Document Detail


Comparison of postdischarge growth in adequate for gestational age and small for gestational age very low birthweight infants.
MedLine Citation:
PMID:  18646332     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Some small for gestational age (SGA) neonates have a higher weight gain rate than adequate for gestational age (AGA) neonates. The objectives of this study were to evaluate the postdischarge growth of a cohort of very low birthweight infants to determine the percentage of those born SGA that achieve catch-up growth and whether AGA infants maintain adequate growth. METHODS: We performed a record review at the high-risk follow-up clinics of a previously paired group of infants. The infant's weight, height, and head circumference percentile at their last clinic visit were determined by using sex-adjusted curves. We also documented if the patient had presented any type of delay. RESULTS: Of 216 infants that were included in the original cohort, only 116 had evidence of enrollment in the clinic. The percentage of SGA that achieved catch-up growth was 18.6% (n = 59). The percentage of adequate for gestational age that maintained adequate growth was 42.1% (n = 57). The rate of developmental delay was not different between the groups (44.0% vs 38.6%, P = .5). CONCLUSIONS: We conclude that a high percentage of high-risk infants are developing postdischarge growth delay. This study demonstrates that both SGA infants as well as AGA infants present growth problems after discharge from the hospital, which emphasizes the importance of long-term followup.
Authors:
Maribel Campos; Gloria Reyes; Lourdes García
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Ethnicity & disease     Volume:  18     ISSN:  1049-510X     ISO Abbreviation:  Ethn Dis     Publication Date:  2008  
Date Detail:
Created Date:  2008-07-22     Completed Date:  2008-09-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9109034     Medline TA:  Ethn Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S2-118-22     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Neonatology Section, University of Puerto Rico School of Medicine, San Juan, Puerto Rico, USA. mcampos@rcm.upr.edu
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MeSH Terms
Descriptor/Qualifier:
Birth Weight
Chi-Square Distribution
Female
Gestational Age*
Humans
Infant
Infant, Newborn
Infant, Small for Gestational Age / growth & development*
Infant, Very Low Birth Weight / growth & development*
Male
Prognosis
Retrospective Studies
Risk Factors
Weight Gain*
Grant Support
ID/Acronym/Agency:
R25 RR17589/RR/NCRR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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