Factors Associated with Successful First High-Risk Infant Clinic Visit for Very Low Birth Weight Infants in California

2019 ◽  
Vol 210 ◽  
pp. 91-98.e1 ◽  
Author(s):  
Susan R. Hintz ◽  
Jeffrey B. Gould ◽  
Mihoko V. Bennett ◽  
Tianyao Lu ◽  
Erika E. Gray ◽  
...  
Keyword(s):  
Birth Weight ◽  
High Risk ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Clinic Visit ◽  
High Risk Infant ◽  
Low Birth Weight Infants ◽  
Factors Associated

Rural Residence and Factors Associated with Attendance at the Second High-Risk Infant Follow-up Clinic Visit for Very Low Birth Weight Infants in California

2021 ◽  
Author(s):  
Martha G. Fuller ◽  
Tianyao Lu ◽  
Erika E. Gray ◽  
Maria A. L. Jocson ◽  
Mary K. Barger ◽  
...  
Keyword(s):  
Birth Weight ◽  
High Risk ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Rural Residence ◽  
High Risk Infant ◽  
Vlbw Infants ◽  
Factors Associated ◽  
The Impact

Objective This study was aimed to determine factors associated with attendance at the second high-risk infant follow-up (HRIF) visit (V2) by 20 months of corrected age after a successful first visit (V1), and the impact of rural residence on attendance rates in a statewide population of very low birth weight (VLBW; <1,500 g) infants. Study Design Data linked from the California Perinatal Quality of Care Collaborative (CPQCC) Neonatal Intensive Care Unit (NICU) database and CPQCC-California Children's Services (CCS) HRIF database. Multivariable logistic regression evaluated independent associations of sociodemographic, maternal, family, neonatal clinical, and individual HRIF program differences (factors) with successful V2 in VLBW infants born in 2010 to 2012. Results Of 7,295 eligible VLBW infants, 75% (5,475) attended V2. Sociodemographic factors independently associated with nonattendance included maternal race of Black (adjusted odds ratio [aOR] = 0.61; 95% confidence interval [CI]: 0.5–0.75), public insurance (aOR = 0.79; 95% CI: 0.69–0.91), and rural residence (aOR = 0.74; 95% CI: 0.61–0.9). Factors identified at V1that were associated with V2 attendance included attending V1 within the recommended window (aOR = 2.34; 95% CI: 1.99–2.75) and early intervention enrollment (aOR = 1.39; 95% CI: 1.12–1.61). Neonatal factors associated with attendance included birth weight ≤750 g (aOR = 1.83; 95% CI: 1.48–2.5). There were significant program differences with risk-adjusted rates ranging from 43.7 to 99.7%. Conclusion Sociodemographic disparities and HRIF program factors are associated with decreased attendance at V2 among VLBW infants. These findings highlight opportunities for quality and process improvement interventions starting in the NICU and continuing through transition to home and community to assure participation in HRIF. Key Points

Factors Associated with Early Severe Intraventricular Haemorrhage in Very Low Birth Weight Infants

2009 ◽  
Vol 40 (05) ◽  
pp. 224-227 ◽  
Author(s):  
M. M. Vela-Huerta ◽  
M. Amador-Licona ◽  
N. Medina-Ovando ◽  
C. Aldana-Valenzuela
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Intraventricular Haemorrhage ◽  
Low Birth Weight Infants ◽  
Factors Associated

Favorable Results of Neonatal Intensive Care for Very Low-Birth-Weight Infants

PEDIATRICS ◽  
1982 ◽  
Vol 69 (5) ◽  
pp. 621-625
Author(s):  
Ronald S. Cohen ◽  
David K. Stevenson ◽  
Natalie Malachowski ◽  
Ronald L. Ariagno ◽  
Keith J. Kimble ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Intensive Care ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Mortality ◽  
Very Low Birth Weight ◽  
Ventilatory Support ◽  
University Hospital ◽  
High Risk Infant ◽  
Low Birth Weight Infants

From 1961 to 1976, 229 infants with birth weights ranging from 751 to 1,000 gm were admitted to the Stanford University Hospital Intensive Care Nursery. The overall neonatal mortality for these infants was 63% (144/229), and there were ten late deaths. Before 1967, no infant in this group who required mechanical ventilation survived; therafter, 30% (34/114) of the ventilated patients survived. Of the 75 long-term survivors 60 participated in a high-risk infant follow-up program; these included 23 infants who had received mechanical ventilation. The mean birth weight of these infants was 928 ± 67 (SD) gm. Seventeen children (28%) had significant morbidity: seven (12%) with severe handicaps and ten (17%) with moderate handicaps. During this same period, seven infants weighing less than 750 gm at birth were also observed. The three infants who had not required ventilatory support thrived; the other four infants had required respirators and were significantly handicapped. More recently, neonatal mortality for infants with birth weights from 751 to 1,000 gm has improved: for 1977 to 1980, it was 28% (33/118). Furthermore, neonatal mortality for ventilated infants in this weight group was 27% (26/95). These data indicate an improved prognosis for very low-birth-weight infants, even with ventilatory support.

