Objective To assess the nutritional status of neonates in the neonatal intensive care unit(NICU)and analyze the associated factors,with the aim of providing a basis for clinical intervention.Methods Collected clinical data from 920 neonates hospitalized in the NICU,and assessed their nutritional status based on weight and length at 7 days after admission to the NICU.The neonates were categorized into two groups:the malnourished group(97 cases)and the well-nourished group(823 cases).Univariate and multivariate regression analyses were conducted to identify the factors influencing neonatal malnutrition.Results Among the 920 neonates,157 cases(17.07%)had a weight-for-age Z-score(WAZ)less than-2,212cases(23.04%)hadalength-for-age Z-score(LAZ)lessthan-2,and112cases(12.17%)hada Kaup index less than 15.A total of 97 neonates(10.54%)were identified as malnourished.Univariate analysis showed that prematurity,respiratory distress syndrome(NRDS),postnatal infection,low birth weight,maternal pregnancy complications or comorbidities,duration of mechanical ventilation,extra-NICU examinations,administration of caffeine citrate,and initiation of enteral nutrition(EN)later than 12 hours were associated factors for malnutrition in hospitalized neonates in the NICU(P<0.05).Multivariate Logistic regression analysis showed that NRDS,prematurity,postnatal infection,low birth weight,maternal pregnancy complications or comorbidities,extra-NICU examinations,administration of caffeine citrate and initiation of EN later than 12 hours were independent risk factors for malnutrition in mother-infant separated neonates in the NICU(P<0.05).Conclusions The overall nutritional status of neonates in the NICU is suboptimal.Conditions such as NRDS,prematurity,postnatal infections,low birth weight,maternal pregnancy complications or comorbidities,extra-NICU examinations,the use of caffeine citrate and EN start time>12h may all increase the risk of malnutrition in neonates hospitalized in the NICU.
neonatal intensive care unitmaternal separationnutritional statusinfluencing factors
国家科技期刊平台
NSTL
万方数据
