Implementation of feeding guidelines in infants at risk of intestinal failure
Objective: To implement feeding guidelines to reduce advancement time and the incidence of parenteral nutrition-associated liver disease (PNALD) among intestinal surgical infants requiring parenteral nutrition (PN). Study Design: Feeding guidelines with higher initial enteral nutrition (EN) volume a...
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| Veröffentlicht in: | Journal of perinatology 2015-11, Vol.35 (11), p.941-948 |
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| container_title | Journal of perinatology |
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| creator | Shores, D R Bullard, J E Aucott, S W Stewart, F D Haney, C Tymann, H Miller, M R Nonyane, B A S Schwarz, K B |
| description | Objective:
To implement feeding guidelines to reduce advancement time and the incidence of parenteral nutrition-associated liver disease (PNALD) among intestinal surgical infants requiring parenteral nutrition (PN).
Study Design:
Feeding guidelines with higher initial enteral nutrition (EN) volume and specific advancement criteria were implemented for surgical infants aged |
| doi_str_mv | 10.1038/jp.2015.105 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1728258878</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A434224031</galeid><sourcerecordid>A434224031</sourcerecordid><originalsourceid>FETCH-LOGICAL-c587t-d2d2aab54301f82cf18ffef723105c9d7f49169ba2f5c1dc7ce5ac2250b536d43</originalsourceid><addsrcrecordid>eNp9kkuLFDEQgIMo7jh68i4NggjaY56d9HFZfCyseNFzyKQrsxnT6TZJH_z3pplVd2WRBEKlvnoXQs8J3hHM1LvjvKOYiCqIB2hDuOxaITh7iDZYctYqxrsz9CTnI8arUj5GZ7RjhGHBN-jz5TgHGCEWU_wUm8k1DmDw8dAcFj9A8BFy42O9zsSSG1Oa5PP3FfSxQC4-mtA448OS4Cl65EzI8Ozm3aJvH95_vfjUXn35eHlxftVaoWRpBzpQY_Y1SUycotYR5Rw4SVmtwfaDdLwnXb831AlLBistCGMpFXgvWDdwtkWvT37nNP1YahJ69NlCCCbCtGRNJFVUKCVVRV_-gx6nJdWcs6aMkQ73veL_o6ov2XEmhfxLHUwAXTsylWTsGlqfc8Yp5bj2dYt291D1DDB6O0Vwvv7fMXh1y-AaTCjXeQrLOpB8F3xzAm2ack7g9Jz8aNJPTbBed0EfZ73uQhVEpV_c1LTsRxj-sL-HX4G3JyBXVTxAulX0Pf5-AcgIuW0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1727643757</pqid></control><display><type>article</type><title>Implementation of feeding guidelines in infants at risk of intestinal failure</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Shores, D R ; Bullard, J E ; Aucott, S W ; Stewart, F D ; Haney, C ; Tymann, H ; Miller, M R ; Nonyane, B A S ; Schwarz, K B</creator><creatorcontrib>Shores, D R ; Bullard, J E ; Aucott, S W ; Stewart, F D ; Haney, C ; Tymann, H ; Miller, M R ; Nonyane, B A S ; Schwarz, K B</creatorcontrib><description>Objective:
To implement feeding guidelines to reduce advancement time and the incidence of parenteral nutrition-associated liver disease (PNALD) among intestinal surgical infants requiring parenteral nutrition (PN).
Study Design:
Feeding guidelines with higher initial enteral nutrition (EN) volume and specific advancement criteria were implemented for surgical infants aged <6 months. Preimplementation and postimplementation outcomes were compared.
Results:
There were 57 preimplementation and 33 postimplementation infants. The initial EN volume improved from 10 to 20 ml kg
−1
day
−1
(
P
<0.001). Time to reach 50% of goal calories from EN decreased by a median of 6 days (
P
=0.012) without a change in necrotizing enterocolitis incidence after resuming feeding. PNALD incidence decreased from 70% to 48% (
P
=0.046), and median peak direct bilirubin (DB) decreased from 5.6 to 2.3 mg dl
−1
(
P
=0.011).
