Influence of Parenteral Nutrition Delivery Techniques on Growth and Neurodevelopment of Very Low Birth Weight Newborns: A Randomized Trial

Autor: Vitalija Marmienė, Rasa Tamelienė, Inesa Rimdeikienė, Rimantas Kėvalas, Ilona Aldakauskienė, Kastytis Šmigelskas
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Infant
premature
Infant
very low birth weight
Parenteral nutrition
methods
Catheterization
peripheral
Catheterization
Central Venous
Pediatrics
medicine.medical_specialty
Medicine (General)
medicine.medical_treatment
616-053.32. [udc]
Peripherally-inserted central venous catheter
parenteral nutrition
peripheral venous catheter
Article
Statistics
Nonparametric
law.invention
Hospitals
University
Sepsis
R5-920
Randomized controlled trial
preterm newborn
peripherally inserted central venous catheter
law
Catheterization
Peripheral
medicine
Humans
Infant
Very Low Birth Weight
Prospective Studies
Psychomotor learning
business.industry
Body Weight
Infant
Newborn
Infant
Lithuania
General Medicine
medicine.disease
Body Height
Low birth weight
Motor Skills
Infant
Extremely Premature
Peripheral venous catheter
Female
medicine.symptom
business
Central venous catheter
Follow-Up Studies
Zdroj: Medicina
Volume 55
Issue 4
Medicina, Vol 55, Iss 4, p 82 (2019)
Medicina; Volume 55; Issue 4; Pages: 82
Medicina, Kaunas; Basel : LSMU, MDPI AG, 2019, vol. 55, no. 4, p. 1-12
ISSN: 1010-660X
1648-9144
DOI: 10.3390/medicina55040082
Popis: Background and Objectives: In very low birth weight (VLBW) newborns, parenteral nutrition (PN) is delivered via a peripheral venous catheter (PVC), a central venous catheter (CVC), or a peripherally inserted central venous catheter (PICC). Up to 45% of PICCs are accompanied by complications, the most common being sepsis. A PVC is an unstable PN delivery technique requiring frequent change. The growth and neurodevelopment of VLBW newborns may be disturbed because of catheters used for early PN delivery and complications thereof. The aim of the conducted study was to evaluate the effect of two PN delivery techniques (PICC and PVC) on anthropometric parameters and neurodevelopment of VLBW newborns. Materials and Methods: A prospective randomized clinical trial was conducted in VLBW (&ge
750&ndash
<
1500 g) newborns that met the inclusion criteria and were randomized into two groups: PICC and PVC. We assessed short-term outcomes (i.e., anthropometric parameters from birth until corrected age (CA) 36 weeks) and long-term outcomes (i.e., anthropometric parameters from CA 3 months to 12 months as well as neurodevelopment at CA 12 months according to the Bayley II scale). Results: In total, 108 newborns (57 in the PICC group and 51 in the PVC group) were randomized. Short-term outcomes were assessed in 47 and 38 subjects, and long-term outcomes and neurodevelopment were assessed in 38 and 33 subjects of PICC and PVC groups, respectively. There were no differences observed in anthropometric parameters between the subjects of the two groups in the short- and long-term. Mental development index (MDI) <
85 was observed in 26.3% and 21.2% (p = 0.781), and psychomotor development index (PDI) <
85 was observed in 39.5% and 54.5% (p = 0.239) of PICC and PVC subjects, respectively. Conclusions: In the short- and long-term, no differences were observed in the anthropometric parameters of newborns in both groups. At CA 12 months, there was no difference in neurodevelopment in both groups.
Databáze: OpenAIRE
Externí odkaz: