与新生儿重症监护病房中早产儿喂养治疗转诊及服务提供相关的医学和社会人口学特征。
Medical and sociodemographic characteristics related to feeding therapy referral and service provision for preterm infants in the neonatal intensive care unit.
作者信息
Nguyen Tiana T, Pineda Roberta, Reynolds Stacey, Rogers Elizabeth E, Kane Audrey E
机构信息
Department of Physical Therapy and Rehabilitation Sciences, University of California, San Francisco, San Francisco, CA, USA.
Department of Occupational Therapy, Samuel Merritt University, Oakland, CA, USA.
出版信息
J Perinatol. 2024 Dec 4. doi: 10.1038/s41372-024-02184-y.
OBJECTIVE
To determine the scope of feeding therapy for preterm infants in the NICU and medical and sociodemographic factors related to feeding therapy referral and service provision.
STUDY DESIGN
Retrospective study of infants born <37 weeks gestation in a level IV NICU between January 2017 and December 2019.
RESULT
Among 547 infants, 27% of infants received a feeding therapy referral, and 74% of those referrals were problem-based referrals. Feeding therapy referrals were more likely among infants with lower gestational ages and birthweights (both p < 0.001). In addition, infants with greater medical complexity, who required oxygen at 36 weeks, who had a history of mechanical ventilation, and who had a higher postmenstrual age at discharge were more likely to be referred to feeding therapy (all p < 0.001).
CONCLUSION
While medical factors relate to feeding therapy referrals, there are other complex person and system factors that determine feeding therapy referral and service provision.
目的
确定新生儿重症监护病房（NICU）中早产儿喂养治疗的范围以及与喂养治疗转诊和服务提供相关的医学和社会人口统计学因素。
研究设计
对2017年1月至2019年12月在四级NICU出生且孕周小于37周的婴儿进行回顾性研究。
结果
在547名婴儿中，27%的婴儿接受了喂养治疗转诊，其中74%的转诊是基于问题的转诊。孕周和出生体重较低的婴儿更有可能接受喂养治疗转诊（p均<0.001）。此外，医疗复杂性更高、36周时需要吸氧、有机械通气史以及出院时孕龄较大的婴儿更有可能被转诊接受喂养治疗（p均<0.001）。
结论
虽然医学因素与喂养治疗转诊有关，但还有其他复杂的个人和系统因素决定喂养治疗转诊和服务提供。
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