婴儿友好医院倡议对新生儿低血糖的影响。
The impact of the Baby Friendly Hospital Initiative on neonatal hypoglycemia.
机构信息
Department of Pediatrics, Division of Neonatology, University of New Mexico School of Medicine, Albuquerque, NM, USA.
Department of Pediatrics, Division of Neonatology, University of Vermont, Burlington, VT, USA.
出版信息
J Perinatol. 2020 Dec;40(12):1828-1833. doi: 10.1038/s41372-020-00822-9. Epub 2020 Sep 22.
OBJECTIVE
To assess Neonatal Intensive Care Unit (NICU) admissions for hypoglycemia after the introduction of the Baby Friendly Hospital Initiative (BFHI), followed by implementation of American Academy of Pediatrics recommended hypoglycemia guidelines.
STUDY DESIGN
Retrospective review of NICU admissions for hypoglycemia. Eligible subjects were healthy infants >35 weeks gestation transferred to a NICU for hypoglycemia. Infants admitted with other pathologies were excluded. NICU admissions from 3 different 18-month epochs (1 = pre-BFHI; 2 = post-BFHI; 3 = post-BFHI+hypoglycemia guidelines) were compared.
RESULTS
After implementation of BFHI there was a statistically significant increase in admissions for hypoglycemia (Epoch 2 = 1.23% vs Epoch 1 = 0.55%, p < 0.001). Followed by a decrease in admissions after the implementation of hypoglycemia guidelines (Epoch 2 = 1.23% vs Epoch 3 = 0.76%, p = 0.03).
CONCLUSION
NICU admissions for hypoglycemia increased with the BFHI. Hypoglycemia guidelines decreased NICU admissions, but not to the pre-BFHI baseline.
目的
评估在推行爱婴医院倡议（BFHI）后以及实施美国儿科学会推荐的低血糖指南后，新生儿重症监护病房（NICU）低血糖的入院情况。
研究设计
对低血糖转入 NICU 的新生儿进行回顾性审查。合格的研究对象为胎龄大于 35 周、转入 NICU 治疗低血糖的健康婴儿。排除因其他疾病入院的婴儿。比较了 3 个不同的 18 个月时间点（1=BFHI 前；2=BFHI 后；3=BFHI 后+低血糖指南）的 NICU 入院情况。
结果
BFHI 实施后，低血糖入院率呈统计学显著增加（Epoch 2=1.23% vs Epoch 1=0.55%，p<0.001）。随后，在实施低血糖指南后，入院率下降（Epoch 2=1.23% vs Epoch 3=0.76%，p=0.03）。
结论
随着 BFHI 的推行，NICU 低血糖入院率增加。低血糖指南降低了 NICU 的入院率，但并未降至 BFHI 前的基线水平。
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