Central catheter removal timing and growth patterns in preterm infants
Background Early discontinuation of total parenteral nutrition (TPN) at 100 ml/kg/day of enteral feeds, compared with 140 ml/kg/day, led to significant delay in time to regain the birth weight in very low birth weight infants (birth weight
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| Veröffentlicht in: | European journal of clinical nutrition 2020-12, Vol.74 (12), p.1661-1667 |
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| creator | Branagan, A. Perrem, L. Semberova, J. O’Sullivan, A. Miletin, J. Doolan, A. |
| description | Background
Early discontinuation of total parenteral nutrition (TPN) at 100 ml/kg/day of enteral feeds, compared with 140 ml/kg/day, led to significant delay in time to regain the birth weight in very low birth weight infants (birth weight |
| doi_str_mv | 10.1038/s41430-020-0645-0 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2399247633</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A649426857</galeid><sourcerecordid>A649426857</sourcerecordid><originalsourceid>FETCH-LOGICAL-c460t-62804cd28cabde33fa1368e5345899e9780f859a837bc761d2ce8fadba65a6253</originalsourceid><addsrcrecordid>eNp1kl9rFDEUxYNY7Lb6AXyRAUH6MjWT__NYllaFgi_6HLKZO7NTZpI1ySh--95lW2tlJYSEe3_nkhwOIW8betlQbj5m0QhOa8pwKyFr-oKsGqFVLZWgL8mKtlLUnFJ9Ss5yvqMUm5q9Iqeccd20Rq_IzRpCSW6qvCtbKJCqBHP8iYUyzmMYKhe6akjxV9lWO1cQCLkaQ7VLe3jGa-9Cya_JSe-mDG8eznPy_eb62_pzffv105f11W3thaKlVsxQ4TtmvNt0wHnvGq4MSC6kaVtotaG9ka0zXG-8Vk3HPJjedRunpFNM8nNycZi7S_HHArnYecwepskFiEu2jLctQwc4R_T9P-hdXFLA11kkONOcSvZEDW4Ci7-J6IbfD7VXSrSCKSM1UvURaoAAaF0M0I9YfsZfHuFxdTCP_qjgw1-CLbipbHOcljLGkJ-DzQH0KeacoLe7NM4u_bYNtftQ2EMoLIbC7kNhKWrePTixbGbo_igeU4AAOwAZW2GA9GTV_6feA3sHvhE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2473273052</pqid></control><display><type>article</type><title>Central catheter removal timing and growth patterns in preterm infants</title><source>Alma/SFX Local Collection</source><creator>Branagan, A. ; Perrem, L. ; Semberova, J. ; O’Sullivan, A. ; Miletin, J. ; Doolan, A.</creator><creatorcontrib>Branagan, A. ; Perrem, L. ; Semberova, J. ; O’Sullivan, A. ; Miletin, J. ; Doolan, A.</creatorcontrib><description>Background
Early discontinuation of total parenteral nutrition (TPN) at 100 ml/kg/day of enteral feeds, compared with 140 ml/kg/day, led to significant delay in time to regain the birth weight in very low birth weight infants (birth weight < 1500 g, VLBW). Our aim was to compare the growth of infants in relation with timing of TPN discontinuation up to 2 years corrected gestational age (CGA).
Methods
Posttrial follow-up study using review of paper medical records. Participants of the randomized controlled trial studying effect of early parenteral nutrition discontinuation on time to regain birth weight in VLBW infants were included. Growth parameters inclusive of weight, length, and occipital-frontal circumference (OFC) were collected.
Z
-scores were calculated at five predefined time points—birth, 0–11 weeks CGA, 12–35 weeks CGA, 36–60 weeks CGA, and 61–96 weeks CGA and compared for control and intervention groups.
Results
Regarding weight, we found lower mean
Z
-score in the intervention group between 0 and 11 weeks CGA, with larger difference in extremely low birth weight infants (birth weight < 1000 g, ELBW), but this did not reach the statistical significance. Regarding length, the same difference, slightly delayed to 35 weeks CGA was observed and reached statistical significance for ELBW infants between 12 and 35 weeks CGA. There was no difference in OFC mean
Z
-scores at any timepoint.
Conclusions
The discontinuation of TPN at 100 ml/kg/day showed significantly lower
Z
-score for length in ELBW infants between 12 and 35 weeks CGA. There were no differences in
Z
-scores by 2 years CGA.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/s41430-020-0645-0</identifier><identifier>PMID: 32371987</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/1702/295 ; 692/700/1720 ; Birth weight ; Care and treatment ; Catheters ; Clinical Nutrition ; Enteral nutrition ; Epidemiology ; Gestational age ; Growth ; Growth patterns ; Infants ; Infants (Premature) ; Internal Medicine ; Low birth weight ; Medical instruments ; Medical records ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Nutrition ; Parenteral feeding ; Parenteral nutrition ; Parenteral therapy ; Premature babies ; Premature birth ; Public Health ; Statistics ; Weight</subject><ispartof>European journal of clinical nutrition, 2020-12, Vol.74 (12), p.1661-1667</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2020</rights><rights>COPYRIGHT 2020 Nature Publishing Group</rights><rights>The Author(s), under exclusive licence to Springer Nature Limited 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c460t-62804cd28cabde33fa1368e5345899e9780f859a837bc761d2ce8fadba65a6253</cites><orcidid>0000-0001-5220-5372</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32371987$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Branagan, A.</creatorcontrib><creatorcontrib>Perrem, L.</creatorcontrib><creatorcontrib>Semberova, J.</creatorcontrib><creatorcontrib>O’Sullivan, A.</creatorcontrib><creatorcontrib>Miletin, J.</creatorcontrib><creatorcontrib>Doolan, A.</creatorcontrib><title>Central catheter removal timing and growth patterns in preterm infants</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Background
Early discontinuation of total parenteral nutrition (TPN) at 100 ml/kg/day of enteral feeds, compared with 140 ml/kg/day, led to significant delay in time to regain the birth weight in very low birth weight infants (birth weight < 1500 g, VLBW). Our aim was to compare the growth of infants in relation with timing of TPN discontinuation up to 2 years corrected gestational age (CGA).
