The successful accomplishment of nutritional and clinical outcomes via the implementation of a multidisciplinary nutrition support team in the neonatal intensive care unit

BMC Pediatrics

Research Article

Jae Sung Ko¹  Seung Han Shin¹  Young Hwa Jung¹  Jin Soo Moon¹  Han-Suk Kim¹  Ee-Kyung Kim¹  Hyang Sook Kim²  Kwi Suk Kim²  Yoon Sook Cho²  Eurim Jeong²  Hye Jung Bae²  Moon Jin Kim² 

[1] Department of Pediatrics, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, 110-769, Seoul, South Korea;Department of Pharmacy, Seoul National University Hospital, Seoul, South Korea;

关键词: Premature infants;    Nutritional support team;    Parenteral nutrition;    Neonatal intensive care;   

DOI  :  10.1186/s12887-016-0648-0

 received in 2016-05-06, accepted in 2016-07-15,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundNutritional support is critical for preterm infants in the neonatal intensive care unit (NICU). A multidisciplinary nutritional support team (NST) that focuses on providing optimal and individualized nutrition care could be helpful. We conducted a thorough evaluation of clinical and nutritional outcomes in a tertiary NICU following the implementation of an NST.MethodsThis study used a retrospective approach with historical comparisons. Preterm neonates < 30 weeks gestational age or weighing < 1250 g were enrolled. Clinical and nutritional outcomes were compared before and after the establishment of the NST. Medical records were reviewed, and clinical and nutritional outcomes were compared between the two groups.ResultsIn total, 107 patients from the pre-NST period and 122 patients from the post-NST period were included. The cumulative energy delivery during the first week of life improved during the post-NST period (350.17 vs. 408.62 kcal/kg, p < 0.001). The cumulative protein and lipid deliveries also significantly increased. The time required to reach full enteric feedings decreased during the post-NST period (6.4 ± 5.8 vs. 4.7 ± 5.1 days, p = 0.016). Changes of Z-score in weight from admission to discharge exhibited more favorable results in the post-NST period (−1.13 ± 0.99 vs.−0.91 ± 0.74, p = 0.055), and the length of ICU stay significantly decreased in the post-NST period (81.7 ± 36.6 vs. 72.2 ± 32.9 days, p = 0.040).ConclusionsNST intervention in the NICU resulted in significant improvements in the provision of nutrition to preterm infants in the first week of life. There were also favorable clinical outcomes, such as increased weight gain and reduced length of ICU stay. Evaluable data remain sparse in the NICU setting with premature neonatal populations; therefore, the successful outcomes identified in this study may provide support for NST practices.

【 授权许可】

CC BY   
© The Author(s). 2016