Thermal equilibrium as a predictor of growth efficiency in preterm infants.

Autor: Heiter J; Division of Neonatology and Pediatric Critical Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Konow J; Children's Hospital, Itzehoe, Germany., Koch J; Formerly Research Unit, Draegerwerk AG & Co. KGaA, Luebeck, Germany., Singer D; Division of Neonatology and Pediatric Critical Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany., Ebenebe CU; Division of Neonatology and Pediatric Critical Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Jazyk: angličtina
Zdroj: Frontiers in pediatrics [Front Pediatr] 2024 Nov 05; Vol. 12, pp. 1469724. Date of Electronic Publication: 2024 Nov 05 (Print Publication: 2024).
DOI: 10.3389/fped.2024.1469724
Abstrakt: Introduction: Providing adequate nutrition to preterm infants to achieve postnatal growth similar to intrauterine growth remains challenging due to the unpredictability of individual determinants.
Material and Methods: We used a calculation program for infant incubators to compare the estimated heat balance with the caloric intake and growth rate in Very Low Birth Weight Infants (VLBWI).
Results and Discussion: A group of 32 VLBWI was studied over a period of 14-28 days. An interrelationship between thermal equilibrium and growth rate was observed, with standardized incubator settings being unable to avoid periods of negative thermal balance and concomitantly poor growth rate.
Conclusion: Determining personalized incubator settings by means of a calculation program could help improve nutrition and growth in preterm infants.
Competing Interests: JK developed the program during his time at Draeger and is now retired, with no commercial interest in its distribution. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
(© 2024 Heiter, Konow, Koch, Singer and Ebenebe.)
Databáze: MEDLINE