Evaluate if the implementation of a hypoglycemia protocol with glucose gel has reduced the NICU admission rate of neonates with low-acuity neonatal hypoglycemia.
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.
Study Type
OBSERVATIONAL
Enrollment
400
Banner University Medical Center Phoenix
Phoenix, Arizona, United States
Mean NICU length of stay rounded to the day
Mean NICU length of stay rounded to the day
Time frame: 30 days
Mean maximum glucose infusion rate
Mean maximum glucose infusion rate
Time frame: 30 days
Assess for complications
\- Number of neonates identified to have any type of infection
Time frame: 30 days
Assess for weight loss
\- Maximum weight loss as percent below birth weight during NICU admission
Time frame: 30 days
Evaluate for persistent symptomatic or asymptomatic hypoglycemia
* Number of neonates with symptomatic hypoglycemia * Number of neonates with asymptomatic hypoglycemia
Time frame: 30 days
Number of neonates who received formula
Time to gain back to birthweight (if occurred while in-house), rounded to day of life
Time frame: 30 days
Number of neonates with any breastfeeding during hospitalization
Time to gain back to birthweight (if occurred while in-house), rounded to day of life
Time frame: 30 days
Number of neonates with breastfeeding at time of discharge
Time to gain back to birthweight (if occurred while in-house), rounded to day of life
Time frame: 30 days
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