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Prevalence and Impact of Feeding-Related Events on Hospital Stay in Preterm and Term Newborns

Rebecca Macias1, Debora Peterson, Leah Korkis

  • 1USC Verdugo Hills Hospital, Glendale, California.

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
|October 20, 2023
PubMed

Insights

Infants experiencing feeding-related (FR) events, such as sucking difficulties, had twice the hospital length of stay. This highlights the need for better understanding of FR and apnea, bradycardia, and desaturation (ABD) events in newborns.

Area of Science:

  • Neonatal care
  • Pediatric feeding disorders
  • Clinical nursing

Background:

  • Nursing assessment of milk flow regulation and associated apnea, bradycardia, and desaturation (ABD) events impacts newborn discharge planning.
  • Limited research exists on feeding-related (FR) events (sucking/swallowing difficulties) and ABD events in preterm and full-term infants.

Purpose of the Study:

  • To investigate the impact of FR and ABD events during feeding on hospital length of stay (LOS) and healthcare costs.
  • To analyze these impacts in moderate-to-late preterm and full-term infants.

Main Methods:

  • Retrospective study of bottle-fed infants in a level II specialty care nursery.
  • Statistical analyses to determine the effect of FR events on adjusted LOS and total hospital charges.
  • Assessment of the relationship between FR events and diagnostic-related group severity.

Main Results:

  • The study included 308 infants (32-44 weeks gestational age).
  • Infants with FR events experienced a twofold increase in LOS.
  • Median total charges were significantly higher for infants with FR events ($160,165) compared to those without ($64,380).

Conclusions:

  • Enhanced understanding of the epidemiology and nursing care for infants with milk flow regulation and ABD events is crucial.
  • This knowledge is vital for developing practices and guidelines to prevent related morbidities.
Abstract

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