| Prediction of extrauterine growth retardation (EUGR) in VVLBW infants. | |
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MedLine Citation:
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PMID: 12847535 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Paula G Radmacher; Stephen W Looney; Salisa T Rafail; David H Adamkin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2003-07-08 Completed Date: 2003-09-26 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 8501884 Medline TA: J Perinatol Country: United States |
Other Details:
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Languages: eng Pagination: 392-5 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, University of Louisville School of Medicine, Louisville, KY 40292, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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