Conclusion:
Feeding guideline implementation with higher initial feeding volume was well tolerated and resulted in faster achievement of 50% goal EN calories. PNALD incidence and peak DB were reduced.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/jp.2015.105</identifier><identifier>PMID: 26313054</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/308/409 ; 692/699 ; Academic Medical Centers ; Analysis ; Bilirubin ; Calories ; Diagnosis ; Digestive System Abnormalities - diagnosis ; Digestive System Abnormalities - surgery ; Enteral nutrition ; Enteral Nutrition - adverse effects ; Enteral Nutrition - methods ; Enterocolitis ; Feeding ; Female ; Follow-Up Studies ; Food and nutrition ; Gastrointestinal diseases ; Guidelines ; Humans ; Incidence ; Infant ; Infant Care - methods ; Infant Care - standards ; Infant, Newborn ; Infant, Premature ; Infants ; Intensive Care Units, Neonatal ; Intestine ; Liver diseases ; Liver Diseases - etiology ; Liver Diseases - prevention & control ; Male ; Medicine ; Medicine & Public Health ; Necrosis ; Necrotizing enterocolitis ; Nutrition ; Nutrition Therapy - methods ; Nutrition Therapy - standards ; Nutritional Requirements ; original-article ; Parenteral nutrition ; Pediatric Surgery ; Pediatrics ; Physiological aspects ; Postoperative Care - methods ; Practice Guidelines as Topic ; Treatment Outcome ; Weight Gain - physiology</subject><ispartof>Journal of perinatology, 2015-11, Vol.35 (11), p.941-948</ispartof><rights>Nature America, Inc. 2015</rights><rights>COPYRIGHT 2015 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Nov 2015</rights><rights>Nature America, Inc. 2015.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c587t-d2d2aab54301f82cf18ffef723105c9d7f49169ba2f5c1dc7ce5ac2250b536d43</citedby><cites>FETCH-LOGICAL-c587t-d2d2aab54301f82cf18ffef723105c9d7f49169ba2f5c1dc7ce5ac2250b536d43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27931,27932</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26313054$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shores, D R</creatorcontrib><creatorcontrib>Bullard, J E</creatorcontrib><creatorcontrib>Aucott, S W</creatorcontrib><creatorcontrib>Stewart, F D</creatorcontrib><creatorcontrib>Haney, C</creatorcontrib><creatorcontrib>Tymann, H</creatorcontrib><creatorcontrib>Miller, M R</creatorcontrib><creatorcontrib>Nonyane, B A S</creatorcontrib><creatorcontrib>Schwarz, K B</creatorcontrib><title>Implementation of feeding guidelines in infants at risk of intestinal failure</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objective:
To implement feeding guidelines to reduce advancement time and the incidence of parenteral nutrition-associated liver disease (PNALD) among intestinal surgical infants requiring parenteral nutrition (PN).
Study Design:
Feeding guidelines with higher initial enteral nutrition (EN) volume and specific advancement criteria were implemented for surgical infants aged <6 months. Preimplementation and postimplementation outcomes were compared.
Results:
There were 57 preimplementation and 33 postimplementation infants. The initial EN volume improved from 10 to 20 ml kg
−1
day
−1
(
P
<0.001). Time to reach 50% of goal calories from EN decreased by a median of 6 days (
P
=0.012) without a change in necrotizing enterocolitis incidence after resuming feeding. PNALD incidence decreased from 70% to 48% (
P
=0.046), and median peak direct bilirubin (DB) decreased from 5.6 to 2.3 mg dl
−1
(
P
=0.011).
