Prevalence and Impact of Feeding-Related Events on Hospital Stay in Preterm and Term Newborns.

IF 1.6 4区医学 Q2 NURSING

Advances in Neonatal Care Pub Date : 2023-12-01 Epub Date: 2023-10-19 DOI:10.1097/ANC.0000000000001115

Rebecca Macias, Debora Peterson, Leah Korkis, Rachel Edson, Robert Gall

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Abstract

Background: Nursing assessment of milk flow regulation and associated apnea, bradycardia, and desaturation (ABD events) contribute to considerations for the discharge of newborns from the acute care setting. Research regarding infant feeding-related (FR) events (sucking and swallowing difficulties) and ABD events in moderate to late-preterm and full-term infants is lacking.

Purpose: This study observes the impact of FR and ABD events during feeding on hospital length of stay (LOS) and healthcare utilization (cost) in moderate-to-late preterm newborns, as well as full-term infants.

Methods: In a retrospective study, bottle-fed infants admitted to the level II specialty care nursery of an academic community hospital in Southern California were observed for FR and ABD events. Statistical analyses were used to determine the impact of FR events on adjusted LOS, to evaluate the interaction between FR event status and adjusted LOS on total hospital charges, and to assess the statistical independence between FR events and diagnostic-related group severity.

Results: The full sample of patient records included 308 infants born between 32- and 44-week gestational age between April 1, 2018, and October 31, 2022. LOS was twice as long in infants who had FR events. Total median charges were higher in the group with FR events at $160,165 versus $64,380 with non-FR events.

Implications for practice and research: Increased knowledge in the epidemiology and nursing care of infants experiencing milk flow regulation and associated ABD events is critical for informing practices and guidelines related to the prevention of related morbidities.

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早产和足月新生儿喂养相关事件的患病率及其对住院时间的影响。

背景：对奶流调节和相关呼吸暂停、心动过缓和去饱和（ABD事件）的护理评估有助于考虑新生儿从急性护理环境中出院。缺乏关于中晚期早产儿和足月儿的婴儿喂养相关（FR）事件（吮吸和吞咽困难）和ABD事件的研究。目的：本研究观察喂养期间FR和ABD事件对中晚期早产儿和足月婴儿住院时间（LOS）和医疗利用率（成本）的影响。方法：在一项回顾性研究中，对南加州一家学术社区医院二级专科护理托儿所的奶瓶喂养婴儿进行FR和ABD事件观察。统计分析用于确定FR事件对调整后的服务水平的影响，评估FR事件状态和调整后服务水平对总住院费用的相互作用，并评估FR事件和诊断相关组严重程度之间的统计独立性。结果：患者记录的完整样本包括308名在2018年4月1日至2022年10月31日期间出生的32至44周胎龄婴儿。发生FR事件的婴儿LOS的时间是发生FR事件婴儿的两倍。FR事件组的总费用中位数较高，为160165美元，而非FR事件组为64380美元。对实践和研究的影响：增加对经历奶流调节和相关ABD事件的婴儿的流行病学和护理知识，对于为预防相关疾病的实践和指南提供信息至关重要。

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

Advances in Neonatal Care NURSING-

CiteScore

2.60

自引率

5.90%

发文量

101

期刊介绍： Advances in Neonatal Care takes a unique and dynamic approach to the original research and clinical practice articles it publishes. Addressing the practice challenges faced every day—caring for the 40,000-plus low-birth-weight infants in Level II and Level III NICUs each year—the journal promotes evidence-based care and improved outcomes for the tiniest patients and their families. Peer-reviewed editorial includes unique and detailed visual and teaching aids, such as Family Teaching Toolbox, Research to Practice, Cultivating Clinical Expertise, and Online Features. Each issue offers Continuing Education (CE) articles in both print and online formats.