Preterm growth assessment: the latest findings on age correction.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-05-01 Epub Date: 2025-01-16 DOI:10.1038/s41372-024-02202-z

Seham Elmrayed, Susan Dai, Abhay Lodha, Manoj Kumar, Tanis R Fenton

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引用次数: 0

Abstract

Objective: To evaluate the effect of age correction up to 36 months of age for growth assessments of extremely preterm (<28 weeks) and very preterm (28 to <32 weeks) infants.

Study design: This longitudinal analysis used data from the Preterm Infant Multicenter Growth Study (2001-2014).

Results: 1,416 children were included (Median gestational age = 27 weeks). Chronological age-based weight, height, and head circumference z-scores were consistently lower than those based on corrected age for all ages (0, 4, 8, 21 and 36 months) by up to -5.2 (95% confidence interval -5.4, -5.1) z-scores for length at term. Using chronological age, higher proportions of children were misclassified as having suboptimal growth (up to 72.9% misdiagnosed as stunted and 89.8% misdiagnosed as underweight at term).

Conclusion: For extremely and very preterm children, age correction is required for all growth measures through 36 months of corrected age.

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早产儿生长评估：年龄校正的最新发现。

目的：评估36月龄前的年龄校正对极早产儿生长评估的影响(研究设计：该纵向分析使用了早产儿多中心生长研究（2001-2014）的数据。结果：纳入1416名儿童（中位胎龄= 27周）。在所有年龄（0、4、8、21和36个月）中，基于年龄的体重、身高和头围z-得分始终低于基于校正年龄的z-得分，最长可达-5.2（95%置信区间-5.4,-5.1）。根据实足年龄，较高比例的儿童被误诊为发育不佳（高达72.9%被误诊为发育迟缓，89.8%被误诊为足月体重不足）。结论：对于极早产儿和极早产儿，在校正年龄36个月前的所有生长测量都需要年龄校正。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.