Journal of Perinatology最新文献_第4页

Demographic and clinical predictors and inter-center variability of tube feeding in preterm NICU patients. 新生儿重症监护病房早产儿管饲的人口学和临床预测因素及中心间变异性。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-04-24 DOI: 10.1038/s41372-025-02314-0

Pavika Varma, Isabella Zaniletti, Karna Murthy, Theresa R Grover, Sunah S Hwang, Stephanie L Bourque

{"title":"Demographic and clinical predictors and inter-center variability of tube feeding in preterm NICU patients.","authors":"Pavika Varma, Isabella Zaniletti, Karna Murthy, Theresa R Grover, Sunah S Hwang, Stephanie L Bourque","doi":"10.1038/s41372-025-02314-0","DOIUrl":"https://doi.org/10.1038/s41372-025-02314-0","url":null,"abstract":"Objectives: Investigate demographic and clinical factors and inter-center variability associated with home NGT versus GT in preterm infants.Study design: Retrospective cohort study of preterm infants in the Children's Hospitals Neonatal Database discharged home with a NGT or GT between 2015-2020. Multivariable logistic regression assessed the independent relationship between infant characteristics and feeding modality. Bivariate analysis evaluated inter-center variability.Results: 3521 preterm infants discharged with tube feedings (NGT 39%; GT 61%). Hispanic infants (AOR 1.57, 95% CI 1.15, 2.14) and SGA infants (AOR 1.27, 95% CI 1.02, 1.6) were more likely to receive GT feedings. Privately insured infants had decreased likelihood of receiving GT (AOR 0.57, 95% CI 0.45, 0.72). Infants discharged with NGT had shorter hospital stays (70[34,111] vs. 86 [39,138] days, p < 0.01). Significant inter-center variability among sites exists.Conclusions: Differences in tube feeding at discharge were noted by infant race and ethnicity, SGA status, and insurance type.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A novel national women in neonatology mentorship program leads to significant benefits in career development, networking, and wellness. 一项新的全国新生儿妇女指导计划在职业发展、网络和健康方面带来了显著的好处。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-04-22 DOI: 10.1038/s41372-025-02311-3

Kristen T Leeman, Megan M Gray, Lindsay C Johnston

引用次数: 0

National survey of diagnostic point of care ultrasound practices and program development in academic neonatal-perinatal medicine centers. 全国调查诊断点护理超声实践和程序发展的学术新生儿-围产期医学中心。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-04-22 DOI: 10.1038/s41372-025-02307-z

Kathleen Miller, J Lauren Ruoss, Diana Vargas Chaves, Belinda Chan, Matthew Huber, Jason Z Stoller, María V Fraga, Heather French, Thomas Conlon, William Corder

{"title":"National survey of diagnostic point of care ultrasound practices and program development in academic neonatal-perinatal medicine centers.","authors":"Kathleen Miller, J Lauren Ruoss, Diana Vargas Chaves, Belinda Chan, Matthew Huber, Jason Z Stoller, María V Fraga, Heather French, Thomas Conlon, William Corder","doi":"10.1038/s41372-025-02307-z","DOIUrl":"https://doi.org/10.1038/s41372-025-02307-z","url":null,"abstract":"Objective: To assess diagnostic point of care ultrasound (POCUS) use, presence of programmatic infrastructural elements, and barriers to implementation across neonatal perinatal medicine (NPM) programs in the United States.Study design: Cross-sectional study. An online survey was distributed to leaders in education or POCUS at ACGME-accredited NPM fellowship programs. National trends were outlined using descriptive statistics and compared by program size.Result: 79 of 99 (80%) NPM programs responded. Diagnostic POCUS was available at 71% (n = 56) of sites that responded. Key infrastructural elements were present at <45% of sites, with fellow training being the exception (71%). Many barriers to diagnostic POCUS program implementation were identified and they differed by program size.Conclusion: Diagnostic POCUS is being increasingly adopted despite underdeveloped programmatic infrastructure. Identified barriers suggest a need for collaborative efforts to support the necessary infrastructural elements, and differences by program size suggest a need for tailored approaches for successful integration.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and implementation of restrictive platelet transfusion thresholds in a neonatal intensive care unit. 限制性血小板输血阈值在新生儿重症监护病房的发展和实施。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-04-21 DOI: 10.1038/s41372-025-02302-4

Natasha Lalos, Alexa Brumfiel, Luke T Viehl, Gillian C Pet, Alexandra Lahart

{"title":"Development and implementation of restrictive platelet transfusion thresholds in a neonatal intensive care unit.","authors":"Natasha Lalos, Alexa Brumfiel, Luke T Viehl, Gillian C Pet, Alexandra Lahart","doi":"10.1038/s41372-025-02302-4","DOIUrl":"https://doi.org/10.1038/s41372-025-02302-4","url":null,"abstract":"Objective: Thrombocytopenia is a common problem affecting preterm neonates. Recent studies show increased morbidity and mortality with liberal platelet transfusion thresholds. We sought to standardize thrombocytopenia management through a transfusion guideline to reduce excessive transfusions.Study design: We developed and implemented a guideline using PDSA cycles for infants with birth weights <1000 grams. Platelet transfusions were classified as indicated or non-indicated per the guideline. Severe (grade 3 or 4) intraventricular hemorrhage and pulmonary hemorrhage rates were balancing measures.Results: We analyzed 101 infants pre-guideline and 96 infants post-guideline. The mean monthly non-indicated transfusions significantly decreased from 13.0 to 2.0, respectively (p-value < 0.01). Incidence of severe grade IVH and pulmonary hemorrhage remained stable.Conclusion: Rapid implementation of an evidence-based, restrictive platelet transfusion guideline significantly reduced non-indicated platelet transfusions without a concomitant increase in major bleeding events.","PeriodicalId":16690,"journal":{"name":"Journal of Perinatology","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exclusive human milk diet is associated with lower risk of motor function impairment at three years of corrected age. 纯母乳饮食与三岁矫正年龄运动功能障碍的风险较低有关。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-04-21 DOI: 10.1038/s41372-025-02296-z

Fu-Sheng Chou, Jing Zhang, Maria Fe B Villosis, Ashwini Lakshmanan

引用次数: 0

Proteinuria in preterm neonates: influence of fetal growth restriction. 早产儿蛋白尿：胎儿生长受限的影响。

IF 2.4 3区医学

Journal of Perinatology Pub Date : 2025-04-19 DOI: 10.1038/s41372-025-02306-0

Arvind Sehgal, Criona Levins, Emma Yeomans, Zhong Lu, David Metz

引用次数: 0

Neonatologists' perceptions of uncertainty: a national survey. 新生儿学家对不确定性的看法：一项全国性调查。