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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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
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author Johnson, Tricia J.
Patra, Kousiki
Greene, Michelle
Hamilton, Matthew
Dabrowski, Elizabeth
Meier, Paula P.
Patel, Aloka L.
author_facet Johnson, Tricia J.
Patra, Kousiki
Greene, Michelle
Hamilton, Matthew
Dabrowski, Elizabeth
Meier, Paula P.
Patel, Aloka L.
author_sort Johnson, Tricia J.
collection PubMed
description 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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spelling pubmed-62988342019-04-19 NICU Human Milk Dose and Health Care Use after NICU Discharge in Very Low Birth Weight Infants Johnson, Tricia J. Patra, Kousiki Greene, Michelle Hamilton, Matthew Dabrowski, Elizabeth Meier, Paula P. Patel, Aloka L. J Perinatol Article 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. 2018-10-19 2019-01 /pmc/articles/PMC6298834/ /pubmed/30341399 http://dx.doi.org/10.1038/s41372-018-0246-0 Text en &lt;license-p&gt;Users may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use:&lt;uri xlink:href="http://www.nature.com/authors/editorial_policies/license.html#terms"&gt;http://www.nature.com/authors/editorial_policies/license.html#terms&lt;/uri&gt;&lt;/license-p&gt;
spellingShingle Article
Johnson, Tricia J.
Patra, Kousiki
Greene, Michelle
Hamilton, Matthew
Dabrowski, Elizabeth
Meier, Paula P.
Patel, Aloka L.
NICU Human Milk Dose and Health Care Use after NICU Discharge in Very Low Birth Weight Infants
title NICU Human Milk Dose and Health Care Use after NICU Discharge in Very Low Birth Weight Infants
title_full NICU Human Milk Dose and Health Care Use after NICU Discharge in Very Low Birth Weight Infants
title_fullStr NICU Human Milk Dose and Health Care Use after NICU Discharge in Very Low Birth Weight Infants
title_full_unstemmed NICU Human Milk Dose and Health Care Use after NICU Discharge in Very Low Birth Weight Infants
title_short NICU Human Milk Dose and Health Care Use after NICU Discharge in Very Low Birth Weight Infants
title_sort nicu human milk dose and health care use after nicu discharge in very low birth weight infants
topic Article
url 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
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