Conclusion:
Feeding guideline implementation with higher initial feeding volume was well tolerated and resulted in faster achievement of 50% goal EN calories. PNALD incidence and peak DB were reduced.</description><subject>692/308/409</subject><subject>692/699</subject><subject>Academic Medical Centers</subject><subject>Analysis</subject><subject>Bilirubin</subject><subject>Calories</subject><subject>Diagnosis</subject><subject>Digestive System Abnormalities - diagnosis</subject><subject>Digestive System Abnormalities - surgery</subject><subject>Enteral nutrition</subject><subject>Enteral Nutrition - adverse effects</subject><subject>Enteral Nutrition - methods</subject><subject>Enterocolitis</subject><subject>Feeding</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Food and nutrition</subject><subject>Gastrointestinal diseases</subject><subject>Guidelines</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infant Care - methods</subject><subject>Infant Care - standards</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infants</subject><subject>Intensive Care Units, Neonatal</subject><subject>Intestine</subject><subject>Liver diseases</subject><subject>Liver Diseases - etiology</subject><subject>Liver Diseases - prevention & control</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Necrosis</subject><subject>Necrotizing enterocolitis</subject><subject>Nutrition</subject><subject>Nutrition Therapy - methods</subject><subject>Nutrition Therapy - standards</subject><subject>Nutritional Requirements</subject><subject>original-article</subject><subject>Parenteral nutrition</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Physiological aspects</subject><subject>Postoperative Care - methods</subject><subject>Practice Guidelines as Topic</subject><subject>Treatment Outcome</subject><subject>Weight Gain - physiology</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kkuLFDEQgIMo7jh68i4NggjaY56d9HFZfCyseNFzyKQrsxnT6TZJH_z3pplVd2WRBEKlvnoXQs8J3hHM1LvjvKOYiCqIB2hDuOxaITh7iDZYctYqxrsz9CTnI8arUj5GZ7RjhGHBN-jz5TgHGCEWU_wUm8k1DmDw8dAcFj9A8BFy42O9zsSSG1Oa5PP3FfSxQC4-mtA448OS4Cl65EzI8Ozm3aJvH95_vfjUXn35eHlxftVaoWRpBzpQY_Y1SUycotYR5Rw4SVmtwfaDdLwnXb831AlLBistCGMpFXgvWDdwtkWvT37nNP1YahJ69NlCCCbCtGRNJFVUKCVVRV_-gx6nJdWcs6aMkQ73veL_o6ov2XEmhfxLHUwAXTsylWTsGlqfc8Yp5bj2dYt291D1DDB6O0Vwvv7fMXh1y-AaTCjXeQrLOpB8F3xzAm2ack7g9Jz8aNJPTbBed0EfZ73uQhVEpV_c1LTsRxj-sL-HX4G3JyBXVTxAulX0Pf5-AcgIuW0</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Shores, D R</creator><creator>Bullard, J E</creator><creator>Aucott, S W</creator><creator>Stewart, F D</creator><creator>Haney, C</creator><creator>Tymann, H</creator><creator>Miller, M R</creator><creator>Nonyane, B A S</creator><creator>Schwarz, K B</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20151101</creationdate><title>Implementation of feeding guidelines in infants at risk of intestinal failure</title><author>Shores, D R ; Bullard, J E ; Aucott, S W ; Stewart, F D ; Haney, C ; Tymann, H ; Miller, M R ; Nonyane, B A S ; Schwarz, K B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c587t-d2d2aab54301f82cf18ffef723105c9d7f49169ba2f5c1dc7ce5ac2250b536d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>692/308/409</topic><topic>692/699</topic><topic>Academic Medical Centers</topic><topic>Analysis</topic><topic>Bilirubin</topic><topic>Calories</topic><topic>Diagnosis</topic><topic>Digestive System Abnormalities - diagnosis</topic><topic>Digestive System Abnormalities - surgery</topic><topic>Enteral nutrition</topic><topic>Enteral Nutrition - adverse effects</topic><topic>Enteral Nutrition - methods</topic><topic>Enterocolitis</topic><topic>Feeding</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Food and nutrition</topic><topic>Gastrointestinal diseases</topic><topic>Guidelines</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant</topic><topic>Infant Care - methods</topic><topic>Infant Care - standards</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infants</topic><topic>Intensive Care Units, Neonatal</topic><topic>Intestine</topic><topic>Liver diseases</topic><topic>Liver Diseases - etiology</topic><topic>Liver Diseases - prevention & control</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Necrosis</topic><topic>Necrotizing enterocolitis</topic><topic>Nutrition</topic><topic>Nutrition Therapy - methods</topic><topic>Nutrition Therapy - standards</topic><topic>Nutritional Requirements</topic><topic>original-article</topic><topic>Parenteral nutrition</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Physiological aspects</topic><topic>Postoperative Care - methods</topic><topic>Practice Guidelines as Topic</topic><topic>Treatment Outcome</topic><topic>Weight Gain - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shores, D R</creatorcontrib><creatorcontrib>Bullard, J E</creatorcontrib><creatorcontrib>Aucott, S W</creatorcontrib><creatorcontrib>Stewart, F D</creatorcontrib><creatorcontrib>Haney, C</creatorcontrib><creatorcontrib>Tymann, H</creatorcontrib><creatorcontrib>Miller, M R</creatorcontrib><creatorcontrib>Nonyane, B A S</creatorcontrib><creatorcontrib>Schwarz, K B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shores, D R</au><au>Bullard, J E</au><au>Aucott, S W</au><au>Stewart, F D</au><au>Haney, C</au><au>Tymann, H</au><au>Miller, M R</au><au>Nonyane, B A S</au><au>Schwarz, K B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementation of feeding guidelines in infants at risk of intestinal failure</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>35</volume><issue>11</issue><spage>941</spage><epage>948</epage><pages>941-948</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>Objective:
To implement feeding guidelines to reduce advancement time and the incidence of parenteral nutrition-associated liver disease (PNALD) among intestinal surgical infants requiring parenteral nutrition (PN).
Study Design:
Feeding guidelines with higher initial enteral nutrition (EN) volume and specific advancement criteria were implemented for surgical infants aged <6 months. Preimplementation and postimplementation outcomes were compared.
Results:
There were 57 preimplementation and 33 postimplementation infants. The initial EN volume improved from 10 to 20 ml kg
−1
day
−1
(
P
<0.001). Time to reach 50% of goal calories from EN decreased by a median of 6 days (
P
=0.012) without a change in necrotizing enterocolitis incidence after resuming feeding. PNALD incidence decreased from 70% to 48% (
P
=0.046), and median peak direct bilirubin (DB) decreased from 5.6 to 2.3 mg dl
−1
(
P
=0.011).
Conclusion:
Feeding guideline implementation with higher initial feeding volume was well tolerated and resulted in faster achievement of 50% goal EN calories. PNALD incidence and peak DB were reduced.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>26313054</pmid><doi>10.1038/jp.2015.105</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0743-8346 |
| ispartof | Journal of perinatology, 2015-11, Vol.35 (11), p.941-948 |
| issn | 0743-8346 1476-5543 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1728258878 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | 692/308/409 692/699 Academic Medical Centers Analysis Bilirubin Calories Diagnosis Digestive System Abnormalities - diagnosis Digestive System Abnormalities - surgery Enteral nutrition Enteral Nutrition - adverse effects Enteral Nutrition - methods Enterocolitis Feeding Female Follow-Up Studies Food and nutrition Gastrointestinal diseases Guidelines Humans Incidence Infant Infant Care - methods Infant Care - standards Infant, Newborn Infant, Premature Infants Intensive Care Units, Neonatal Intestine Liver diseases Liver Diseases - etiology Liver Diseases - prevention & control Male Medicine Medicine & Public Health Necrosis Necrotizing enterocolitis Nutrition Nutrition Therapy - methods Nutrition Therapy - standards Nutritional Requirements original-article Parenteral nutrition Pediatric Surgery Pediatrics Physiological aspects Postoperative Care - methods Practice Guidelines as Topic Treatment Outcome Weight Gain - physiology |
| title | Implementation of feeding guidelines in infants at risk of intestinal failure |
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