PO-0607a The Benefit Of Computer Assisted Prescription Of Parenteral Nutrition In Elgans

BackgroundTo minimise extrauterine growth restriction in ELGANs computer assisted prescription of parenteral nutrition (CAPPN) was introduced.AimTo evaluate the effectiveness of CAPPN in growth improvement of ELGANs.Patients and methodsIn this retrospective, observational designed study with a nonpr...

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Veröffentlicht in:Archives of disease in childhood 2014-10, Vol.99 (Suppl 2), p.A451-A451
Hauptverfasser: Stucin Gantar, I, Pogorelc Erjavec, A, Mramor, M, Zbontar, J
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container_end_page A451
container_issue Suppl 2
container_start_page A451
container_title Archives of disease in childhood
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creator Stucin Gantar, I
Pogorelc Erjavec, A
Mramor, M
Zbontar, J
description BackgroundTo minimise extrauterine growth restriction in ELGANs computer assisted prescription of parenteral nutrition (CAPPN) was introduced.AimTo evaluate the effectiveness of CAPPN in growth improvement of ELGANs.Patients and methodsIn this retrospective, observational designed study with a nonprobability, convenience sampling to obtain medical records, we compared 20 ELGANs in the study group after CAPPN to 20 ELGANs in the control group before CAPPN. Daily parenteral and enteral intake of macronutrients, calcium and phosphate in five sequetial time intervals of the first 28 days of life was calculated (day 1–3, 4–7, 2nd, 3rd, 4th week). Outcome measures were the lenght of PN, days to regain birth weight (BW), growth velocity, and weight and head circumpherence (HC)
doi_str_mv 10.1136/archdischild-2014-307384.1247
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Daily parenteral and enteral intake of macronutrients, calcium and phosphate in five sequetial time intervals of the first 28 days of life was calculated (day 1–3, 4–7, 2nd, 3rd, 4th week). Outcome measures were the lenght of PN, days to regain birth weight (BW), growth velocity, and weight and head circumpherence (HC) &lt;10th percentile on day 28. Numerical data were analysed by independent-samples t-test or by Mann-Whitney U test, categorical data were analysed by chi-square.ResultsThe combined enteral and parenteral intake of the study group in all five sequential intervals after birth exceeded the intake of the control group. The lenght of PN and days to regain BW did not differ, however growth velocity (14,5 [3,7] vs 11.6 [0,4] g/day (p = 0.03)) and HG velocity (0.9 [0.3] vs 0.7 [0.4] cm/day (p = 0.03)) were higher in the study group. Less growth retardation on day 28 was obtained (weight 2/20 vs 9/20 (p &lt; 0.001); HC 3/20 vs 13/20 (p &lt; 0.001)).ConclusionIn ELGANs delivery of nutrients and growth during the first month of life were significantly improved with CAPPN.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/archdischild-2014-307384.1247</identifier><language>eng</language><publisher>London: BMJ Publishing Group LTD</publisher><subject>Birth weight ; Body Weight ; Calcium phosphates ; Catheters ; Computers ; Control Groups ; Data processing ; Growth rate ; Medical records ; Nutrients ; Nutrition ; Outcome Measures ; Parenteral nutrition ; Velocity</subject><ispartof>Archives of disease in childhood, 2014-10, Vol.99 (Suppl 2), p.A451-A451</ispartof><rights>2014 2014, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,3197,27929,27930</link.rule.ids></links><search><creatorcontrib>Stucin Gantar, I</creatorcontrib><creatorcontrib>Pogorelc Erjavec, A</creatorcontrib><creatorcontrib>Mramor, M</creatorcontrib><creatorcontrib>Zbontar, J</creatorcontrib><title>PO-0607a The Benefit Of Computer Assisted Prescription Of Parenteral Nutrition In Elgans</title><title>Archives of disease in childhood</title><description>BackgroundTo minimise extrauterine growth restriction in ELGANs computer assisted prescription of parenteral nutrition (CAPPN) was introduced.AimTo evaluate the effectiveness of CAPPN in growth improvement of ELGANs.Patients and methodsIn this retrospective, observational designed study with a nonprobability, convenience sampling to obtain medical records, we compared 20 ELGANs in the study group after CAPPN to 20 ELGANs in the control group before CAPPN. Daily parenteral and enteral intake of macronutrients, calcium and phosphate in five sequetial time intervals of the first 28 days of life was calculated (day 1–3, 4–7, 2nd, 3rd, 4th week). Outcome measures were the lenght of PN, days to regain birth weight (BW), growth velocity, and weight and head circumpherence (HC) &lt;10th percentile on day 28. Numerical data were analysed by independent-samples t-test or by Mann-Whitney U test, categorical data were analysed by chi-square.ResultsThe combined enteral and parenteral intake of the study group in all five sequential intervals after birth exceeded the intake of the control group. The lenght of PN and days to regain BW did not differ, however growth velocity (14,5 [3,7] vs 11.6 [0,4] g/day (p = 0.03)) and HG velocity (0.9 [0.3] vs 0.7 [0.4] cm/day (p = 0.03)) were higher in the study group. 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Daily parenteral and enteral intake of macronutrients, calcium and phosphate in five sequetial time intervals of the first 28 days of life was calculated (day 1–3, 4–7, 2nd, 3rd, 4th week). Outcome measures were the lenght of PN, days to regain birth weight (BW), growth velocity, and weight and head circumpherence (HC) &lt;10th percentile on day 28. Numerical data were analysed by independent-samples t-test or by Mann-Whitney U test, categorical data were analysed by chi-square.ResultsThe combined enteral and parenteral intake of the study group in all five sequential intervals after birth exceeded the intake of the control group. The lenght of PN and days to regain BW did not differ, however growth velocity (14,5 [3,7] vs 11.6 [0,4] g/day (p = 0.03)) and HG velocity (0.9 [0.3] vs 0.7 [0.4] cm/day (p = 0.03)) were higher in the study group. Less growth retardation on day 28 was obtained (weight 2/20 vs 9/20 (p &lt; 0.001); HC 3/20 vs 13/20 (p &lt; 0.001)).ConclusionIn ELGANs delivery of nutrients and growth during the first month of life were significantly improved with CAPPN.</abstract><cop>London</cop><pub>BMJ Publishing Group LTD</pub><doi>10.1136/archdischild-2014-307384.1247</doi><oa>free_for_read</oa></addata></record>
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subjects Birth weight
Body Weight
Calcium phosphates
Catheters
Computers
Control Groups
Data processing
Growth rate
Medical records
Nutrients
Nutrition
Outcome Measures
Parenteral nutrition
Velocity
title PO-0607a The Benefit Of Computer Assisted Prescription Of Parenteral Nutrition In Elgans
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