دورية أكاديمية
أعرض في EDS

Extrauterine growth restriction in very-low-birthweight infants: prevalence and concordance according to Fenton, Olsen, and INTERGROWTH-21st growth charts in a multicenter Spanish cohort.

التفاصيل البيبلوغرافية
العنوان: Extrauterine growth restriction in very-low-birthweight infants: prevalence and concordance according to Fenton, Olsen, and INTERGROWTH-21st growth charts in a multicenter Spanish cohort.
المؤلفون: González López C; Servicio de Neonatología, Área de Gestión Clínica de La Infancia y Adolescencia, Hospital Universitario Central de Asturias, Oviedo, Spain., Solís Sánchez G; Servicio de Neonatología, Área de Gestión Clínica de La Infancia y Adolescencia, Hospital Universitario Central de Asturias, Oviedo, Spain. Solisgonzalo@uniovi.es.; Instituto Investigación Sanitaria Principado de Asturias, ISPA, Oviedo, Spain. Solisgonzalo@uniovi.es.; Departamento de Medicina, Universidad de Oviedo, Oviedo, Spain. Solisgonzalo@uniovi.es., Fernández Colomer B; Servicio de Neonatología, Área de Gestión Clínica de La Infancia y Adolescencia, Hospital Universitario Central de Asturias, Oviedo, Spain.; Instituto Investigación Sanitaria Principado de Asturias, ISPA, Oviedo, Spain., Mantecón Fernández L; Servicio de Neonatología, Área de Gestión Clínica de La Infancia y Adolescencia, Hospital Universitario Central de Asturias, Oviedo, Spain., Lareu Vidal S; Servicio de Neonatología, Área de Gestión Clínica de La Infancia y Adolescencia, Hospital Universitario Central de Asturias, Oviedo, Spain., Arias Llorente RP; Servicio de Neonatología, Área de Gestión Clínica de La Infancia y Adolescencia, Hospital Universitario Central de Asturias, Oviedo, Spain., Ibáñez Fernández A; Servicio de Neonatología, Área de Gestión Clínica de La Infancia y Adolescencia, Hospital Universitario Central de Asturias, Oviedo, Spain., González García LG; Servicio de Pediatría, Hospital Universitario de Cabueñes, Gijón, Spain., Suárez Rodríguez M; Servicio de Neonatología, Área de Gestión Clínica de La Infancia y Adolescencia, Hospital Universitario Central de Asturias, Oviedo, Spain.
المصدر: European journal of pediatrics [Eur J Pediatr] 2024 Sep; Vol. 183 (9), pp. 4073-4083. Date of Electronic Publication: 2024 Jul 03.
نوع المنشور: Journal Article; Multicenter Study; Observational Study
اللغة: English
بيانات الدورية: Publisher: Springer Verlag Country of Publication: Germany NLM ID: 7603873 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1076 (Electronic) Linking ISSN: 03406199 NLM ISO Abbreviation: Eur J Pediatr Subsets: MEDLINE
أسماء مطبوعة: Publication: Berlin : Springer Verlag
Original Publication: Berlin, New York, Springer-Verlag.
مواضيع طبية MeSH: Infant, Very Low Birth Weight*/growth & development , Growth Charts*, Humans ; Infant, Newborn ; Retrospective Studies ; Male ; Spain/epidemiology ; Female ; Prevalence ; Cross-Sectional Studies ; Gestational Age
مستخلص: Multiple criteria and growth references have been proposed for extrauterine growth restriction (EUGR). We hypothesized that these may impact the diagnosis of EUGR. The objective was to evaluate the prevalence of EUGR with its different definitions and the concordance according to Fenton, Olsen, and INTERGROWTH-21st in very-low-birthweight (VLBW) infants. This is an observational, retrospective, and multicenter study including VLBW infants from the Spanish SEN1500 Network from 2011 to 2020. Patients with major congenital anomalies, embryopathies, and gestational age less than 24 weeks were excluded. EUGR prevalence was calculated at discharge with cross-sectional, longitudinal, "true" cross-sectional, and "true" longitudinal definitions. Concordance was assessed with Fleiss' kappa coefficient. 23582 VLBW infants from 77 NICUs were included. In total, 50.4% were men with a median of gestational age of 29 (4) weeks. The prevalence of EUGR (cross-sectional, longitudinal, and "true") was variable for weight, length, and head circumference. Overall, the prevalence was higher with Fenton and lower with Olsen (cross-sectional and "true" cross-sectional) and INTERGROWTH-21st (longitudinal and "true" longitudinal). Agreement among the charts by weight was good only for cross-sectional EUGR and moderate for longitudinal, "true" cross-sectional, and "true" longitudinal. Concordance was good or very good for EUGR by length and head circumference.Conclusions: The prevalence of EUGR with the most commonly used definitions was variable in the cohort. Agreement among growth charts was moderate for all the definitions of EUGR by weight except cross-sectional and good or very good for length and head circumference. The choice of reference chart can impact the establishment of the diagnosis of EUGR. What is known: • EUGR has been defined in the literature and daily practice considering weight, length and head circumference with multiple criteria (cross-sectional, longitudinal, and "true" definition) • Different growth charts have been used for EUGR diagnosis What is new: • Prevalence of EUGR is variable depending on the definition and growth chart used in our cohort of VLBW infants • For the most frequently EUGR criteria used, traditionally considering weight, concordance among Fenton, Olsen and INTERGROWTH-21st growth charts is only moderate for all the definitions of EUGR by weight except cross-sectional definition. Concordance among the charts is good or very good for the different criteria of EUGR by head circumference and length.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Extrauterine growth restriction; Fenton; INTERGROWTH-21st; Olsen; Very-low-birthweight infants
تواريخ الأحداث: Date Created: 20240703 Date Completed: 20240813 Latest Revision: 20240816
رمز التحديث: 20240816
مُعرف محوري في PubMed: PMC11322293
DOI: 10.1007/s00431-024-05673-6
PMID: 38960906
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-1076
DOI:10.1007/s00431-024-05673-6