错过的经口喂养机会以及早产儿实现完全经口喂养和新生儿重症监护病房出院的时间。
Missed oral feeding opportunities and preterm infants' time to achieve full oral feedings and neonatal intensive care unit discharge.
作者信息
Tubbs-Cooley Heather L, Pickler Rita H, Meinzen-Derr Jareen K
机构信息
Research in Patient Services, Division of Nursing, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Division of Biostatistics and Epidemiology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
出版信息
Am J Perinatol. 2015 Jan;32(1):1-8. doi: 10.1055/s-0034-1372426. Epub 2014 Mar 28.
OBJECTIVE
To examine the association of missed oral feeding opportunities among preterm infants with achievement of full oral feedings and length of hospitalization.
STUDY DESIGN
A secondary analysis of clinical trial data was conducted. Study infants included in the analysis (N = 89) were randomized to one of four standardized feeding progression approaches; detailed records on all feedings were maintained. The proportion of oral feeding opportunities reported as missed due to factors unrelated to the infant's clinical condition was calculated for each infant.
RESULTS
The proportion of missed oral feeding opportunities per infant ranged from 0 to 0.12; 30 infants experienced one or more missed oral feeding opportunity. Each 1% increase in the proportion of missed oral feeding opportunities extended the time to achieve full oral feeding by 1.45 days (p = 0.007) and time to discharge by 1.36 days (p = 0.047).
CONCLUSION
Preterm infants' missed oral feeding opportunities may adversely affect feeding outcomes and extend hospitalization.
目的
探讨早产儿错过经口喂养机会与实现完全经口喂养及住院时间之间的关联。
研究设计
对临床试验数据进行二次分析。纳入分析的研究婴儿（N = 89）被随机分配至四种标准化喂养进展方法之一；记录所有喂养的详细情况。计算每名婴儿因与婴儿临床状况无关的因素而报告错过的经口喂养机会比例。
结果
每名婴儿错过的经口喂养机会比例为0至0.12；30名婴儿经历过一次或多次错过经口喂养机会。错过经口喂养机会比例每增加1%，实现完全经口喂养的时间延长1.45天（p = 0.007），出院时间延长1.36天（p = 0.047）。
结论
早产儿错过经口喂养机会可能对喂养结果产生不利影响并延长住院时间。
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