Prevention of postnatal growth restriction by the implementation of an evidence-based premature infant feeding bundle.
| Autor: | Graziano PD; Nursing (Neonatology), Albany Medical Center, Albany, NY, USA., Tauber KA; Pediatrics (Neonatology), Children's Hospital at Albany Medical Center, Albany, NY, USA., Cummings J; Pediatrics (Neonatology), Children's Hospital at Albany Medical Center, Albany, NY, USA., Graffunder E; Epidemiology, Albany Medical Center, Albany, NY, USA., Horgan MJ; Pediatrics (Neonatology), Children's Hospital at Albany Medical Center, Albany, NY, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2015 Aug; Vol. 35 (8), pp. 642-9. Date of Electronic Publication: 2015 Apr 16. |
| DOI: | 10.1038/jp.2015.35 |
| Abstrakt: | Objective: To develop an evidence-based feeding bundle to safely decrease the rate of PNGR in VLBW infants. Study Design: The bundle was developed and implemented in January 2010, followed by 3 years of monitoring bundle compliance and infant outcomes (days to first feed (FD), days to reach full feeds (FF), and birth-discharge growth trajectories (delta z-score)). Results: Data were collected on 482 infants (119 pre-bundle). PNGR decreased from 35% to 19% (P<0.01) and weight delta z-score improved from -0.82 to -0.45 (P<0.001). Percentage of infants with head circumference (HC) below 10th percentile at discharge decreased from 21% to 9% (P<0.01) and HC delta z-score improved from -0.65 to -0.17 (P<0.001). FD and FF also decreased significantly. Rates of necrotizing enterocolitis, peak alkaline phosphatase and peak direct bilirubin levels all trended downward. Conclusions: An evidence-based, standardized feeding bundle was safe and effective in reducing the rate of PNGR and in improving head growth in VLBW infants. |
| Databáze: | MEDLINE |
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