NICU Human Milk Dose and Health Care Use after NICU Discharge in Very Low Birth Weight Infants

OBJECTIVE: To determine the association between human milk (HM) dose and health care utilization at one and two years of life in very low birth weight (birth weight <1500g; VLBW) infants. STUDY DESIGN: This study included 345 VLBW infants enrolled in a prospective observational cohort study (2008...

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Detalles Bibliográficos
Autores principales: Johnson, Tricia J., Patra, Kousiki, Greene, Michelle, Hamilton, Matthew, Dabrowski, Elizabeth, Meier, Paula P., Patel, Aloka L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2018
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298834/
https://www.ncbi.nlm.nih.gov/pubmed/30341399
http://dx.doi.org/10.1038/s41372-018-0246-0
Descripción
Sumario:OBJECTIVE: To determine the association between human milk (HM) dose and health care utilization at one and two years of life in very low birth weight (birth weight <1500g; VLBW) infants. STUDY DESIGN: This study included 345 VLBW infants enrolled in a prospective observational cohort study (2008–2012) who completed a Neonatal High-Risk Follow-up Clinic visit. Subsequent health care utilization included hospitalizations, emergency department visits, pediatric subspecialists and specialized therapies. RESULTS: Each 10 mL/kg/day increase in HM in the first 14 days of life was associated with 0.26 fewer hospitalizations (p = 0.04) at 1 year and 0.21 fewer pediatric subspecialist types (p = 0.04) and 0.20 fewer specialized therapy types (p = 0.04) at 2 years. CONCLUSION: HM dose in early life for VLBW infants was an independent predictor of the number of hospitalizations at 1 year and types of pediatric subspecialists and specialized therapies at 2 years of life.

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