Impact of nutrition in the treatment of congenital diaphragmatic hernia
Background The optimum enteral (EN) and parenteral nutrition (PN) regimens during acute management of congenital diaphragmatic hernia (CDH) remain unclear. We examined the effects of EN and PN on weight gain in CDH patients. Methods A multicenter retrospective cohort study of neonates with CDH (born...
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| Veröffentlicht in: | Pediatrics international 2019-05, Vol.61 (5), p.482-488 |
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| creator | Terui, Keita Usui, Noriaki Tazuke, Yuko Nagata, Kouji Ito, Miharu Okuyama, Hiroomi Hayakawa, Masahiro Taguchi, Tomoaki Sato, Yasunori Yoshida, Hideo |
| description | Background
The optimum enteral (EN) and parenteral nutrition (PN) regimens during acute management of congenital diaphragmatic hernia (CDH) remain unclear. We examined the effects of EN and PN on weight gain in CDH patients.
Methods
A multicenter retrospective cohort study of neonates with CDH (born 2006–2010; n = 105) who survived to discharge was conducted. Patients were divided as receiving PN ≥ or |
| doi_str_mv | 10.1111/ped.13837 |
| format | Article |
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The optimum enteral (EN) and parenteral nutrition (PN) regimens during acute management of congenital diaphragmatic hernia (CDH) remain unclear. We examined the effects of EN and PN on weight gain in CDH patients.
Methods
A multicenter retrospective cohort study of neonates with CDH (born 2006–2010; n = 105) who survived to discharge was conducted. Patients were divided as receiving PN ≥ or <50 kcal/kg/day at 1 week of age, and EN ≥ or <60 kcal/kg/day at 2 weeks of age. Changes in bodyweight at 30, 60, and 90 days of age were compared.
Results
The higher EN group (n = 39) had greater mean weight gain than the lower EN group (n = 66; 90 days: 2,501 g, 95% CI: 2,294–2,710 g vs 1,706 g, 95% CI: 1,553–1,861 g; P <0.001). When patients received lower EN, the higher PN group (n = 24) had greater mean weight gain than the lower PN group (n = 42; 90 days: 1,768 g, 95% CI: 1,574–1,961 g vs 1,411 g, 95% CI: 1,264–1,558 g; P = 0.004).
Conclusion
The amount of EN in the acute phase of CDH management is essential for weight gain during infancy. When patients are intolerant to adequate EN, supportive PN is also essential.</description><identifier>ISSN: 1328-8067</identifier><identifier>EISSN: 1442-200X</identifier><identifier>DOI: 10.1111/ped.13837</identifier><identifier>PMID: 30888699</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>Age ; Energy Intake ; Enteral Nutrition ; Female ; Hernia ; Hernias ; Hernias, Diaphragmatic, Congenital - therapy ; Humans ; Infant ; Infant, Newborn ; Male ; neonatal care ; neonatal intensive care ; neonatal surgery ; Neonates ; Nutrition ; Nutritional Status ; Parenteral Nutrition ; Pediatrics ; Prenatal development ; Retrospective Studies ; Weight Gain</subject><ispartof>Pediatrics international, 2019-05, Vol.61 (5), p.482-488</ispartof><rights>2019 Japan Pediatric Society</rights><rights>2019 Japan Pediatric Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4437-d41af952f5685e8a5df6c19be91d2b90aa34da44adb288e83e4923af3dbfd03d3</citedby><cites>FETCH-LOGICAL-c4437-d41af952f5685e8a5df6c19be91d2b90aa34da44adb288e83e4923af3dbfd03d3</cites><orcidid>0000-0003-4315-5179</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fped.13837$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fped.13837$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30888699$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Terui, Keita</creatorcontrib><creatorcontrib>Usui, Noriaki</creatorcontrib><creatorcontrib>Tazuke, Yuko</creatorcontrib><creatorcontrib>Nagata, Kouji</creatorcontrib><creatorcontrib>Ito, Miharu</creatorcontrib><creatorcontrib>Okuyama, Hiroomi</creatorcontrib><creatorcontrib>Hayakawa, Masahiro</creatorcontrib><creatorcontrib>Taguchi, Tomoaki</creatorcontrib><creatorcontrib>Sato, Yasunori</creatorcontrib><creatorcontrib>Yoshida, Hideo</creatorcontrib><title>Impact of nutrition in the treatment of congenital diaphragmatic hernia</title><title>Pediatrics international</title><addtitle>Pediatr Int</addtitle><description>Background
The optimum enteral (EN) and parenteral nutrition (PN) regimens during acute management of congenital diaphragmatic hernia (CDH) remain unclear. We examined the effects of EN and PN on weight gain in CDH patients.
