Prediction of Postnatal Growth Failure among Very Low Birth Weight Infants

Abstract Postnatal growth failure (PGF) in preterm infants remains an important clinical issue. In this study, we analysed the incidence of PGF among very low birth weight (VLBW) infants and evaluated the risk factors for PGF based on the data of 2799 VLBW infants obtained from the Korean Neonatal N...

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Autores principales:	Soon Min Lee, Namhyo Kim, Ran Namgung, Minsoo Park, Kookin Park, Jihyun Jeon
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2018
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bd33c1974b0440d9a809d3f2816c9e52
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spelling	oai:doaj.org-article:bd33c1974b0440d9a809d3f2816c9e522021-12-02T15:08:24ZPrediction of Postnatal Growth Failure among Very Low Birth Weight Infants10.1038/s41598-018-21647-92045-2322https://doaj.org/article/bd33c1974b0440d9a809d3f2816c9e522018-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-21647-9https://doaj.org/toc/2045-2322Abstract Postnatal growth failure (PGF) in preterm infants remains an important clinical issue. In this study, we analysed the incidence of PGF among very low birth weight (VLBW) infants and evaluated the risk factors for PGF based on the data of 2799 VLBW infants obtained from the Korean Neonatal Network database from 2013 to 2014. PGF was defined as a decrease in weight Z score between birth and discharge of more than −1.28 using the Fenton growth charts. Risk factors were evaluated in relation to birth weight for gestational age, namely small (SGA) or appropriate (AGA) for gestational age, using propensity score matching used for between-group differences. The overall incidence of PGF was 45.5%, with a rate of 68.9% in the SGA group and 36.2% in the AGA group. PGF was negatively correlated with gestation and birth weight; additionally, PGF was associated with a higher incidence of co-morbidities. Predictors of PGF in the SGA group were respiratory distress syndrome and days to attain 100 mL/kg of enteral feeding. The only predictor of PGF in the AGA group was days to attain 100 mL/kg of enteral feeding. Early initiation and aggressive progression of enteral nutrition may decrease the incidence of PGF.Soon Min LeeNamhyo KimRan NamgungMinsoo ParkKookin ParkJihyun JeonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-8 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Soon Min Lee Namhyo Kim Ran Namgung Minsoo Park Kookin Park Jihyun Jeon Prediction of Postnatal Growth Failure among Very Low Birth Weight Infants
description	Abstract Postnatal growth failure (PGF) in preterm infants remains an important clinical issue. In this study, we analysed the incidence of PGF among very low birth weight (VLBW) infants and evaluated the risk factors for PGF based on the data of 2799 VLBW infants obtained from the Korean Neonatal Network database from 2013 to 2014. PGF was defined as a decrease in weight Z score between birth and discharge of more than −1.28 using the Fenton growth charts. Risk factors were evaluated in relation to birth weight for gestational age, namely small (SGA) or appropriate (AGA) for gestational age, using propensity score matching used for between-group differences. The overall incidence of PGF was 45.5%, with a rate of 68.9% in the SGA group and 36.2% in the AGA group. PGF was negatively correlated with gestation and birth weight; additionally, PGF was associated with a higher incidence of co-morbidities. Predictors of PGF in the SGA group were respiratory distress syndrome and days to attain 100 mL/kg of enteral feeding. The only predictor of PGF in the AGA group was days to attain 100 mL/kg of enteral feeding. Early initiation and aggressive progression of enteral nutrition may decrease the incidence of PGF.
format	article
author	Soon Min Lee Namhyo Kim Ran Namgung Minsoo Park Kookin Park Jihyun Jeon
author_facet	Soon Min Lee Namhyo Kim Ran Namgung Minsoo Park Kookin Park Jihyun Jeon
author_sort	Soon Min Lee
title	Prediction of Postnatal Growth Failure among Very Low Birth Weight Infants
title_short	Prediction of Postnatal Growth Failure among Very Low Birth Weight Infants
title_full	Prediction of Postnatal Growth Failure among Very Low Birth Weight Infants
title_fullStr	Prediction of Postnatal Growth Failure among Very Low Birth Weight Infants
title_full_unstemmed	Prediction of Postnatal Growth Failure among Very Low Birth Weight Infants
title_sort	prediction of postnatal growth failure among very low birth weight infants
publisher	Nature Portfolio
publishDate	2018
url	https://doaj.org/article/bd33c1974b0440d9a809d3f2816c9e52
work_keys_str_mv	AT soonminlee predictionofpostnatalgrowthfailureamongverylowbirthweightinfants AT namhyokim predictionofpostnatalgrowthfailureamongverylowbirthweightinfants AT rannamgung predictionofpostnatalgrowthfailureamongverylowbirthweightinfants AT minsoopark predictionofpostnatalgrowthfailureamongverylowbirthweightinfants AT kookinpark predictionofpostnatalgrowthfailureamongverylowbirthweightinfants AT jihyunjeon predictionofpostnatalgrowthfailureamongverylowbirthweightinfants
_version_	1718388146734891008

Prediction of Postnatal Growth Failure among Very Low Birth Weight Infants

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