Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Resultados 1 - 1 de 1
Filtrar
Más filtros

Banco de datos
Tipo del documento
Publication year range
1.
J Perinatol ; 35(8): 642-9, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-25880797

RESUMEN

OBJECTIVE: To develop an evidence-based feeding bundle to safely decrease the rate of PNGR in VLBW infants. STUDY DESIGN: The bundle was developed and implemented in January 2010, followed by 3 years of monitoring bundle compliance and infant outcomes (days to first feed (FD), days to reach full feeds (FF), and birth-discharge growth trajectories (delta z-score)). RESULTS: Data were collected on 482 infants (119 pre-bundle). PNGR decreased from 35% to 19% (P<0.01) and weight delta z-score improved from -0.82 to -0.45 (P<0.001). Percentage of infants with head circumference (HC) below 10th percentile at discharge decreased from 21% to 9% (P<0.01) and HC delta z-score improved from -0.65 to -0.17 (P<0.001). FD and FF also decreased significantly. Rates of necrotizing enterocolitis, peak alkaline phosphatase and peak direct bilirubin levels all trended downward. CONCLUSIONS: An evidence-based, standardized feeding bundle was safe and effective in reducing the rate of PNGR and in improving head growth in VLBW infants.


Asunto(s)
Nutrición Enteral/métodos , Enterocolitis Necrotizante/prevención & control , Fenómenos Fisiológicos Nutricionales del Lactante , Recien Nacido Extremadamente Prematuro/crecimiento & desarrollo , Recién Nacido de muy Bajo Peso/crecimiento & desarrollo , Práctica Clínica Basada en la Evidencia , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Leche Humana , Estudios Prospectivos , Aumento de Peso
SELECCIÓN DE REFERENCIAS
Detalles de la búsqueda