NEW CONCERNS ABOUT THERAPIES FOR RETINOPATHY OF PREMATURITY

PEDIATRICS ◽  
1996 ◽  
Vol 98 (6) ◽  
pp. A30-A30
Keyword(s):  
Risk Factors ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Premature Infants ◽  
Retinopathy Of Prematurity ◽  
Very Low Birth Weight ◽  
Patient Characteristics ◽  
Low Birth Weight Infants ◽  
Factors Associated ◽  
Corrected Visual Acuity

Purpose. Cryotherapy for retinopathy of prematurity (ROP) is effective in reducing the incidence of blindness in premature infants. However, macular complications associated with successful treatment have not yet been well studied. Methods. Eighteen very low birth weight (&lt;1251 g) infants (32 eyes) who received cryotherapy for ROP were examined serially for regression of disease and for development of macular abnormalities. Patient characteristics and treatment factors were evaluated to identify risk factors associated with the development of macular abnormalities after successful cryotherapy. Results. Eleven of 32 eyes (34.4%) that had undergone cryotherapy developed significant macular abnormalities, including macular coloboma-like change (six eyes), macular hyperpigmentation (two eyes), irregularly mottled macular hyperpigmentation and hypopigmentation (two eyes), and macular hyperpigmentation and hypopigmentation with subretinal proliferation (one eye). Corrected visual acuity in affected eyes ranged from 0.15 to 0.03 (20/133 to 20/666) compared with 1.0 to 0.2 (20/20 to 20/100) in treated eyes without macular abnormality (P = .0002). No difference in gestational age was noted between infants who did or did not develop macular coloboma-like lesions or pigment abnormalities. Eyes with macular abnormality had more posterior disease (P = .037) and received significantly more cryotherapy than did eyes without macular abnormality (P = .0005). Conclusions. In very low birth weight infants receiving cryotherapy for ROP, development of macular coloboma-like lesions and macular pigment abnormalities were related to greater severity of ROP and a greater amount of cryotherapy. Macular abnormalities were associated with markedly worse visual outcomes than were treated eyes without macular abnormality.

scholarly journals Development and Validation of a Nomogram for Predicting Bronchopulmonary Dysplasia in Very-Low-Birth-Weight Infants

2021 ◽  
Vol 9 ◽  
Author(s):  
Jingdi Zhang ◽  
Chenghan Luo ◽  
Mengyuan Lei ◽  
Zanyang Shi ◽  
Xinru Cheng ◽  
...  
Keyword(s):  
Birth Weight ◽  
High Risk ◽  
Low Birth Weight ◽  
Bronchopulmonary Dysplasia ◽  
Calibration Curve ◽  
Very Low Birth Weight ◽  
Lasso Regression ◽  
Low Birth Weight Infants ◽  
Lemeshow Test ◽  
High Risk Populations

Background: Bronchopulmonary dysplasia is a common pulmonary disease in newborns and is one of the main causes of death. The aim of this study was to build a new simple-to-use nomogram to screen high-risk populations.Methods: In this single-center retrospective study performed from January 2017 to December 2020, we reviewed data on very-low-birth-weight infants whose gestational ages were below 32 weeks. LASSO regression was used to select variables for the risk model. Then, we used multivariable logistic regression to build the prediction model incorporating these selected features. Discrimination was assessed by the C-index, and and calibration of the model was assessed by and calibration curve and the Hosmer-Lemeshow test.Results: The LASSO regression identified gestational age, duration of ventilation and serum NT-proBNP in the 1st week as significant predictors of BPD. The nomogram-illustrated model showed good discrimination and calibration. The C-index was 0.853 (95% CI: 0.851–0.854) in the training set and 0.855 (95% CI: 0.77–0.94) in the validation set. The calibration curve and Hosmer-Lemeshow test results showed good calibration between the predictions of the nomogram and the actual observations.Conclusion: We demonstrated a simple-to-use nomogram for predicting BPD in the early stage. It may help clinicians recognize high-risk populations.

Fluconazole Prophylaxis Prevents Invasive Fungal Infection in High-risk, Very Low Birth Weight Infants

2005 ◽  
Vol 147 (2) ◽  
pp. 162-165 ◽  
Author(s):  
Giovanna Bertini ◽  
Silvia Perugi ◽  
Carlo Dani ◽  
Luca Filippi ◽  
Simone Pratesi ◽  
...  
Keyword(s):  
Birth Weight ◽  
High Risk ◽  
Low Birth Weight ◽  
Fungal Infection ◽  
Invasive Fungal Infection ◽  
Very Low Birth Weight ◽  
Low Birth Weight Infants ◽  
Fluconazole Prophylaxis
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