Adequacy of Parenteral Nutrition in Preterm Infants According to Current Recommendations: A Study in A Spanish Hospital
| Autor: | Ana Cristina Murcia-López, Andrés Navarro-Ruiz, Ana Zaragoza-Martí, Ana Noreña-Peña, Ana María Sánchez-García |
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| Přispěvatelé: | Universidad de Alicante. Departamento de Enfermería, Psicología Aplicada a la Salud y Comportamiento Humano (PSYBHE), Informática Industrial y Redes de Computadores, Enfermería y Cultura de los Cuidados (EYCC), Grupo de Investigación en Alimentación y Nutrición (ALINUT) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty 030309 nutrition & dietetics Health Toxicology and Mutagenesis Birth weight lcsh:Medicine protocols Gestational Age parenteral nutrition Clinical nutrition Article 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Birth Weight Humans Medicine Neonatology Medical prescription Retrospective Studies Carbohydrate intake Preterm newborn 0303 health sciences business.industry lcsh:R Infant Newborn Public Health Environmental and Occupational Health Infant Gestational age Retrospective cohort study Parenteral nutrition preterm newborn Spain Female Enfermería business Infant Premature Protocols |
| Zdroj: | RUA. Repositorio Institucional de la Universidad de Alicante Universidad de Alicante (UA) International Journal of Environmental Research and Public Health Volume 17 Issue 6 International Journal of Environmental Research and Public Health, Vol 17, Iss 6, p 2131 (2020) |
| Popis: | Background: In preterm infants, it is important to ensure adequate nutritional intake to accomplish foetal growth requirements. This study evaluated clinical practice regarding the prescription of parenteral nutrition in preterm infants in the neonatology unit of a tertiary hospital. Methods: It was a retrospective observational study of a sample of preterm infants (n = 155) born between January 2015 and December 2017 who were prescribed parenteral nutrition. Compliance with the hospital&rsquo s protocol and with the guidelines of the scientific societies American Society for Parenteral and Enteral Nutrition (ASPEN), European Society for Clinical Nutrition and Metabolism (ESPEN) and Spanish Society of Clinical Nutrition and Metabolism (SENPE) was evaluated. The differences in macronutrient intake and total duration of parenteral nutrition were analysed according to gestational age and birth weight. Results: The established protocol was followed in a high percentage (95.5%&ndash 100%) except with respect to the initiation of supplying established trace elements (64.9%). Compliance with the recommendations set forth in the guidelines was between 82.1% and 100%, with the exception of the initial carbohydrate intake recommended by ASPEN and ESPEN, for which compliance was 8.3%. Lower gestational age and birth weight were correlated with longer duration of parenteral nutrition (p < 0.001). Conclusions: A lower gestational age and birth weight are related to a longer duration of parenteral nutrition. The results of this study demonstrate the importance of developing and evaluating protocols in clinical practice. |
| Databáze: | OpenAIRE |
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