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2018, Number 5

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Rev Mex Pediatr 2018; 85 (5)

Weight gain in the first week of life according to the moment of initiation of enteral nutrition in neonates supported with parenteral nutrition

Pozos-Soto HJ, González-Morán RJ, Barrón-San Pedro R, Iglesias-Leboreiro J, Bernárdez-Zapata I, Rendón-Macías ME

Language: Spanish
References: 24
Page: 162-167
PDF size: 262.41 Kb.


ABSTRACT

Support with total parenteral nutrition (TPN) is imperative to help the growth of critically ill neonates, but the enteral route should be started as soon as possible. Objective: To analyze the impact on weight growth of the time of the start of the enteral feeding (SEF) in neonates supported with TPN. Patients, material and methods: Prospective cohort study. Neonates admitted to a neonatal intensive care unit (NICU) with TPN support since birth. Three groups with different moments of SEF (24-48 h, 49-72 h and 73-96 h). The daily growth rate (g/kg) and the accumulated growth at seven days post-EF were determined. The growth between the groups was compared with ANOVA. Results: 113 neonates, 84% preterm: 64 (57%) with IVE at 24-48 h, 34 between 49-72 h (30.5%) and 14 between 73-96 h (12.5%). The average growth rate was higher in the first group (9.2 ± 2.1 g/kg/d vs. 4.9 ± 2.3 g/kg/d vs. 8.7 ± 3.7 g/kg/d, respectively, p = 0.0007), as well as the accumulated growth at one week (88.5 ± 12.9, 59.7 ± 13.7 and 63.8 ± 26.3 g/kg, p = 0.0003). Conclusions: Initiating the enteral nutrition as soon as possible improves weight growth of critically ill neonate supported with TPN.


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