دورية أكاديمية
أعرض في EDS

A Quality Improvement Project to Decrease Fractures Secondary to Metabolic Bone Disease of Prematurity.

التفاصيل البيبلوغرافية
العنوان: A Quality Improvement Project to Decrease Fractures Secondary to Metabolic Bone Disease of Prematurity.
المؤلفون: Rau NM; From the Division of Neonatology, Department of Pediatrics, University of Illinois College of Medicine at Peoria, Peoria, Ill., Monagle LJ; Department of Foods and Nutrition, OSF St Francis Medical Center, Peoria, Ill., Fischer AM; From the Division of Neonatology, Department of Pediatrics, University of Illinois College of Medicine at Peoria, Peoria, Ill.
المصدر: Pediatric quality & safety [Pediatr Qual Saf] 2024 Jul 29; Vol. 9 (4), pp. e750. Date of Electronic Publication: 2024 Jul 29 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer Health, Inc Country of Publication: United States NLM ID: 101702480 Publication Model: eCollection Cited Medium: Internet ISSN: 2472-0054 (Electronic) Linking ISSN: 24720054 NLM ISO Abbreviation: Pediatr Qual Saf Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Philadelphia, PA] : Wolters Kluwer Health, Inc., [2016]-
مستخلص: Introduction: Osteopenia of prematurity is common in the neonatal intensive care unit, with an incidence of up to 54% in extremely low birthweight infants. The baseline fracture rate in our level IV midwestern neonatal intensive care unit was 13%, with poor compliance with recommended intakes of calcium, calcium:phosphorus ratio, and Vitamin D.
Methods: A multidisciplinary team implemented a screening guideline through four Plan-Do-Study-Act cycles, which addressed staff education, vitamin D screening, and incorporation of calcitriol. In total, 150 patients born between October 1, 2019 and April 30, 2023 were screened for mineral intakes, laboratory abnormalities, and the development of fractures or osteopenia.
Results: The incidence of fractures decreased from 13% to 5.3%. Compliance with mineral intakes improved for calcium, calcium: phosphorus ratio, and Vitamin D. Infants born after the guideline were 4.8 times less likely to develop fractures.
Conclusion: Quality improvement methodology successfully decreased the rate of fractures due to osteopenia of prematurity and increased compliance with recommended mineral intakes.
(Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.)
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تواريخ الأحداث: Date Created: 20240730 Latest Revision: 20240731
رمز التحديث: 20240731
مُعرف محوري في PubMed: PMC11286248
DOI: 10.1097/pq9.0000000000000750
PMID: 39077117
قاعدة البيانات: MEDLINE
الوصف
تدمد:2472-0054
DOI:10.1097/pq9.0000000000000750