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Nutritional Support of Very-Low-Birth-Weight Infants Requiring Prolonged Assisted Ventilation

Nutritional Support of Very-Low-Birth-Weight Infants Requiring Prolonged Assisted Ventilation Abstract • We studied the influence of nutritional support on weight loss and time to regain birth weight (BW) (<1500 g) in infants requiring prolonged assisted ventilation. A total of 134 infants admitted between 1980 and 1982 were reviewed. Birth weight, gestational age, lowest recorded daily weight and percentage of loss, days to recover BW, energy intake, and nutrient source during the BW-recovery period were determined. A decrease in weight loss (13% to 10%) and in mean (±SD) recovery time (20.9 ±7.3 days to 13.8 ±6.4 days) in very-low-birth-weight, critically ill infants was noted. The use of parenteral feeding routes increased, as well as tolerance of initial enteral feedings following parenteral support. We attribute the decreased convalescence period for BW recovery to improved nutrition secondary to the increased use and earlier initiation of parenteral nutrition. (AJDC 1986;140:929-932) References 1. Richard KA, Gresham EL: Nutritional considerations for the newborn requiring intensive care . J Am Diet Assoc 1975;66:592-600. 2. Rickard KA, Ernst JA, Brady MS, et al: Nutritional outcome of 207 very-low-birth-weight infants in an intensive care unit . J Am Diet Assoc 1982;81:674-682. 3. Reimer SL, Michener WM, Steiger E: Nutritional support of the critically ill child . Pediatr Clin North Am 1980;27:647-660. 4. Levy JS, Winters RW, Heird WC: Total parenteral nutrition in pediatric patients . Pediatr Rev 1980;2:99-106.Crossref 5. Heird WC, Winters RW: Total parenteral nutrition: The state of the art . J Pediatr 1975; 86:2-16.Crossref 6. Gunn T, Reaman G, Outerbridge EW, et al: Peripheral total parenteral nutrition for premature infants with the respiratory distress syndrome: A controlled study . J Pediatr 1978;92: 608-613.Crossref 7. Bryan MH, Wei P, Hamilton JR, et al: Supplemental intravenous alimentation in low-birth-weight infants . J Pediatr 1973;82:940-944.Crossref 8. Dubowitz LMS, Dubowitz V, Goldberg C: Clinical assessment of gestational age in the newborn infant . J Pediatr 1970;77:1-10.Crossref 9. Heird WC, Driscoll JN, Schullinger GB, et al: Intravenous alimentation in pediatric patients . J Pediatr 1972;80:351-372.Crossref 10. Ziegler EE, Biga RL, Fomon SJ: Nutritional requirements of the premature infant , in Suskind RM (ed): Textbook of Pediatric Nutrition . New York, Raven Press, 1981. 11. Reichman B, Chessex P, Putet G, et al: Diet, fat accretion, and growth in premature infants . N Engl J Med 1981;305:1495-1500.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Nutritional Support of Very-Low-Birth-Weight Infants Requiring Prolonged Assisted Ventilation

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Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1986.02140230099043
Publisher site
See Article on Publisher Site

Abstract

Abstract • We studied the influence of nutritional support on weight loss and time to regain birth weight (BW) (<1500 g) in infants requiring prolonged assisted ventilation. A total of 134 infants admitted between 1980 and 1982 were reviewed. Birth weight, gestational age, lowest recorded daily weight and percentage of loss, days to recover BW, energy intake, and nutrient source during the BW-recovery period were determined. A decrease in weight loss (13% to 10%) and in mean (±SD) recovery time (20.9 ±7.3 days to 13.8 ±6.4 days) in very-low-birth-weight, critically ill infants was noted. The use of parenteral feeding routes increased, as well as tolerance of initial enteral feedings following parenteral support. We attribute the decreased convalescence period for BW recovery to improved nutrition secondary to the increased use and earlier initiation of parenteral nutrition. (AJDC 1986;140:929-932) References 1. Richard KA, Gresham EL: Nutritional considerations for the newborn requiring intensive care . J Am Diet Assoc 1975;66:592-600. 2. Rickard KA, Ernst JA, Brady MS, et al: Nutritional outcome of 207 very-low-birth-weight infants in an intensive care unit . J Am Diet Assoc 1982;81:674-682. 3. Reimer SL, Michener WM, Steiger E: Nutritional support of the critically ill child . Pediatr Clin North Am 1980;27:647-660. 4. Levy JS, Winters RW, Heird WC: Total parenteral nutrition in pediatric patients . Pediatr Rev 1980;2:99-106.Crossref 5. Heird WC, Winters RW: Total parenteral nutrition: The state of the art . J Pediatr 1975; 86:2-16.Crossref 6. Gunn T, Reaman G, Outerbridge EW, et al: Peripheral total parenteral nutrition for premature infants with the respiratory distress syndrome: A controlled study . J Pediatr 1978;92: 608-613.Crossref 7. Bryan MH, Wei P, Hamilton JR, et al: Supplemental intravenous alimentation in low-birth-weight infants . J Pediatr 1973;82:940-944.Crossref 8. Dubowitz LMS, Dubowitz V, Goldberg C: Clinical assessment of gestational age in the newborn infant . J Pediatr 1970;77:1-10.Crossref 9. Heird WC, Driscoll JN, Schullinger GB, et al: Intravenous alimentation in pediatric patients . J Pediatr 1972;80:351-372.Crossref 10. Ziegler EE, Biga RL, Fomon SJ: Nutritional requirements of the premature infant , in Suskind RM (ed): Textbook of Pediatric Nutrition . New York, Raven Press, 1981. 11. Reichman B, Chessex P, Putet G, et al: Diet, fat accretion, and growth in premature infants . N Engl J Med 1981;305:1495-1500.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Sep 1, 1986

References