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Inadequate oral feeding as a barrier to discharge in moderately preterm infants.

Publication ,  Journal Article
Edwards, L; Cotten, CM; Smith, PB; Goldberg, R; Saha, S; Das, A; Laptook, AR; Stoll, BJ; Bell, EF; Carlo, WA; D'Angio, CT; DeMauro, SB ...
Published in: J Perinatol
September 2019

OBJECTIVES: The objectives describe the frequency that inadequate oral feeding (IOF) is the reason why moderately preterm (MPT) infants remain hospitalized and its association with neonatal morbidities. STUDY DESIGN: Prospective study using the NICHD Neonatal Research Network MPT Registry. Multivariable logistic regression was used to describe associations between IOF and continued hospitalization at 36 weeks postmenstrual age (PMA). RESULT: A total of 6017 MPT infants from 18 centers were included. Three-thousand three-seventy-six (56%) remained hospitalized at 36 weeks PMA, of whom 1262 (37%) remained hospitalized due to IOF. IOF was associated with RDS (OR 2.02, 1.66-2.46), PDA (OR 1.86, 1.37-2.52), sepsis (OR 2.36, 95% 1.48-3.78), NEC (OR 16.14, 7.27-35.90), and BPD (OR 3.65, 2.56-5.21) compared to infants discharged and was associated with medical NEC (OR 2.06, 1.19-3.56) and BPD (OR 0.46, 0.34-0.61) compared to infants remaining hospitalized for an alternative reason. CONCLUSION: IOF is the most common barrier to discharge in MPT infants, especially among those with neonatal morbidities.

Duke Scholars

Published In

J Perinatol

DOI

EISSN

1476-5543

Publication Date

September 2019

Volume

39

Issue

9

Start / End Page

1219 / 1228

Location

United States

Related Subject Headings

  • Sepsis
  • Respiratory Distress Syndrome, Newborn
  • Prospective Studies
  • Pediatrics
  • Patient Discharge
  • Male
  • Logistic Models
  • Infant, Premature
  • Infant, Newborn
  • Infant
 

Citation

APA
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Edwards, L., Cotten, C. M., Smith, P. B., Goldberg, R., Saha, S., Das, A., … Eunice Kennedy Shriver National Institute of Child Health and Human Development, . (2019). Inadequate oral feeding as a barrier to discharge in moderately preterm infants. J Perinatol, 39(9), 1219–1228. https://doi.org/10.1038/s41372-019-0422-x
Edwards, Laura, C Michael Cotten, P Brian Smith, Ronald Goldberg, Shampa Saha, Abhik Das, Abbot R. Laptook, et al. “Inadequate oral feeding as a barrier to discharge in moderately preterm infants.J Perinatol 39, no. 9 (September 2019): 1219–28. https://doi.org/10.1038/s41372-019-0422-x.
Edwards L, Cotten CM, Smith PB, Goldberg R, Saha S, Das A, et al. Inadequate oral feeding as a barrier to discharge in moderately preterm infants. J Perinatol. 2019 Sep;39(9):1219–28.
Edwards, Laura, et al. “Inadequate oral feeding as a barrier to discharge in moderately preterm infants.J Perinatol, vol. 39, no. 9, Sept. 2019, pp. 1219–28. Pubmed, doi:10.1038/s41372-019-0422-x.
Edwards L, Cotten CM, Smith PB, Goldberg R, Saha S, Das A, Laptook AR, Stoll BJ, Bell EF, Carlo WA, D’Angio CT, DeMauro SB, Sanchez PJ, Shankaran S, Van Meurs KP, Vohr BR, Walsh MC, Malcolm WF, Eunice Kennedy Shriver National Institute of Child Health and Human Development. Inadequate oral feeding as a barrier to discharge in moderately preterm infants. J Perinatol. 2019 Sep;39(9):1219–1228.

Published In

J Perinatol

DOI

EISSN

1476-5543

Publication Date

September 2019

Volume

39

Issue

9

Start / End Page

1219 / 1228

Location

United States

Related Subject Headings

  • Sepsis
  • Respiratory Distress Syndrome, Newborn
  • Prospective Studies
  • Pediatrics
  • Patient Discharge
  • Male
  • Logistic Models
  • Infant, Premature
  • Infant, Newborn
  • Infant