ArticlePloS one2015
Quantification of EUGR as a Measure of the Quality of Nutritional Care of Premature Infants.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Early Versus Conventional Discontinuation of Caffeine Therapy for Apnea of Prematurity: A Randomized Controlled Trial-The DECaf Trial.Pediatric pulmonology · 2026Trial
- Duration of Caffeine for Apnea of Prematurity-A Randomized Controlled Trial.Indian journal of pediatrics · 2021Trial
- Real-world evidence regarding the growth of very premature infants with small for gestational age after birth: a multicenter survey in China.BMC pediatrics · 2023Article
- Observational
- Postnatal Growth Faltering: Growth and Height Improvement at Two Years in Children with Very Low Birth Weight between 2002-2017.Children (Basel, Switzerland) · 2022Article
- Application of Machine Learning Approaches to Predict Postnatal Growth Failure in Very Low Birth Weight Infants.Yonsei medical journal · 2022Article
- Nutritional practices and growth of preterm infants in two neonatal units in the UK and Malaysia: a prospective exploratory study.BMJ paediatrics open · 2021Article
- Prenatal intrauterine growth restriction and risk of retinopathy of prematurity.Scientific reports · 2020Article
- Applying Methods for Postnatal Growth Assessment in the Clinical Setting: Evaluation in a Longitudinal Cohort of Very Preterm Infants.Nutrients · 2019Article
- Improving extrauterine growth: evaluation of an optimized, standardized neonatal parenteral nutrition protocol.Journal of perinatology : official journal of the California Perinatal Association · 2019Article
- Prediction of Postnatal Growth Failure among Very Low Birth Weight Infants.Scientific reports · 2018Article
- ExtraUterine Growth Restriction (EUGR) in Preterm Infants: Growth Patterns, Nutrition, and Epigenetic Markers. A Pilot Study.Frontiers in pediatrics · 2018Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo develop an index of the quality of nutritional care of premature infants based on the change in weight Z score from birth to discharge and to illustrate the use of this index in comparing the performance of different NICUs.
methodsRetrospective data analysis was performed to compare the growth of premature infants born in three perinatal centers. Infants with gestational age ≤ 32 weeks who survived to discharge from 2006 to 2010 were included. Weight Z scores at birth and discharge were calculated by the method of Fenton. Using data from one NICU as the reference, a multivariable linear regression model of change in weight Z score from birth to discharge was developed. Employing this model, a benchmark value of change in weight Z score was calculated for each baby. The difference between this calculated benchmark value and the baby's observed change in weight Z score was defined as the performance gap for that infant. The average value of the performance gaps in a NICU serves as its quality care index.
results1,714 infants were included for analysis. Change in weight Z score is influenced by birth weight Z score and completed weeks of gestation; thus the model for calculating the benchmark change in weight Z score was adjusted for these two variables. We found statistically significant differences in the average performance gaps for the three units.
conclusionsA quality care index was developed based on change in weight Z score from birth to discharge adjusted for two initial risk factors. This objective, easily calculated index may be used as a measurement of the quality of nutritional care to rank the performance of different NICUs.
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