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 Q2 OBSTETRICS & GYNECOLOGY

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

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引用次数: 0

摘要

目的：调查人口统计学和临床因素以及与早产儿家庭NGT和GT相关的中心间变异。研究设计：对2015-2020年间儿童医院新生儿数据库中因NGT或GT出院的早产儿进行回顾性队列研究。多变量logistic回归评估婴儿特征与喂养方式之间的独立关系。双变量分析评估了中心间变异性。结果：管饲出院早产儿3521例(NGT 39%；GT 61%)。西班牙裔婴儿（AOR 1.57, 95% CI 1.15, 2.14）和SGA婴儿（AOR 1.27, 95% CI 1.02, 1.6）更可能接受GT喂养。私人保险婴儿接受GT的可能性降低（AOR 0.57, 95% CI 0.45, 0.72）。因NGT出院的婴儿住院时间较短（70[34,111]对86[39,138]天）。结论：出院时管饲的差异与婴儿的种族和民族、SGA状况和保险类型有关。

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Demographic and clinical predictors and inter-center variability of tube feeding in preterm NICU patients.

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.

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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.