서브메뉴
검색
Human Milk and Direct Breastfeeding for Infants With Single Ventricle Congenital Heart Disease: An Analysis of Prevalence, Supportive and Limiting Factors, and Impact on Key Outcomes
Human Milk and Direct Breastfeeding for Infants With Single Ventricle Congenital Heart Disease: An Analysis of Prevalence, Supportive and Limiting Factors, and Impact on Key Outcomes
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260209102833
- ISBN
- 9798291502808
- DDC
- 610.73
- 서명/저자
- Human Milk and Direct Breastfeeding for Infants With Single Ventricle Congenital Heart Disease: An Analysis of Prevalence, Supportive and Limiting Factors, and Impact on Key Outcomes
- 발행사항
- [Sl] : University of Minnesota, 2023
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2023
- 형태사항
- 268 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 87-02, Section: B.
- 주기사항
- Advisor: McKechnie, Anne Chevalier.
- 학위논문주기
- Thesis (Ph.D.)--University of Minnesota, 2023.
- 초록/해제
- 요약BackgroundInfants with single ventricle congenital heart disease (SV CHD) undergo three staged palliative surgeries/interventions and are at risk for morbidity and mortality. Human milk (HM) and direct breastfeeding (BF) benefit other vulnerable neonates, but evidence about HM/BF for infants with SV CHD is limited. We aimed to:(1) Determine HM/BF prevalence; determine whether BF at neonatal stage 1 palliation (S1P) discharge is associated with continued HM feeding at stage 2 palliation (S2P).(2) Identify factors that support or limit HM and BF.(3) Estimate the effect of HM and BF on key health outcomes.MethodsWe analyzed data from the National Pediatric Cardiology Quality Improvement Collaborative Registry (n=2491 infants; n=68 sites; 2016-2021). Analysis involved:(1) Descriptive statistics for prevalence; adjusted logistic regression to examine associations between early BF/later HM.(2) Machine learning to identify key HM/BF predictors.(3) Poisson and logistic regression to compare outcomes between propensity-matched cohorts.Results(1) HM/BF prevalence was low and varied among sites. Infants BF at S1P discharge had 4.11 times greater odds of HM feeding at S2P.(2) The strongest HM/BF predictor domain areas included preoperative feeding, demographics and social determinants of health, feeding route, clinical course, and site.(3) Estimates for all outcomes were better in high HM/BF groups, including significantly lower odds of necrotizing enterocolitis, sepsis, and infection; shorter hospital length of stay; and lower mortality.ConclusionsIncreasing the dose and duration of HM and BF has strong potential to substantially improve the health outcomes of these vulnerable infants.
- 일반주제명
- Nursing
- 일반주제명
- Nutrition
- 일반주제명
- Epidemiology
- 키워드
- Breastfeeding
- 키워드
- Human milk
- 키워드
- Infants
- 키워드
- Single ventricle
- 기타저자
- University of Minnesota Nursing
- 기본자료저록
- Dissertations Abstracts International. 87-02B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
008260203s2023 us c eng d■001000017365830
■00520260209102833
■006m o d
■007cr#unu||||||||
■020 ▼a9798291502808
■035 ▼a(MiAaPQ)AAI30573825
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a610.73
■1001 ▼aSybesma Elgersma, Kristin Marie.
■24510▼aHuman Milk and Direct Breastfeeding for Infants With Single Ventricle Congenital Heart Disease: An Analysis of Prevalence, Supportive and Limiting Factors, and Impact on Key Outcomes
■260 ▼a[Sl]▼bUniversity of Minnesota▼c2023
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2023
■300 ▼a268 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-02, Section: B.
■500 ▼aAdvisor: McKechnie, Anne Chevalier.
■5021 ▼aThesis (Ph.D.)--University of Minnesota, 2023.
■520 ▼aBackgroundInfants with single ventricle congenital heart disease (SV CHD) undergo three staged palliative surgeries/interventions and are at risk for morbidity and mortality. Human milk (HM) and direct breastfeeding (BF) benefit other vulnerable neonates, but evidence about HM/BF for infants with SV CHD is limited. We aimed to:(1) Determine HM/BF prevalence; determine whether BF at neonatal stage 1 palliation (S1P) discharge is associated with continued HM feeding at stage 2 palliation (S2P).(2) Identify factors that support or limit HM and BF.(3) Estimate the effect of HM and BF on key health outcomes.MethodsWe analyzed data from the National Pediatric Cardiology Quality Improvement Collaborative Registry (n=2491 infants; n=68 sites; 2016-2021). Analysis involved:(1) Descriptive statistics for prevalence; adjusted logistic regression to examine associations between early BF/later HM.(2) Machine learning to identify key HM/BF predictors.(3) Poisson and logistic regression to compare outcomes between propensity-matched cohorts.Results(1) HM/BF prevalence was low and varied among sites. Infants BF at S1P discharge had 4.11 times greater odds of HM feeding at S2P.(2) The strongest HM/BF predictor domain areas included preoperative feeding, demographics and social determinants of health, feeding route, clinical course, and site.(3) Estimates for all outcomes were better in high HM/BF groups, including significantly lower odds of necrotizing enterocolitis, sepsis, and infection; shorter hospital length of stay; and lower mortality.ConclusionsIncreasing the dose and duration of HM and BF has strong potential to substantially improve the health outcomes of these vulnerable infants.
■590 ▼aSchool code: 0130.
■650 4▼aNursing
■650 4▼aNutrition
■650 4▼aEpidemiology
■653 ▼aBreastfeeding
■653 ▼aCongenital heart disease
■653 ▼aHuman milk
■653 ▼aInfants
■653 ▼aSingle ventricle
■690 ▼a0569
■690 ▼a0570
■690 ▼a0766
■71020▼aUniversity of Minnesota▼bNursing.
■7730 ▼tDissertations Abstracts International▼g87-02B.
■790 ▼a0130
■791 ▼aPh.D.
■792 ▼a2023
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17365830▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
