Document Detail


Prediction of extrauterine growth retardation (EUGR) in VVLBW infants.
MedLine Citation:
PMID:  12847535     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Long-term growth failure in very very low birth weight (VVLBW) infants is a common complication of extreme prematurity. Critical illnesses create challenges to adequate nutriture. PURPOSE: To identify predictors of extrauterine growth retardation (EUGR) in VVLBW infants and to evaluate their nutritional intake and subsequent growth. STUDY DESIGN: A 4-year retrospective chart review of 221 infants <or=1000 g birth weight and <or=29 weeks gestational age who were admitted within 24 hours of birth, were free of major congenital anomalies and survived at least 7 days. Daily intakes and anthropomorphic data were collected and analyzed. Significant events during hospitalization were documented. RESULTS: Mean energy and protein intakes during hospitalization did not reach recommendations of 120 kcal/kg/d and 3.0 g/kg/day. In utero growth rates could not be consistently reached or sustained. As expected, BW (as measured by BW percentile score) was highly predictive of EUGR (p<0.001). When the independent effect of other predictors of EUGR was considered, only days of total parenteral nutrition (p<0.001) and HC percentile at return to birth weight (p<0.001) made a significant contribution to the prediction of EUGR, once the effect of BW was taken into account.
Authors:
Paula G Radmacher; Stephen W Looney; Salisa T Rafail; David H Adamkin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  23     ISSN:  0743-8346     ISO Abbreviation:  J Perinatol     Publication Date:    2003 Jul-Aug
Date Detail:
Created Date:  2003-07-08     Completed Date:  2003-09-26     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  392-5     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, University of Louisville School of Medicine, Louisville, KY 40292, USA.
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MeSH Terms
Descriptor/Qualifier:
Child, Preschool
Developmental Disabilities / epidemiology*
Female
Follow-Up Studies
Gestational Age
Growth Disorders / diagnosis,  epidemiology*
Humans
Incidence
Infant
Infant Mortality*
Infant Nutritional Physiological Phenomena*
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight*
Intensive Care Units, Neonatal
Logistic Models
Male
Nutritional Requirements
Predictive Value of Tests
Probability
ROC Curve
Retrospective Studies
Risk Assessment

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


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