Hypoglycemia, Neonatal Hypoglycemia
Conditions
Brief summary
Evaluate if the implementation of a hypoglycemia protocol with glucose gel has reduced the NICU admission rate of neonates with low-acuity neonatal hypoglycemia.
Detailed description
This project will evaluate various aspects of infants with hypoglycemia admitted to the Neonatal Intensive Care Unit (NICU) pre- and post- implementation of a hospital-wide hypoglycemia protocol with oral glucose gel. Subjects will be matched by gestational age (GA), birth weight rounded to the nearest half kilogram, ethnicity, gender, maternal age, maternal diabetes status, maternal parity, maternal ethnicity, and mode of delivery. Retrospective data will be reviewed including neonatal and maternal demographics and NICU medical course data. The results of this study can inform intended and unintended consequences of the instituted protocol.
Interventions
None listed
Sponsors
Banner University Medical Center
Pediatrix
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
34 Weeks to No maximum
Healthy volunteers
No
Inclusion criteria
* All neonates born at Banner University Hospital during January 01, 2014 - November 30, 2016 and January 01, 2018 - November 30 2018 who qualify for hypoglycemia protocol.
Exclusion criteria
* Neonates \<34 weeks gestational age or with birth weight less than 2000 grams. * Infants with serious congenital malformation * Infants with a terminal disorder.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean NICU length of stay rounded to the day | 30 days | Mean NICU length of stay rounded to the day |
| Mean maximum glucose infusion rate | 30 days | Mean maximum glucose infusion rate |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluate for persistent symptomatic or asymptomatic hypoglycemia | 30 days | * Number of neonates with symptomatic hypoglycemia * Number of neonates with asymptomatic hypoglycemia |
| Number of neonates who received formula | 30 days | Time to gain back to birthweight (if occurred while in-house), rounded to day of life |
| Assess for complications | 30 days | \- Number of neonates identified to have any type of infection |
| Number of neonates with breastfeeding at time of discharge | 30 days | Time to gain back to birthweight (if occurred while in-house), rounded to day of life |
| Number of neonates with any breastfeeding during hospitalization | 30 days | Time to gain back to birthweight (if occurred while in-house), rounded to day of life |
| Assess for weight loss | 30 days | \- Maximum weight loss as percent below birth weight during NICU admission |
Countries
United States
Outcome results
None listed