Glucose Gel in Infants at Risk for Transitional Neonatal Hypoglycemia.
Am J Perinatol
; 35(11): 1050-1056, 2018 09.
Article
em En
| MEDLINE
| ID: mdl-29579758
ABSTRACT
OBJECTIVE:
To evaluate whether glucose gel as a supplement to feedings in infants admitted to the newborn nursery at risk for neonatal hypoglycemia (NH) reduces the frequency of transfer to a higher level of care for intravenous dextrose treatment. STUDYDESIGN:
We revised our newborn nursery protocol for management of infants at risk for NH to include use of 40% glucose gel (200 mg/kg). Study population included late preterm, small and large for gestational age infants, and infants of diabetic mothers. We compared outcomes before (4/1/14-3/31/15 Year 1) and after (4/1/15-3/31/16 Year 2) initiation of the revised protocol. Our prospective primary outcome was transfer to the neonatal intensive care unit (NICU) for treatment with a continuous infusion of dextrose.RESULTS:
NICU transfer for management of NH fell from 8.1% in Year 1 (34 of 421 at-risk infants screened) to 3.7% in Year 2 (14 of 383 at-risk infants screened). Rate of exclusive breastfeeding increased from 6% in Year 1 to 19% in Year 2. Hospital charges for the study population decreased from 801,276 USD to 387,688 USD in Year 1 and Year 2, respectively.CONCLUSION:
Our study supports the adjunctive use of glucose gel to reduce NICU admissions and total hospitalization expense.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aleitamento Materno
/
Unidades de Terapia Intensiva Neonatal
/
Glucose
/
Hipoglicemia
Tipo de estudo:
Etiology_studies
/
Guideline
/
Observational_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
/
Newborn
Idioma:
En
Revista:
Am J Perinatol
Ano de publicação:
2018
Tipo de documento:
Article