 (2021) |
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Medicine R Science Q Joohee Lim So Jin Yoon Jeong Eun Shin Jung Ho Han Soon Min Lee Ho Seon Eun Min Soo Park Kook In Park Growth failure of very low birth weight infants during the first 3 years: A Korean neonatal network |
description |
We aimed to evaluate risk factors for growth failure in very low birth weight (VLBW) infants at 18–24 months of corrected age (follow-up1, FU1) and at 36 months of age (follow-up2, FU2). In this prospective cohort study, a total of 2,943 VLBW infants from the Korean Neonatal Network between 2013 and 2015 finished follow-up at FU1. Growth failure was defined as a z-score below -1.28. Multiple logistic regression was used to analyze risk factors for growth failure after dividing the infants into small for gestational age (SGA) and appropriate for gestational age (AGA) groups. Overall, 18.7% of infants were SGA at birth. Growth failure was present in 60.0% at discharge, 20.3% at FU1, and 35.2% at FU2. Among AGA infants, male sex, growth failure at discharge, periventricular leukomalacia, treatment of retinopathy of prematurity, ventriculoperitoneal shunt status and treatment of rehabilitation after discharge were independent risk factors for growth failure at FU1. Among SGA infants, lower birth weight, pregnancy-induced hypertension, and treatment of rehabilitation after discharge were independent risk factors for growth failure at FU1. Mean weight z-score graphs from birth to 36 month of age revealed significant differences between SGA and non-SGA and between VLBW infants and extremely low birth weight infants. Growth failure remains an issue, and VLBW infants with risk factors should be closely checked for growth and nutrition. |
format |
article |
author |
Joohee Lim So Jin Yoon Jeong Eun Shin Jung Ho Han Soon Min Lee Ho Seon Eun Min Soo Park Kook In Park |
author_facet |
Joohee Lim So Jin Yoon Jeong Eun Shin Jung Ho Han Soon Min Lee Ho Seon Eun Min Soo Park Kook In Park |
author_sort |
Joohee Lim |
title |
Growth failure of very low birth weight infants during the first 3 years: A Korean neonatal network |
title_short |
Growth failure of very low birth weight infants during the first 3 years: A Korean neonatal network |
title_full |
Growth failure of very low birth weight infants during the first 3 years: A Korean neonatal network |
title_fullStr |
Growth failure of very low birth weight infants during the first 3 years: A Korean neonatal network |
title_full_unstemmed |
Growth failure of very low birth weight infants during the first 3 years: A Korean neonatal network |
title_sort |
growth failure of very low birth weight infants during the first 3 years: a korean neonatal network |
publisher |
Public Library of Science (PLoS) |
publishDate |
2021 |
url |
https://doaj.org/article/12471ee5bf414500af6f50b6811956c8 |
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