Risk factors associated with growth failure in the follow-up of very low birth weight newborns
Journal Title: Jornal de Pediatria - Year 2016, Vol 92, Issue 3
Abstract
Objective To determine risk factors during neonatal hospital stay and follow-up associated with failure to thrive in the first year of life of very low birth weight newborns. Methods Study of preterm very low birth weight newborns followed from 2006 to 2013 in a public institutional hospital program. The study included newborns that attended at least one appointment in each of the three periods: Period I, up to 3 months of corrected age (CA); Period II, 4–6 months of CA; and Period III, 7–12 months of CA. The variables were analyzed by logistic regression with XLSTAT 2014 software (Microsoft®, WA, USA). Failure to thrive (Z-score below −2 SD) was classified as a dichotomous dependent variable (0 – failure/1 – success), while the other variables were classified as explanatory variables for the hospitalization periods and for each of the follow-up periods (I, II, and III). Results Children born adequate for gestational age increased the chance of Z-score for weight at discharge>−2 SD (OR=10.217; 95% CI: 1.117–93.436). Metabolic bone disease and retinopathy of prematurity in Period I, as well as hospital readmissions in Periods II and III during follow-up increased the chance of Z-score<−2 SD. Conclusion Failure to thrive is influenced by intrauterine factors and, subsequently, by several morbidities, both in the birth and hospitalization period, as well as in the post-discharge period and thus, such variables should be prioritized in the follow-up.
Authors and Affiliations
Milene Rover
Keywords
Related Articles
- EP ID EP523526
- DOI 10.1016/j.jped.2015.09.006
- Views 79
- Downloads 0
Day care attendance during the first 12 months of life and occurrence of infectious morbidities and symptoms
Objective To investigate the occurrence of infectious morbidities according to day care attendance during the first year of life. Methods This was a cross-sectional analysis of data from the 12-month follow-up of a mediu...
Authors’ reply: Atypical manifestations of Epstein–Barr virus: red alert for primary immunodeficiencies
Dear Editor, Human primary immunodeficiency disease (PID) is a condition where mutations in single immune system genes predispose individuals to certain infectious agents. The human herpesviruses are a challenge of immun...
One-year observational study of palivizumab prophylaxis on infants at risk for respiratory syncytial virus infection in Latin America
Objective This study aims to describe real world palivizumab use and effectiveness in high-risk Latin American infants and young children. Method Prospective, multicenter observational study with infants at risk for sev...
Pediatric emergency
Emergency care is a hallmark of pediatrics. Acute poisoning, asthma crises, acute manifestations of allergy, sudden neurological alterations, immediate treatment of respiratory failure, and other acute manifestations ha...
Vitamin A nutritional status in high- and low-income postpartum women and its effect on colostrum and the requirements of the term newborn
Objective To evaluate the vitamin A status in serum and colostrum of postpartum women with different socioeconomic status, comparing the colostrum retinol supply with the vitamin A requirement of the newborn. Methods Cr...