Which birth weight threshold to start parenteral nutrition? A single center experience.

Autor: Biagetti C; Division of Neonatology, Polytechnic University of Marche, Salesi Children's Hospital, Via Corridoni 11, 60123, Ancona, Italy., Correani A; Division of Neonatology, Polytechnic University of Marche, Salesi Children's Hospital, Via Corridoni 11, 60123, Ancona, Italy., Antognoli L; Division of Neonatology, Polytechnic University of Marche, Salesi Children's Hospital, Via Corridoni 11, 60123, Ancona, Italy., Burattini I; Division of Neonatology, Polytechnic University of Marche, Salesi Children's Hospital, Via Corridoni 11, 60123, Ancona, Italy., D'Ascenzo R; Division of Neonatology, Polytechnic University of Marche, Salesi Children's Hospital, Via Corridoni 11, 60123, Ancona, Italy., Bellagamba MP; Division of Neonatology, Polytechnic University of Marche, Salesi Children's Hospital, Via Corridoni 11, 60123, Ancona, Italy., Andresciani E; Division of Neonatology, Polytechnic University of Marche, Salesi Children's Hospital, Via Corridoni 11, 60123, Ancona, Italy., Garzone AMF; Division of Neonatology, Polytechnic University of Marche, Salesi Children's Hospital, Via Corridoni 11, 60123, Ancona, Italy., Cogo P; Department of Medicine, University Hospital S Maria della Misericordia, University of Udine, Piazzale Kolbe 3, 33100, Udine, Italy., Carnielli VP; Division of Neonatology, Polytechnic University of Marche, Salesi Children's Hospital, Via Corridoni 11, 60123, Ancona, Italy. chiara.biagetti@ospedaliriuniti.marche.it.
Jazyk: angličtina
Zdroj: European journal of clinical nutrition [Eur J Clin Nutr] 2023 Apr; Vol. 77 (4), pp. 474-480. Date of Electronic Publication: 2023 Jan 10.
DOI: 10.1038/s41430-022-01257-5
Abstrakt: Objectives: To analyze the need for parenteral nutrition (PN) in infants with a birth weight (BW) between 1250 and 1499 g.
Methods: Retrospective evaluation of clinical, nutritional, growth and neurodevelopmental data of infants with a BW between 1250 and 1499 g consecutively admitted to our institution between 2004 and 2020.
Results: Of the 503 infants admitted during the study period, 130 (26%) received PN: in 97 (19%) PN was medically indicated, while in 33 (7%) there was no clear indication. Patients who received medically indicated PN were younger, smaller, and sicker than the 373 infants who were managed with enteral nutrition, and their weight gain was lower (14.6 ± 4.1 vs 16.9 ± 4.2 g∙kg -1  ∙ d -1 , p = 0.000). Body size at 36 weeks and 2-year anthropometry and neurodevelopment of the infants managed with enteral nutrition were not different from our reference values.
Conclusions: After lowering the BW threshold for bridging PN from 1500 to 1250 g, we found that PN was started in only 20% of infants with a BW between 1250 and 1500 g. Withholding PN if not medically indicated did not result neither in growth faltering nor in reduced neurodevelopment.
(© 2023. The Author(s), under exclusive licence to Springer Nature Limited.)
Databáze: MEDLINE
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