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To explore the influence of multi-angle factors, including family integrated care, on extrauterine growth restriction at discharge of very low birth weight infants.
To explore the influence of multi-angle factors, including family integrated care, on extrauterine growth restriction at discharge of very low birth weight infants.Very low birth weight infants admitted to 17 neonatal intensive care units in 8 provinces and cities in southeast China from February 2021 to November 2023 were retrospectively included, which were divided into case group and control group according to whether there was extrauterine growth restriction (defined as the weight below the 10th percentile of children of the same age at discharge). The general situation at birth, the length of hospital stay, the incidence of complications during hospital stay, the feeding situation, the length of family participation care and the perinatal situation of the mother were compared between the two groups. The generalized linear mixed model was used to analyze the influencing factors of extrauterine growth retardation at discharge, and the results of influencing factors were visualized by GraphPad Prism 9.0 software.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| the control group | Very low birth weight infants without extrauterine growth restriction at discharge. |
| |
| the case group | Very low birth weight infants with extrauterine growth restriction at discharge. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| family integrated care | Behavioral | Trained NICU nurses give effective education to parents of children, and regard parents as a part of NICU team, so that they can actively provide positive care for babies instead of passive caregivers. Parents mainly participate in nursing care such as bottle feeding, changing diapers, skin contact and so on. |
| Measure | Description | Time Frame |
|---|---|---|
| total duration of family integrated care | Trained NICU staffs effectively educate parents as part of the NICU team so that they can proactively provide active care for the baby, rather than passive caregivers. Parents are primarily involved in care such as bottle feeding, diaper changing, skin-to-skin contact and so on.We calculate total duration of family integrated care in hours. | From the day admitted into the NICU until day on dischargeļ¼an average of 2 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Birth weight | birth weight in grams | assessed at birth. |
| Small for gestational age | birth weight<10th percentile of the neonatal growth curve for infants of the same sex and gestational age |
| Measure | Description | Time Frame |
|---|---|---|
| Bronchopulmonary dysplasia | oxygen is required at 36 weeks of corrected gestational age or at discharge | From the day admitted into the NICU until day on dischargeļ¼an average of 2 months. |
| Retinopathy of prematurity |
Inclusion Criteria:
Exclusion Criteria:
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very low birth weight infants
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| Name | Affiliation | Role |
|---|---|---|
| Xiaojing Hu, PhD | Children's Hospital of Fudan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's Hospital of Fudan University | Shanghai | Shanghai Municipality | 200032 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40785514 | Derived | Qiu MF, Zhang Y, Tang YZ, Dou YL, Wang Y, Lyu TC, Fan QL, Ma YL, Li F, Rong H, Tang YF, Gu WW, Chen XC, Liu D, Wang H, Xiao J, Zhang LL, Wang Y, Ye RM, Li D, Li XX, Pang Y, Lin M, Lin M, Xuan Y, Hu XJ; Research Group of Developmental Care for Very Low Birth Weight Infants in China. An investigation into the impact of family integrated care on extrauterine growth restriction at discharge in very low birth weight infants: a multi-centre study. J Glob Health. 2025 Aug 11;15:04168. doi: 10.7189/jogh.15.04168. |
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|
| assessed at birth. |
| Necrotizing enterocolitis | diagnosed according to the Bella classification | From the day admitted into the NICU until day on discharge, an average of 2 months. |
| gestational age | gestational age at weeks | assessed at birth. |
diagnosed according to the International Classification of Retinopathy of Prematurity
| From the day admitted into the NICU until day on discharge, an average of 2 months. |
| Intraventricular hemorrhage | the diagnosis is based on Paplie's classification | From the day admitted into the NICU until day on dischargeļ¼an average of 2 months. |
| Late-onset sepsis | sepsis occurs >72h after birth | From the day admitted into the NICU until day on discharge, an average of 2 months. |