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Metabolic Bone Disease of Prematurity: Risk Factors and Associated Short-Term Outcomes
dc.contributor.author | Avila Alvarez, Alejandro | |
dc.contributor.author | Urisarri Ruiz de Cortázar, Adela | |
dc.contributor.author | Fuentes Carballal, Jesús | |
dc.contributor.author | Mandía Rodríguez, Natalia | |
dc.contributor.author | SUCASAS ALONSO, ANDREA | |
dc.contributor.author | Couce Pico, María Luz | |
dc.date.accessioned | 2022-03-04T07:46:36Z | |
dc.date.available | 2022-03-04T07:46:36Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 2072-6643 | |
dc.identifier.other | https://www.ncbi.nlm.nih.gov/pubmed/33321828 | es |
dc.identifier.uri | http://hdl.handle.net/20.500.11940/16163 | |
dc.description.abstract | Despite the importance of early recognition of metabolic bone disease (MBD) of prematurity, there is still significant variability in screening practices across institutions. We conducted an observational study of infants born at </=32 weeks of gestation with a birth weight of </=1500 g (n = 218) to identify clinical factors associated with biochemical indicators of MBD. Bone mineral status was assessed by measuring alkaline phosphatase and phosphate levels between weeks 3 and 5 of life. Two comparisons were performed after classifying infants as either MBD (cases) or non-MBD (controls), and as either high or low risk for MBD, as determined based on the results of MBD screening. In total, 27 infants (12.3%) were classified as cases and 96 (44%) as high-risk. Compared with controls, MBD infants had a significantly lower gestational age and birth weight, and a longer duration of parenteral nutrition and hospital stay. Respiratory outcomes were significantly poorer in high- versus low-risk infants. Multivariate logistic regression showed that birth weight was the only independent risk factor for MBD (odds ratio [OR]/100 g, 0.811; confidence interval [CI95%], 0.656-0.992; p = 0.045) and that birth weight (OR/100 g, 0.853; CI95%, 0.731-0.991; p = 0.039) and red blood cell transfusion (OR, 2.661; CI95%, 1.308-5.467; p = 0.007) were independent risk factors for high risk of MBD. Our findings provide evidence of risk factors for MBD that could help clinicians to individualize perinatal management. The association of red blood cell transfusion with MBD is a novel finding that may be related to iron overload and that merits further study. | es |
dc.language.iso | en | es |
dc.rights | Atribución 4.0 Internacional | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject.mesh | Risk Factors | * |
dc.subject.mesh | Odds Ratio | * |
dc.subject.mesh | Gestational Age | * |
dc.subject.mesh | Length of Stay | * |
dc.subject.mesh | Logistic Models | * |
dc.subject.mesh | Parenteral Nutrition | * |
dc.subject.mesh | Birth Weight | * |
dc.subject.mesh | Neonatal Screening | * |
dc.subject.mesh | Phosphates | * |
dc.subject.mesh | Risk Assessment | * |
dc.subject.mesh | Alkaline Phosphatase | * |
dc.subject.mesh | Erythrocyte Transfusion | * |
dc.subject.mesh | Bone Diseases | * |
dc.subject.mesh | Prospective Studies | * |
dc.subject.mesh | Retrospective Studies | * |
dc.subject.mesh | Infant | * |
dc.title | Metabolic Bone Disease of Prematurity: Risk Factors and Associated Short-Term Outcomes | en |
dc.type | Journal Article | es |
dc.authorsophos | Avila-Alvarez, Alejandro;Urisarri, Adela;Fuentes-Carballal, Jesús;Mandiá, Natalia;Sucasas-Alonso, Andrea;Couce, María L | |
dc.identifier.doi | 10.3390/nu12123786 | |
dc.identifier.pmid | 33321828 | |
dc.identifier.sophos | 35611 | |
dc.issue.number | 12 | es |
dc.journal.title | Nutrients | es |
dc.organization | Servizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::EOXI de A Coruña - Complexo Hospitalario Universitario de A Coruña::Pediatría | |
dc.organization | Servizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::Instituto de Investigación Biomédica da Coruña (INIBIC) | |
dc.organization | Servizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS) | |
dc.organization | Servizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::EOXI de Santiago de Compostela - Complexo Hospitalario Universitario de Santiago de Compostela::Neonatoloxía | |
dc.relation.publisherversion | https://mdpi-res.com/d://attachment/nutrients/nutrients-12-03786/article://deploy/nutrients-12-03786-v3.pdf | es |
dc.rights.accessRights | openAccess | |
dc.subject.decs | duración de estancia hospitalaria | * |
dc.subject.decs | cociente de probabilidades relativas | * |
dc.subject.decs | cribado neonatal | * |
dc.subject.decs | factores de riesgo | * |
dc.subject.decs | estudios prospectivos | * |
dc.subject.decs | estudios retrospectivos | * |
dc.subject.decs | peso al nacer | * |
dc.subject.decs | transfusión de eritrocitos | * |
dc.subject.decs | enfermedades óseas | * |
dc.subject.decs | modelos logísticos | * |
dc.subject.decs | nutrición parenteral | * |
dc.subject.decs | edad gestacional | * |
dc.subject.decs | fosfatasa alcalina | * |
dc.subject.decs | evaluación de riesgos | * |
dc.subject.decs | humanos | * |
dc.subject.decs | lactante | * |
dc.subject.decs | fosfatos | * |
dc.subject.keyword | CHUAC | es |
dc.subject.keyword | CHUAC | |
dc.subject.keyword | INIBIC | |
dc.subject.keyword | IDIS | |
dc.subject.keyword | CHUS | |
dc.typefides | Artículo Original | es |
dc.typesophos | Artículo Original | es |
dc.volume.number | 12 | es |