A Post-operative Feeding Protocol to Improve Outcomes for Neonates With Critical Congenital Heart Disease.
J Pediatr Nurs
; 35: 139-143, 2017.
Article
em En
| MEDLINE
| ID: mdl-28063770
ABSTRACT
Neonates with critical congenital heart disease (CCHD) are vulnerable to malnutrition during the post-operative period due to hypermetabolism and hypercatabolism. To improve nutritional outcomes during hospitalization, a nurse led post-operative enteral feeding protocol was implemented at a large U.S. children's hospital. During an eight-month implementation period, twenty-one neonates met protocol inclusion criteria. Days for neonates to achieve goal caloric feedings (120kcal/kg/day) were decreased. A one-way repeated measures analysis of variance showed serum albumin levels and serial anthropometric measurements improved significantly throughout hospitalization (p<0.005). Results from this quality improvement project show standardizing nutritional care for neonates with CCHD during the post-operative period is an effective way to improve nutritional outcomes and shorten length of hospital stay.
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Base de dados:
MEDLINE
Assunto principal:
Cuidados Pré-Operatórios
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Recém-Nascido Prematuro
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Nutrição Enteral
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Cardiopatias Congênitas
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article