Computer-aided nutrition – Effects on nutrition and growth in preterm infants &lt;32 weeks of gestation

Wackernagel, Dirk; Brückner, Albrecht; Ahlsson, Fredrik

doi:10.1016/j.clnesp.2015.09.002

Cited by 4 publications

(4 citation statements)

References 15 publications

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“…Similarly to our study, they used computerised assisted prescriptions. The use of a computeraided nutrition calculation programme or a computerised physician order entry for PN has been shown to improve the nutritional intake of very premature infants (10,11). Furthermore, our data support the updated European guidelines, where standard PN solutions are recommended instead of individual solutions.…”

Section: Accepted Articlesupporting

confidence: 69%

A triple‐chamber parenteral nutrition solution was associated with improved protein intake in very low birthweight infants

et al. 2020

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We evaluated the nutrient intakes of very low birthweight (VLBW) infants weighing less than 1500g and tested the hypothesis that using a triple-chamber parenteral nutrition (PN) solution, containing lipids, glucose and amino acids, would improve protein intake. MethodsThis retrospective cohort study comprised 953 VLBW infants born in 2005-2013 at a gestational age of less than 32+0/7 weeks and admitted to the neonatal care unit at Helsinki Children's Hospital, Finland. The infants were divided into four groups according their birth year and PN regime. Nutrient intakes were obtained from computerised medication administration records. ResultsIn 2012-2013, when a triple-chamber PN solution was used, infants were more likely to reach the target parenteral protein intake of 3.5g/kg/d, and reach it 3-7 days earlier, compared with infants who received individual PN or standard two-in-one PN solutions in 2005-2011. In addition, infants in the triple-chamber group had the highest median energy intake (90kcal/kg/d) during the first week. They also had higher median protein intakes in weeks one, two and three (3.1, 3.4 and 3.7g/kg/d) than infants born in 2005-2011 (p<0.05). ConclusionUsing a triple-chamber PN solution was associated with improved protein intake and the protein target was more likely to be achieved.

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Section: Accepted Articlesupporting

confidence: 69%

A triple‐chamber parenteral nutrition solution was associated with improved protein intake in very low birthweight infants

et al. 2020

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“…Data regarding nutritional intake, growth and maternal and neonatal morbidities were prospectively collected during hospitalisation according to the study protocol and verified against patient charts. The full amount of enteral and parenteral nutrition received by the infants were registered daily for the first 28 days of life in Nutrium, a computer‐aided neonatal nutrition calculation program (Nutrium AB) . Registration of nutritional intakes in Nutrium included parenteral nutrition and other non‐nutritional parenteral fluids, maternal and donated breast milk, human milk fortifiers, other nutritional products used for fortification of feeds, enteral and parenteral supplements of vitamins, minerals and trace elements, and transfusions of blood products.…”

Section: Methodsmentioning

confidence: 99%

Unpasteurised maternal breast milk is positively associated with growth outcomes in extremely preterm infants

et al. 2019

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Preterm infants are at increased risk of extrauterine growth restriction, which at least in part is caused by very high extrauterine nutritional needs. 1 In addition, the inability to assimilate sufficient nutrition due to feeding intolerance secondary to immaturity and neonatal morbidities is especially common in extremely preterm infants. The result is significant energy and protein deficits, primarily in the early postnatal period. 2 Most extremely preterm neonates suffer from growth restriction that can persist into childhood. 3

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“…The importance of infrastructure as well as designated ward staff for improved adherence to nutritional guidelines has previously been described (30). The effect of computer software to facilitate prescriptions and documentation of nutritional intake has been demonstrated by Wackernagel et al (31). In 2003, Kuzma-O'Reilly et al showed, among other results, an improved time to reach full enteral nutrition and more consistent nutritional support after implementation of potentially better practices in the NICU (20).…”

Section: Resultsmentioning

confidence: 97%

Improved nutrition for extremely preterm infants – A population based observational study

Westin

Klevebro

Domellöf

et al. 2018

Clinical Nutrition ESPEN

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Neonatal nutrition improved significantly in Stockholm from 2004 to 2011. Above all, parenteral nutrition was initiated more promptly during the first week and was provided at higher quantities. However, many of the EPT infants born during the later years still did not reach the recommended macronutrient intake levels. A significant weight gain improvement was observed between 2004-2005 and 2006-2011.

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Computer-aided nutrition – Effects on nutrition and growth in preterm infants <32 weeks of gestation

Cited by 4 publications

References 15 publications

A triple‐chamber parenteral nutrition solution was associated with improved protein intake in very low birthweight infants

A triple‐chamber parenteral nutrition solution was associated with improved protein intake in very low birthweight infants

Unpasteurised maternal breast milk is positively associated with growth outcomes in extremely preterm infants

Improved nutrition for extremely preterm infants – A population based observational study

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