Persistence of Morbidity and Cost Differences Between Late-Preterm and Term Infants During the First Year of Life

McLaurin, Kimmie; Hall, Caroline Breese; Jackson, Elizabeth A.; Owens, Oksana V.; Mahadevia, Parthiv J.

doi:10.1542/peds.2008-1439

Cited by 216 publications

(195 citation statements)

References 17 publications

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“…These authors reported that 3.4% and 3% of a cohort of 371 late preterm infants were at increased risk of being underweight at 1 and 2 years of age, respectively. These findings could be partly explained by the negative effect on growth associated with the higher hospitalization rates reported for late preterm infants in the first years of life (12,13). In addition, as the prevalence of late preterm birth in the population studied was higher in the low-income families, the late preterm infants enrolled in that study could present environmental and economic constraints on growth.…”

Section: Discussionmentioning

confidence: 85%

Postnatal catch-up fat after late preterm birth

et al. 2012

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Background: Late preterm birth accounts for 70% of preterm births. The aim of the study was to investigate the postnatal weight gain and weight gain composition changes in a cohort of late preterm infants. Methods: a total of 49 late preterm infants (mean birth weight 2,496 ± 330 g and gestational age 35.2 ± 0.7 wks) underwent growth and body composition assessment by an air displacement plethysmography system on the fifth day of life, at term, and at 1 and 3 mo of corrected age. The reference group was composed of 40 healthy, full-term, breast-fed infants. results: The late preterm infants showed a Δ fat mass gain between birth and term-corrected age equal to 182%. as compared with full-term infants, at term and 1 mo of corrected age mean weight (3,396 ± 390 vs. 3,074 ± 409 g and 4,521 ± 398 vs. 4,235 ± 673 g, respectively) and percentage of fat mass (16.1 ± 4.6 vs. 8.9 ± 2.9 and 22.6 ± 4.2 vs. 17.4 ± 4.0, respectively) were significantly higher in late preterm infants, whereas no difference among groups was found at 3 mo. conclusion: Rapid postnatal catch-up fat was found in these infants. Further studies are needed to investigate whether this short-term increase in fat mass may modulate the risk of chronic diseases or represent an adaptive mechanism to extrauterine life.

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Section: Discussionmentioning

confidence: 85%

Postnatal catch-up fat after late preterm birth

et al. 2012

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“…1 -5 Premature infants without significant complications, who make up the majority of NICU patients, have postdischarge costs >3 times those of their term peers. 5 Additionally, discharge increases parental anxiety, which is linked to increased risks of acute care visits after NICU discharge. 6 Families of low socioeconomic status (SES) and of minority race or ethnicity may be at even higher risk.…”

Section: What This Study Addsmentioning

confidence: 99%

Perspectives of Low Socioeconomic Status Mothers of Premature Infants

et al. 2017

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BACKGROUND AND OBJECTIVES: Transitioning premature infants from the NICU to home is a highrisk period with potential for compromised care. Parental stress is high, and families of low socioeconomic status may face additional challenges. Home visiting programs have been used to help this transition, with mixed success. We sought to understand the experiences of at-risk families during this transition to inform interventions.

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“…An American, retrospective and multi-center study, reported that 45% of 3,787 children in a program monitoring the pre-term infants were hospitalized in the first year of life, especially for respiratory causes (14) . Lower rates (15.2%) were described by another study, which examined re-hospitalizations and their causes in the first year of life of 1,683 NB with a gestational age of > 33 (15) . A likely explanation for a lower rate of re-hospitalization was that the authors monitored PTI between 33 and 36 weeks, unlike the present study, which monitored all PTI below 37 weeks.…”

Section: Discussionmentioning

confidence: 91%

Acompanhamento dos desfechos clínicos no primeiro ano de vida de prematuros

Nunes

Abdala

Beghetto

2013

Rev. Gaúcha Enferm.

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The aim of this retrospective cohort study was to investigate clinical outcomes of the first year of life of premature infants discharged from the Neonatal Intensive Care Unit (NICU) based on mortality and readmission data, and the motor development of the children. The sample consisted of 170 children with gestational age under 37 weeks and who survived hospitalization in neonatal intensive care unit (NICU). Data were collected from medical records, the hospital IT system and telephone interview with the caregiver. The authors found 100% survival during the study period and that 39.4% of the infants were often readmitted (26.5%) due to respiratory conditions. Their development was considered as expected, when using the corrected age. In conclusion, the premature infants from this study showed good clinical evolution of the proposed observation. Descriptors:Intensive care units, neonatal. Infant, premature. Infant, very low birth weight. RESUMO O estudo investigou desfechos clínicos do primeiro ano de vida de prematuros egressos da Unidade de

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Persistence of Morbidity and Cost Differences Between Late-Preterm and Term Infants During the First Year of Life

Abstract: Late-preterm infants have greater morbidity and total health care costs than term infants, and these differences persist throughout the first year of life. Management strategies and guidelines to reduce morbidity and costs in late-preterm infants should be investigated.

Cited by 216 publications

References 17 publications

Postnatal catch-up fat after late preterm birth

Postnatal catch-up fat after late preterm birth

Perspectives of Low Socioeconomic Status Mothers of Premature Infants

Acompanhamento dos desfechos clínicos no primeiro ano de vida de prematuros

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