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Inadequate oral feeding as a barrier to discharge in moderately preterm infants
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نویسنده
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Edwards Laura ,Cotten C. Michael ,Smith P. Brian ,Goldberg Ronald ,Saha Shampa ,Das Abhik ,Laptook Abbot R. ,Stoll Barbara J. ,Bell Edward F. ,Carlo Waldemar A. ,D’Angio Carl T. ,DeMauro Sara B. ,Sanchez Pablo J. ,Shankaran Seetha ,Meurs Krisa P. Van ,Vohr Betty R. ,Walsh Michele C. ,Malcolm William F.
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منبع
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journal of perinatology - 2019 - دوره : 39 - شماره : 9 - صفحه:1219 -1228
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چکیده
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Objectivesthe 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 designprospective 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).resulta 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.conclusioniof is the most common barrier to discharge in mpt infants, especially among those with neonatal morbidities.
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آدرس
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Duke University, Department of Pediatrics, USA. WakeMed Health and Hospitals, USA, Duke University, Department of Pediatrics, USA, Duke University, Department of Pediatrics, USA, Duke University, Department of Pediatrics, USA, Social, Statistical and Environmental Sciences Unit, USA, Social, Statistical and Environmental Sciences Unit, USA, Brown University, Department of Pediatrics, USA, Emory University School of Medicine, Department of Pediatrics, USA, University of Iowa, Department of Pediatrics, USA, University of Alabama at Birmingham, Division of Neonatology, USA, University of Rochester School of Medicine and Dentistry, USA, The University of Pennsylvania, Department of Pediatrics, USA, Nationwide Children’s Hospital, Department of Pediatrics, USA, Wayne State University, Department of Pediatrics, USA, Stanford University School of Medicine, Department of Pediatrics, Division of Neonatal and Developmental Medicine, USA, Brown University, Department of Pediatrics, USA, Case Western Reserve University, Department of Pediatrics, USA, Duke University, Department of Pediatrics, USA
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Authors
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