Methods
A multicenter retrospective cohort study of neonates with CDH (born 2006–2010; n = 105) who survived to discharge was conducted. Patients were divided as receiving PN ≥ or <50 kcal/kg/day at 1 week of age, and EN ≥ or <60 kcal/kg/day at 2 weeks of age. Changes in bodyweight at 30, 60, and 90 days of age were compared.
Results
The higher EN group (n = 39) had greater mean weight gain than the lower EN group (n = 66; 90 days: 2,501 g, 95% CI: 2,294–2,710 g vs 1,706 g, 95% CI: 1,553–1,861 g; P <0.001). When patients received lower EN, the higher PN group (n = 24) had greater mean weight gain than the lower PN group (n = 42; 90 days: 1,768 g, 95% CI: 1,574–1,961 g vs 1,411 g, 95% CI: 1,264–1,558 g; P = 0.004).
Conclusion
The amount of EN in the acute phase of CDH management is essential for weight gain during infancy. When patients are intolerant to adequate EN, supportive PN is also essential.</description><subject>Age</subject><subject>Energy Intake</subject><subject>Enteral Nutrition</subject><subject>Female</subject><subject>Hernia</subject><subject>Hernias</subject><subject>Hernias, Diaphragmatic, Congenital - therapy</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>neonatal care</subject><subject>neonatal intensive care</subject><subject>neonatal surgery</subject><subject>Neonates</subject><subject>Nutrition</subject><subject>Nutritional Status</subject><subject>Parenteral Nutrition</subject><subject>Pediatrics</subject><subject>Prenatal development</subject><subject>Retrospective Studies</subject><subject>Weight Gain</subject><issn>1328-8067</issn><issn>1442-200X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1LxDAQhoMofqwe_ANS8KKH7uarbXKUdf2ABT0oeAvTJnUjbVrTFPHfG7d6EZzLDDMPD8OL0CnBcxJr0Rs9J0ywYgcdEs5pSjF-2Y0zoyIVOC8O0NEwvGGMRSH4PjpgWAiRS3mIbu_bHqqQdHXixuBtsJ1LrEvCxiTBGwitcdtr1blX42yAJtEW-o2H1xaCrZKN8c7CMdqroRnMyU-foeeb1dPyLl0_3N4vr9ZpxTkrUs0J1DKjdZaLzAjIdJ1XRJZGEk1LiQEY18A56JIKYQQzXFIGNdNlrTHTbIYuJm_vu_fRDEG1dqhM04Az3TgoSiQnGZEFi-j5H_StG72L3ylKGaY84xmN1OVEVb4bBm9q1Xvbgv9UBKvvdFVMV23TjezZj3Es27j9JX_jjMBiAj5sYz7_N6nH1fWk_AJnzoOT</recordid><startdate>201905</startdate><enddate>201905</enddate><creator>Terui, Keita</creator><creator>Usui, Noriaki</creator><creator>Tazuke, Yuko</creator><creator>Nagata, Kouji</creator><creator>Ito, Miharu</creator><creator>Okuyama, Hiroomi</creator><creator>Hayakawa, Masahiro</creator><creator>Taguchi, Tomoaki</creator><creator>Sato, Yasunori</creator><creator>Yoshida, Hideo</creator><general>Blackwell Publishing Ltd</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>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4315-5179</orcidid></search><sort><creationdate>201905</creationdate><title>Impact of nutrition in the treatment of congenital diaphragmatic hernia</title><author>Terui, Keita ; Usui, Noriaki ; Tazuke, Yuko ; Nagata, Kouji ; Ito, Miharu ; Okuyama, Hiroomi ; Hayakawa, Masahiro ; Taguchi, Tomoaki ; Sato, Yasunori ; Yoshida, Hideo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4437-d41af952f5685e8a5df6c19be91d2b90aa34da44adb288e83e4923af3dbfd03d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Age</topic><topic>Energy Intake</topic><topic>Enteral Nutrition</topic><topic>Female</topic><topic>Hernia</topic><topic>Hernias</topic><topic>Hernias, Diaphragmatic, Congenital - therapy</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>neonatal care</topic><topic>neonatal intensive care</topic><topic>neonatal surgery</topic><topic>Neonates</topic><topic>Nutrition</topic><topic>Nutritional Status</topic><topic>Parenteral Nutrition</topic><topic>Pediatrics</topic><topic>Prenatal development</topic><topic>Retrospective Studies</topic><topic>Weight Gain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Terui, Keita</creatorcontrib><creatorcontrib>Usui, Noriaki</creatorcontrib><creatorcontrib>Tazuke, Yuko</creatorcontrib><creatorcontrib>Nagata, Kouji</creatorcontrib><creatorcontrib>Ito, Miharu</creatorcontrib><creatorcontrib>Okuyama, Hiroomi</creatorcontrib><creatorcontrib>Hayakawa, Masahiro</creatorcontrib><creatorcontrib>Taguchi, Tomoaki</creatorcontrib><creatorcontrib>Sato, Yasunori</creatorcontrib><creatorcontrib>Yoshida, Hideo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Terui, Keita</au><au>Usui, Noriaki</au><au>Tazuke, Yuko</au><au>Nagata, Kouji</au><au>Ito, Miharu</au><au>Okuyama, Hiroomi</au><au>Hayakawa, Masahiro</au><au>Taguchi, Tomoaki</au><au>Sato, Yasunori</au><au>Yoshida, Hideo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of nutrition in the treatment of congenital diaphragmatic hernia</atitle><jtitle>Pediatrics international</jtitle><addtitle>Pediatr Int</addtitle><date>2019-05</date><risdate>2019</risdate><volume>61</volume><issue>5</issue><spage>482</spage><epage>488</epage><pages>482-488</pages><issn>1328-8067</issn><eissn>1442-200X</eissn><abstract>Background
The optimum enteral (EN) and parenteral nutrition (PN) regimens during acute management of congenital diaphragmatic hernia (CDH) remain unclear. We examined the effects of EN and PN on weight gain in CDH patients.
Methods
A multicenter retrospective cohort study of neonates with CDH (born 2006–2010; n = 105) who survived to discharge was conducted. Patients were divided as receiving PN ≥ or <50 kcal/kg/day at 1 week of age, and EN ≥ or <60 kcal/kg/day at 2 weeks of age. Changes in bodyweight at 30, 60, and 90 days of age were compared.
Results
The higher EN group (n = 39) had greater mean weight gain than the lower EN group (n = 66; 90 days: 2,501 g, 95% CI: 2,294–2,710 g vs 1,706 g, 95% CI: 1,553–1,861 g; P <0.001). When patients received lower EN, the higher PN group (n = 24) had greater mean weight gain than the lower PN group (n = 42; 90 days: 1,768 g, 95% CI: 1,574–1,961 g vs 1,411 g, 95% CI: 1,264–1,558 g; P = 0.004).
Conclusion
The amount of EN in the acute phase of CDH management is essential for weight gain during infancy. When patients are intolerant to adequate EN, supportive PN is also essential.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>30888699</pmid><doi>10.1111/ped.13837</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-4315-5179</orcidid></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | Age Energy Intake Enteral Nutrition Female Hernia Hernias Hernias, Diaphragmatic, Congenital - therapy Humans Infant Infant, Newborn Male neonatal care neonatal intensive care neonatal surgery Neonates Nutrition Nutritional Status Parenteral Nutrition Pediatrics Prenatal development Retrospective Studies Weight Gain |
| title | Impact of nutrition in the treatment of congenital diaphragmatic hernia |
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