Pediatrics & Therapeutics
Open Access

Predictive factors about spontaneous fracture in VLBWI

JOINT EVENT on 11^th International Conference on Clinical Pediatrics & 2^nd International Conference on Pediatric Surgery

June 29- July 01, 2017 London, UK

Shin Yun Byun and Myo Jing Kim

Pusan National University School of Medicine, South Korea
Dong-A Medical Center, South Korea

Posters & Accepted Abstracts: Pediatr Ther

Abstract :

Background: We occasionally experience spontaneous fractures of VLBWI in NICU. It occurs mainly in preterm infants with feeding intolerance. So, we thought nutrition-related predictive factors about spontaneous fracture in VLBWI. Objective: The purpose of this study is to find the nutrition-related predictive factors associated with spontaneous fractures in VLBWI. Method: We retrospectively investigated clinical characteristics and outcomes of VLBWI in our NICU from Jan 2013 to Nov 2016. Total 108 of VLBWI were included in this study. 103 of VLBWI were excluded because of data loss and death within 1 month after birth. We collected the data about vitamin level, parathyroid hormone (PTH) and trace elements at 1 month after birth. Result: 98 of 108 VLBWI showed non-fractures (group A) and 10 VLBWI showed fractures (group B). The clinical characteristics, trace elements and outcomes in two groups were not significantly different. But 25 Vitamin D and PTH levels were significantly higher in group B than group A. Conclusion: We have to pay close attention to caring of VLBWI with high level of 25 vitamin D and PTH to prevent spontaneous fracture in NICU. We need more patients to find cut-off values of 25 vitamin D and PTH.

Biography :

Email: minal.menezes@health.nsw.gov.au