Comparison of two scales in the evaluation of first oral feeding in premature infants
10.3760/cma.j.cn115682-20220802-03752
- VernacularTitle:两种量表在早产儿首次经口喂养评估中的比较研究
- Author:
Ya GAO
1
;
Jiaoyang REN
;
Xiaomin XIE
;
Haixia WEI
;
Guoxi LI
;
Lu SUN
;
Panpan WANG
Author Information
1. 空军军医大学第二附属医院儿科，西安 710038
- Keywords:
Infant, premature;
First oral feeding;
Preterm Infant Oral Feeding Readiness Assessment Scale;
Preterm Infant Oral Feeding Ability Readiness Assessment S
- From:
Chinese Journal of Modern Nursing
2023;29(23):3174-3178
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the efficacy of the Preterm Infant Oral Feeding Readiness Assessment Scale (PIOFRA) and Preterm Infant Oral Feeding Ability Readiness Assessment Scale (POFARA) in predicting the outcome of first oral feeding in preterm infants.Methods:This study was a cross-sectional study. From February 2021 to February 2022, 276 premature infants treated in the Neonatal Intensive Care Unit of the Second Affiliated Hospital of Air Force Medical University of People's Liberation Army and the Second Affiliated Hospital of Shaanxi University of Chinese Medicine were selected by convenience sampling method. According to the outcome of the first oral feeding, the premature infants were divided into a successful first oral feeding group ( n=227) and a failed first oral feeding group ( n=49). PIOFRA and POFARA were used to evaluate premature infants. The area under the receiver operating characteristic curve ( AUC), sensitivity, specificity, Youden index and other indicators were used to compare the predictive efficacy of the two scales for the first oral feeding outcome of premature infants. Results:The success rate of first oral feeding for premature infants was 82.25% (227/276). The PIOFRA and POFARA scores of the successful first oral feeding group were higher than those of the failed first oral feeding group ( P<0.01). The AUC of PIOFRA was 0.830. When the total score of PIOFRA was 27.00, the sensitivity was 78.40%, the specificity was 75.50%, and the Youden index was 0.539 ( P<0.01), and its prediction efficiency was the highest. The AUC of POFARA was 0.928. When the total score of POFARA was 33.00, the sensitivity was 79.70%, the specificity was 95.90%, and the Youden index was 0.757 ( P<0.01), and its prediction efficiency was the highest. The AUC, sensitivity, specificity and Youden index of POFARA were higher than those of PIOFRA. Conclusions:The predictive efficacy of POFARA is higher than that of PIOFRA. It is recommended to use POFARA for the evaluation and prediction of the outcome of first oral feeding in premature infants.
