The influence of small for gestational age status on outpatient bronchopulmonary dysplasia outcomes.
The influence of small for gestational age status on outpatient bronchopulmonary dysplasia outcomes.
复制标题
小于胎龄状态对门诊支气管肺发育不良结局的影响。
DOI：
10.1038/jp.2014.142
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Collaco,JM
中科院分区：
文献类型：
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作者：
Johnson,J;Ryan,T;Aherrera,AD;McGrath-Morrow,SA;Collaco,JM
目的：描述小胎龄（SGA）和非SGA婴儿支气管肺发育不良（BPD）的特征，并确定这两个人群的呼吸结局和保健利用模式是否不同。研究设计：325名小于32周出生的BPD婴儿在门诊被招募。通过问卷调查和回顾性图表分析收集社会人口学数据和呼吸系统发病率指标。结果：在新生儿重症监护病房出院时，SGA婴儿比非SGA婴儿平均大1个月，并且在首次就诊时体重低于10%的可能性更大。SGA病史与急诊科就诊的风险增加以及护理人员对体重增加不佳的看法有关。结论：BPD婴儿的SGA状态与医疗保健利用的增加有关，包括初次住院和急诊就诊的时间。
Objective:To describe the characteristics of small for gestational age (SGA) and non-SGA infants with bronchopulmonary dysplasia (BPD) and to ascertain whether respiratory outcomes and health-care utilization patterns in these two populations differ.Study Design:Three hundred and twenty-five infants with BPD born at< 32 weeks gestation were recruited in the outpatient setting. Sociodemographic data and indicators of respiratory morbidity were collected via questionnaire and retrospective chart review.Result:SGA infants were on average 1 month older than non-SGA infants at discharge from the neonatal intensive care unit and were more likely to have a weight less than 10th percentile at first clinic visit. History of SGA was associated with increased risk of emergency department visits as well as with caregiver perception of poor weight gain.Conclusion:SGA status in infants with BPD is associated with increased health-care utilization, including length of initial hospitalization and emergency department visits.