Prevalencia de la restricción de crecimiento extrauterino y factores de riesgo asociados en recién nacidos con peso menor de 1500 gramos en una unidad de cuidado intensivo neonatal de Bogotá (Colombia)

• Díaz Cuesta, Elizabeth ^[1] ; Celis Castañeda, Luz Astrid ^[2]
  1. [1] Universidad del Bosque
  2. [2] Hospital Simón Bolivar / Clínica La Colina
• Localización: Universitas Medica, ISSN-e 2011-0839, ISSN 0041-9095, Vol. 63, Nº. 2, 2022
• Idioma: español
• Títulos paralelos:
  • Prevalence of Extrauterine Growth Restriction and Associated Risk Factors in Newborns Weighing Less than 1500 Grams in a Neonatal Intensive Care Unit in Bogotá – Colombia
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• Resumen
  • español

    Introduction: Newborns weighing less than 1500 grams present extrauterine growth restriction (EUGR) at hospital discharge in 40% to 90% and this is associated with increased morbidity. Objective: To describe the prevalence of EUGR and associated risk factors in newborns weighing less than 1500 grams at birth. Methods: Cross-sectional study with analytical component, which included neonates weighing less than 1500 grams, born in the institution between December 2015 and June 2020. Results: 128 patients with birth weight of 1,216 ± 207.8 grams and gestational age of 30 ± 2.3 weeks were identified. At hospital discharge 44.5% had EUGR, 56.1% of which were born with low weight for gestational age; 27/57 were classified as EUGR in severe category; 22.7% required pulmonary surfactant at birth and 84.2% presented bronchopulmonary dysplasia. Conclusions: The prevalence of EUGR at discharge in our unit is high and higher in low birth weight neonates who were 10 times more at risk. The use of surfactant was a protective factor.

  • English

    Introduction: Newborns weighing less than 1500 grams present extrauterine growth restriction (EUGR) at hospital discharge in 40% to 90% (1) and is associated with increased morbidity. Objective: To describe the prevalence of EUGR and associated risk factors in newborns weighing less than 1500 grams. Methods: Cross-sectional study with analytical component, which included neonates weighing less than 1500 grams, born in the institution between December 2015 and June 2020. Results: 128 patients with birth weight of 1,216 ± 207.8 grams and gestational age of 30 ± 2.3 weeks were identified. At hospital discharge 44.5 % had EUGR, of which 56.1 % were born with low birth weight for gestational age; 27/57 were classified as EUGR in severe category; 22.7 % required pulmonary surfactant at birth and 84.2 % presented bronchopulmonary dysplasia. Conclusions: The prevalence of EUGR at discharge in our unit is high and higher in low birth weight neonates who were 10 times more at risk. The use of surfactant was a protective factor.

      Key words: extrauterine growth restriction, very low birth weight, postnatal growth.