Prediction of Postnatal Growth Failure among Very Low Birth Weight Infants

Scientific Reports
Soon Min LeeJihyun Jeon

Abstract

Postnatal growth failure (PGF) in preterm infants remains an important clinical issue. In this study, we analysed the incidence of PGF among very low birth weight (VLBW) infants and evaluated the risk factors for PGF based on the data of 2799 VLBW infants obtained from the Korean Neonatal Network database from 2013 to 2014. PGF was defined as a decrease in weight Z score between birth and discharge of more than -1.28 using the Fenton growth charts. Risk factors were evaluated in relation to birth weight for gestational age, namely small (SGA) or appropriate (AGA) for gestational age, using propensity score matching used for between-group differences. The overall incidence of PGF was 45.5%, with a rate of 68.9% in the SGA group and 36.2% in the AGA group. PGF was negatively correlated with gestation and birth weight; additionally, PGF was associated with a higher incidence of co-morbidities. Predictors of PGF in the SGA group were respiratory distress syndrome and days to attain 100 mL/kg of enteral feeding. The only predictor of PGF in the AGA group was days to attain 100 mL/kg of enteral feeding. Early initiation and aggressive progression of enteral nutrition may decrease the incidence of PGF.

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Citations

Mar 6, 2019·Journal of Developmental Origins of Health and Disease·J ZhangM Guo
Aug 23, 2019·Journal of Pediatric Gastroenterology and Nutrition·Alessio CorreaniVirgilio P Carnielli
Oct 5, 2019·Journal of Developmental Origins of Health and Disease·Fu-Sheng ChouVishal Pandey
Jul 2, 2019·Journal of Tropical Pediatrics·Hacer Yapicioglu YildizdasMehmet Satar
Jul 2, 2019·NeoReviews·Soon Min LeeUNKNOWN Korean Neonatal Network
Oct 18, 2020·Scientific Reports·Alison ChuIrena Tsui
Jun 24, 2021·Journal of the Endocrine Society·Dana F J YumaniMirjam M van Weissenbruch
Aug 13, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Michael T FavaraZubair H Aghai
Jul 8, 2021·European Journal of Pediatrics·Simone Augusta RibasFernanda Valente Mendes Soares

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Methods Mentioned

BETA
SGA

Software Mentioned

SPSS
SAS

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