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Standards of admission capillary blood glucose levels in cesarean born neonates
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作者 Tatiana Smolkin Irena Ulanovsky +1 位作者 pnina carasso Imad R.Makhoul 《World Journal of Pediatrics》 SCIE CAS CSCD 2017年第5期433-438,共6页
Background:Neonatal hypoglycemia (NH) and cutoffs remain undefined.Our center screens all cesareandelivered (CD) neonates for NH.We sought to define standards of admission capillary blood glucose levels (ACBGLs) in CD... Background:Neonatal hypoglycemia (NH) and cutoffs remain undefined.Our center screens all cesareandelivered (CD) neonates for NH.We sought to define standards of admission capillary blood glucose levels (ACBGLs) in CD neonates who were at the lowest risk for hypoglycemia.Methods:Of 4947 neonates,519 met all 14 inclusion criteria.These highly-selected neonates were apparently the healthiest,least-stressed,earliest to be admitted to nursery and at lowest-risk for hypoglycemia.For each CD,cord blood gases and glucose were determined and each infant was screened for blood glucose at nursery admission.Results:Sampling age was 41.6±15.3 minutes,a mean ACBGL of 52.3±10.7 mg/dL,and percentiles as follows:1st percentile,29.2;3rd,33.6;5th,35.0;10th,39.0;25th,46.0;50th,51.0;75th,58.0;90th,67.0;95th,71.0;97th,73.0,and 99th,84.4.ACBGL rose significantly with increasing gestational age (P=0.004),increasing cord blood glucose (P<0.001),decreasing cord blood pH (P<0.001) and decreasing sampling age (P=4).027).Conclusions:Setting uniform ACBGL cutoffs for NH definition is unachievable due to the enormous heterogeneity among newborns.Hence,we provide group-based ACBGL standards in CD neonates.We propose setting ACBGL cutoffs for use in CD neonates:1) hypoglycemia:ACBGL <5th percentile (<35 mg/dL);and 2) interventional hypoglycemia:ACBGL <1st percentile (<30 mg/dL). 展开更多
关键词 capillary blood CESAREAN delivery glucose HYPOGLYCEMIA NEWBORN infant
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