| Autor: |
Lücke LA; Department of Anaesthesiology and Intensive Care Medicine, Campus Charité Mitte und Charité Campus Virchow-Klinikum, Charité-Universitätsmedizin, 13353 Berlin, Germany.; Research Department of Child Nutrition, University Hospital of Pediatrics and Adolescent Medicine, St. Josef-Hospital, Ruhr University Bochum, 44791 Bochum, Germany., Rochow N; Department of Pediatrics, Paracelsus Medical University, Breslauer Str. 201, 90471 Nürnberg, Germany.; DeuZWEG German Center for Growth, Development and Health Encouragement during Childhood and Youth, 10249 Berlin, Germany.; Department of Pediatrics, University Medicine Rostock, 18057 Rostock, Germany., Knab K; Department of Pediatrics, Paracelsus Medical University, Breslauer Str. 201, 90471 Nürnberg, Germany., Schäfer S; Department of Pediatrics, Paracelsus Medical University, Breslauer Str. 201, 90471 Nürnberg, Germany., Zimmermann JL; Department of Pediatrics, Paracelsus Medical University, Breslauer Str. 201, 90471 Nürnberg, Germany., Meis A; Department of Pediatrics, Paracelsus Medical University, Breslauer Str. 201, 90471 Nürnberg, Germany., Lohmüller-Weiß S; Department of Pediatrics, Paracelsus Medical University, Breslauer Str. 201, 90471 Nürnberg, Germany., Szakacs-Fusch A; Department of Pediatrics, Paracelsus Medical University, Breslauer Str. 201, 90471 Nürnberg, Germany., Felderhoff-Müser U; Department of Pediatrics I, Neonatology, Pediatric Intensive Care, and Pediatric Neurology, University Hospital Essen, University of Duisburg-Essen, Hufelandstr. 55, 45147 Essen, Germany., Fusch C; Department of Pediatrics, Paracelsus Medical University, Breslauer Str. 201, 90471 Nürnberg, Germany.; Department of Pediatrics, McMaster University, Hamilton, ON L8S 4L8, Canada. |
| Abstrakt: |
Body composition assessments using air displacement plethysmography (ADP, PEAPOD ® ) have been introduced into clinical practice at a few neonatal units. To allow accurate body composition assessments in term and preterm infants, a workflow for routine testing is needed. The aim of this study was to analyze the feasibility of weekly routine ADP testing. We analyzed (1) postnatal ages at first ADP assessment, (2) the number of weekly routine in-hospital assessments, and (3) the workload of body composition measurements using ADP in clinical practice on the basis of an retrospective analysis of our own clinical operating procedures. The retrospective analysis of weekly routine ADP testing proved feasible at Nuremberg Children's Hospital. The analysis of postnatal age at the first ADP test revealed differences across groups, with extremely preterm infants starting at a mean postmenstrual age of 36.6 weeks, very preterm infants starting at 34.2 weeks, and moderate to late preterm infants starting at 35.3 weeks. The mean number of tests before discharge was significantly greater in the extremely preterm group ( n = 3.0) than in the very preterm ( n = 2.4) and moderate to late preterm groups ( n = 1.7). The workload of the procedure is reasonable, at 8-13 min per test cycle. The study proved that weekly routine ADP assessments in preterm infants are feasible. However, the initiation of routine testing in extremely preterm infants starts at a significantly greater postnatal age than in the more mature population. ADP assessments can be safely and easily integrated into clinical practice and may be valuable tools for providing additional information on nutritional status and infant growth. A standardized routine protocol allowing identical measurement conditions across healthcare institutions and a standardized interpretation tool for age-adapted body composition data, however, would improve comparability and usability. |
