Efficacy of Oral Rehabilitation Therapy in Terms of Neonatal Outcomes in Preterm Infants
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Purpose: To evaluate the efficacy of oral rehabilitation therapy (ORT) in terms of prematurity- associated morbidities in preterm infants born before a gestational age of 33 weeks. Methods: This was a single-institution retrospective case-control study including 78 high-risk preterm infants born between January 2015 and December 2016, who were administered with ORT for at least 15 minutes, 2 to 5 times/week by an occupational therapist. Various factors associated with feeding progression and neonatal morbidities were compared between the two groups. Results: Seventy-eight subjects, of whom 39 were cases and 39 controls, were included in this study. Infants in the case group achieved a greater total feeding volume (122.9± 85.3 mL vs. 48.9±25.7 mL, P<0.001), i.e., 8 times/day with oral feeding only, and showed significantly higher body weight (1,852.1±303.3 g vs. 1,592.3±444.1 g, P=0.003) than those in the control group with complete oral feeding day. The duration from the first day of oral feeding to full enteral feeding, i.e., 150 mL/day, was significantly shorter in the cases than that in the controls (15.4±1.4 days vs. 23.1±1.8 days, P=0.004). The body weight at discharge was higher in the cases than that in the controls (3,102.6± 619.3 g vs. 2,744.6± 436.8 g, P=0.008). Moreover, the incidence of late-onset sepsis was lower in the cases than that in the controls (12.8% vs. 25.6%, P=0.033). Other prematurity- associated morbidities were not different between the two groups. Conclusion: ORT in preterm infants facilitated the transition process from tube feeding to full oral feeding and reduced the incidence of late-onset sepsis.
Abstract
Purpose: To evaluate the efficacy of oral rehabilitation therapy (ORT) in terms of prematurity- associated morbidities in preterm infants born before a gestational age of 33 weeks. Methods: This was a single-institution retrospective case-control study including 78 high-risk preterm infants born between January 2015 and December 2016, who were administered with ORT for at least 15 minutes, 2 to 5 times/week by an occupational therapist. Various factors associated with feeding progression and neonatal morbidities were compared between the two groups. Results: Seventy-eight subjects, of whom 39 were cases and 39 controls, were included in this study. Infants in the case group achieved a greater total feeding volume (122.9± 85.3 mL vs. 48.9±25.7 mL, P<0.001), i.e., 8 times/day with oral feeding only, and showed significantly higher body weight (1,852.1±303.3 g vs. 1,592.3±444.1 g, P=0.003) than those in the control group with complete oral feeding day. The duration from the first day of oral feeding to full enteral feeding, i.e., 150 mL/day, was significantly shorter in the cases than that in the controls (15.4±1.4 days vs. 23.1±1.8 days, P=0.004). The body weight at discharge was higher in the cases than that in the controls (3,102.6± 619.3 g vs. 2,744.6± 436.8 g, P=0.008). Moreover, the incidence of late-onset sepsis was lower in the cases than that in the controls (12.8% vs. 25.6%, P=0.033). Other prematurity- associated morbidities were not different between the two groups. Conclusion: ORT in preterm infants facilitated the transition process from tube feeding to full oral feeding and reduced the incidence of late-onset sepsis.
참고문헌 (18)
- 김기수, "극소 및 초극소 저출생 체중아의 생존율 변화(1967-2007년)", Clinical and Experimental Pediatrics, 51(3), pp.237~242 (2008), 대한소아청소년과학회
- Korean Neonatal Network Annual Report 2015, "National Institute of Health", National Institute of Health, ~ (2015)
- Bingham PM, "Deprivation and dysphagia in premature infants", J Child Neurol, 24, pp.743~749 (2009)
- Barlow SM, "Synthetic orocutaneous stimulation entrains preterm infants with feeding difficulties to suck", J Perinatol, 28, pp.541~548 (2008)
- Einarsson-Backes LM, "The effect of oral support on sucking efficiency in preterm infants", Am J Occup Ther, 48, pp.490~498 (1994)
- Field T, "Nonnutritive sucking during tube feedings: effects on preterm neonates in an intensive care unit", Pediatrics, 70, pp.381~384 (1982)
- Leonard EL, "Nutritive sucking in high-risk neonates after perioral stimulation", Phys Ther, 60, pp.299~302 (1980)
- Boiron M, "Effects of oral stimulation and oral support on non-nutritive sucking and feeding performance in preterm infants", Dev Med Child Neurol, 49, pp.439~444 (2007)
- Bragelien R, "Stimulation of sucking and swallowing to promote oral feeding in premature infants", Acta Paediatr, 96, pp.1430~1432 (2007)
- Cunha M, "Nutritive sucking pattern: from very low birth weight preterm to term newborn", Early Hum Dev, 85, pp.125~130 (2009)
- Daley HK, "Meta analysis: effects of interventions on premature infants feeding", J Perinat Neonatal Nurs, 14, pp.62~77 (2000)
- Poore M, "Patterned orocutaneous therapy improves sucking and oral feeding in preterm infants", Acta Paediatr, 97, pp.920~927 (2008)
- 최해원, "초극소 저체중 출생아에서 수유 시 산소포화도 저하와 구강자극 요법의 효과", Neonatal medicine, 17(2), pp.193~200 (2010), 대한신생아학회
- Fucile S, "Oral stimulation accelerates the transition from tube to oral feeding in preterm infants", J Pediatr, 141, pp.230~236 (2002)
- Rocha AD, "A randomized study of the efficacy of sensory-motor-oral stimulation and non-nutritive sucking in very low birthweight infant", Early Hum Dev, 83, pp.385~388 (2007)
- 김희영, "미숙아에게 적용한 구강 자극 프로그램이 젖병 수유로의 이행에 미치는 효과", 기본간호학회지, 18(2), pp.160~167 (2011), 기본간호학회
- Gaebler CP, "The effects of a prefeeding stimulation program on preterm infants", Am J Occup Ther, 50, pp.184~192 (1996)
- American Academy of Pediatrics, "Hospital discharge of the high-risk neonate: proposed guidelines", Pediatrics, 102, pp.411~417 (1998)