کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2688439 1143097 2012 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A nutritional program to improve outcome of very low birth weight infants
ترجمه فارسی عنوان
برنامه تغذیه ای برای بهبود نتیجه تولد نوزاد با وزن بسیار پایین
کلمات کلیدی
گرفتن رشد؛ ماشین حساب تغذیه؛ نمودار رشد؛ PMA نوزاد پس از زایمان، سن postmenstrual ؛ VLBW، وزن کم هنگام تولد؛ CLD، بیماری مزمن ریوی؛ NEC، نکروزان آنتروکولیت؛ IVH، خونریزی داخل بطنی؛ ROP، رتینوپاتی نوزادان نارس؛ SGA، s
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مراقبت های ویژه و مراقبتهای ویژه پزشکی
چکیده انگلیسی

SummaryBackground & aimsThe growth of very low birth weight infants does not match intrauterine trajectories, likely due to inappropriate caloric intake. We therefore investigated whether modification of the standard nutritional schedule can impact postnatal growth.MethodsWe introduced a set of evidence-based strategies in a study group of infants (n = 123): 1) higher maximum intake of intravenous amino acids and lipids; 2) prioritisation of earlier enteral feeding; 3) faster attainment of full enteral feeds; 4) daily adjustment of enteral feeds according to growth trajectory; and 5) utilisation of an electronic pre-structured prescription ordering system that tracks individual growth and energy intake. These infants were compared with a control group (n = 115) in a pre/post retrospective cohort study.ResultsThe study group achieved a higher caloric intake, attained full enteral feeds 5 days earlier, and returned to their birth weight more rapidly than the control group. At 36 weeks postmenstrual age, infants who had been born at <30 weeks were heavier (Δ260 g) but had a similar percentage fat mass. Those born at <28 weeks had a larger head circumference (Δ1.4 cm) and lower sepsis rate (7.8%).ConclusionsOptimization of early postnatal nutrition and daily adjustment of milk intake according to weight gain improved growth, without any unfavourable outcomes for body composition and neurodevelopmental follow-up.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Nutrition - Volume 31, Issue 1, February 2012, Pages 124–131
نویسندگان
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