Retrospective Data Analysis on the Characteristics in Neonatal Intensive Care Unit (NICU) Infants' Feeding Patterns

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dc.contributor.advisorHodge, Lisa M.
dc.creatorWu, Ko-Lin
dc.date.accessioned2024-02-02T21:47:14Z
dc.date.available2024-02-02T21:47:14Z
dc.date.issued2022-05
dc.description.abstractPurpose: The goal of this study is to identify and describe infant characteristics that are significantly associated with receiving instrumental swallowing assessment (ISA). Hypothesis: Infant and maternal medical history and demographics, and feeding and swallowing outcomes will have significant associations with receiving ISA. Methods: This retrospective, cross-sectional study included infants that were in the Baylor University Medical System's NICU from 2019 to 2021. Characteristics on infant and maternal demographics and medical history as well as infant dysphagia symptoms were collected and analyzed using descriptive statistics and logistic regression models. Results: Infants (n=205) diagnosed with BPD/chronic lung disease (OR=2.64; 95% CI: 1.26, 5.55) and had a tongue tie (OR=2.93; 95% CI: 1.52, 5.64) as well as experienced respiratory complications (OR=9.34; 95% CI: 2.18, 40.02), apnea/bradycardia (OR=7.49; 95% CI: 2.75, 20.35), cough/choke (OR=3.36; 95% CI: 1.59, 7.13), oral pooling (OR=6.53; 95% CI: 1.72, 24.87), oral phase incoordination (OR=4.27; 95% CI: 1.16, 15.73), and nasal/pharyngeal congestion (OR=3.03; 95% CI: 1.43, 6.42) during the feeding evaluations were significantly associated with receiving ISA. Infants of multiple gestations (OR=0.40; 95% CI: 0.19, 0.86) and higher APGAR 1-minute scores (OR=0.83; 95% CI: 0.72, 0.96) were significantly less likely to receive ISA. Conclusion: This study suggested that variables within infant demographics, medical history, and dysphagia symptoms have significant associations to receiving ISA. However, variables within maternal demographics and medical history have no significant associations.
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://hdl.handle.net/20.500.12503/32480
dc.language.isoen
dc.subjectNICU
dc.subjectfeeding patterns
dc.subjectinstrumental swallowing assessment
dc.subject.meshIntensive Care Units, Neonatal
dc.subject.meshFeeding Behavior
dc.subject.meshDeglutition
dc.titleRetrospective Data Analysis on the Characteristics in Neonatal Intensive Care Unit (NICU) Infants' Feeding Patterns
dc.typeThesis
dc.type.materialtext
thesis.degree.departmentSchool of Biomedical Sciences
thesis.degree.disciplineClinical Research Management
thesis.degree.grantorUniversity of North Texas Health Science Center at Fort Worth
thesis.degree.nameMaster of Science

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