Evaluation of a weight-based enteral feeding program for the very low birth weight infant in the neonatal intensive care unit

Q2 Nursing

Journal of Neonatal Nursing Pub Date : 2024-02-06 DOI:10.1016/j.jnn.2023.11.005

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引用次数: 0

Abstract

Purpose

This project was a program evaluation of the first year of implementation of weight-based fast advancement enteral feeding programs for very low birthweight preterm infants, related to adherence to the guidelines, length of indwelling central line days, and infection and growth rates.

Results

The sample consists of infants born at less than 33 weeks and less than 1500 g, n = 221; defined as pre-(n = 107) and post-program (n = 114) implementation groups further stratified into adherent (n = 53) and non-adherent (n = 58) cohorts. In the post-program adherent cohort, central line days were decreased from 17 to 10 days (p < 0.001) with no documented infection events in the first 14 days of life (p < 0.001) compared to the post-program non-adherent cohort.

Conclusion

This feeding program is an evidence-based conservative approach to fast advancement. There is evidence to support more aggressive feeding advancement in all weight categories that could further decrease both indwelling central line days and infection events.

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对新生儿重症监护室中出生体重极低婴儿的体重式肠内喂养计划进行评估

目的该项目是对极低出生体重早产儿基于体重的快速推进肠内喂养计划实施第一年的计划评估，评估内容包括对指南的遵守情况、留置中心管天数以及感染和生长速度。与坚持计划后的非坚持计划组相比，坚持计划后的组别中，中心静脉输液天数从 17 天减少到 10 天（p < 0.001），并且在出生后的前 14 天内没有发生有记录的感染事件（p < 0.001）。有证据表明，对所有体重类别的婴儿进行更积极的喂养可进一步减少中心静脉留置天数和感染事件。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Neonatal Nursing Nursing-Pediatrics

CiteScore

2.00

自引率

0.00%

发文量

143

期刊介绍： Aims & Scope: This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field.