Methods
Posttrial follow-up study using review of paper medical records. Participants of the randomized controlled trial studying effect of early parenteral nutrition discontinuation on time to regain birth weight in VLBW infants were included. Growth parameters inclusive of weight, length, and occipital-frontal circumference (OFC) were collected.
Z
-scores were calculated at five predefined time points—birth, 0–11 weeks CGA, 12–35 weeks CGA, 36–60 weeks CGA, and 61–96 weeks CGA and compared for control and intervention groups.
Results
Regarding weight, we found lower mean
Z
-score in the intervention group between 0 and 11 weeks CGA, with larger difference in extremely low birth weight infants (birth weight < 1000 g, ELBW), but this did not reach the statistical significance. Regarding length, the same difference, slightly delayed to 35 weeks CGA was observed and reached statistical significance for ELBW infants between 12 and 35 weeks CGA. There was no difference in OFC mean
Z
-scores at any timepoint.
Conclusions
The discontinuation of TPN at 100 ml/kg/day showed significantly lower
Z
-score for length in ELBW infants between 12 and 35 weeks CGA. There were no differences in
Z
-scores by 2 years CGA.</description><subject>692/699/1702/295</subject><subject>692/700/1720</subject><subject>Birth weight</subject><subject>Care and treatment</subject><subject>Catheters</subject><subject>Clinical Nutrition</subject><subject>Enteral nutrition</subject><subject>Epidemiology</subject><subject>Gestational age</subject><subject>Growth</subject><subject>Growth patterns</subject><subject>Infants</subject><subject>Infants (Premature)</subject><subject>Internal Medicine</subject><subject>Low birth weight</subject><subject>Medical instruments</subject><subject>Medical records</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Nutrition</subject><subject>Parenteral feeding</subject><subject>Parenteral nutrition</subject><subject>Parenteral therapy</subject><subject>Premature babies</subject><subject>Premature birth</subject><subject>Public Health</subject><subject>Statistics</subject><subject>Weight</subject><issn>0954-3007</issn><issn>1476-5640</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kl9rFDEUxYNY7Lb6AXyRAUH6MjWT__NYllaFgi_6HLKZO7NTZpI1ySh--95lW2tlJYSEe3_nkhwOIW8betlQbj5m0QhOa8pwKyFr-oKsGqFVLZWgL8mKtlLUnFJ9Ss5yvqMUm5q9Iqeccd20Rq_IzRpCSW6qvCtbKJCqBHP8iYUyzmMYKhe6akjxV9lWO1cQCLkaQ7VLe3jGa-9Cya_JSe-mDG8eznPy_eb62_pzffv105f11W3thaKlVsxQ4TtmvNt0wHnvGq4MSC6kaVtotaG9ka0zXG-8Vk3HPJjedRunpFNM8nNycZi7S_HHArnYecwepskFiEu2jLctQwc4R_T9P-hdXFLA11kkONOcSvZEDW4Ci7-J6IbfD7VXSrSCKSM1UvURaoAAaF0M0I9YfsZfHuFxdTCP_qjgw1-CLbipbHOcljLGkJ-DzQH0KeacoLe7NM4u_bYNtftQ2EMoLIbC7kNhKWrePTixbGbo_igeU4AAOwAZW2GA9GTV_6feA3sHvhE</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Branagan, A.</creator><creator>Perrem, L.</creator><creator>Semberova, J.</creator><creator>O’Sullivan, A.</creator><creator>Miletin, J.</creator><creator>Doolan, A.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5220-5372</orcidid></search><sort><creationdate>20201201</creationdate><title>Central catheter removal timing and growth patterns in preterm infants</title><author>Branagan, A. ; Perrem, L. ; Semberova, J. ; O’Sullivan, A. ; Miletin, J. ; Doolan, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-62804cd28cabde33fa1368e5345899e9780f859a837bc761d2ce8fadba65a6253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>692/699/1702/295</topic><topic>692/700/1720</topic><topic>Birth weight</topic><topic>Care and treatment</topic><topic>Catheters</topic><topic>Clinical Nutrition</topic><topic>Enteral nutrition</topic><topic>Epidemiology</topic><topic>Gestational age</topic><topic>Growth</topic><topic>Growth patterns</topic><topic>Infants</topic><topic>Infants (Premature)</topic><topic>Internal Medicine</topic><topic>Low birth weight</topic><topic>Medical instruments</topic><topic>Medical records</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Nutrition</topic><topic>Parenteral feeding</topic><topic>Parenteral nutrition</topic><topic>Parenteral therapy</topic><topic>Premature babies</topic><topic>Premature birth</topic><topic>Public Health</topic><topic>Statistics</topic><topic>Weight</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Branagan, A.</creatorcontrib><creatorcontrib>Perrem, L.</creatorcontrib><creatorcontrib>Semberova, J.</creatorcontrib><creatorcontrib>O’Sullivan, A.</creatorcontrib><creatorcontrib>Miletin, J.</creatorcontrib><creatorcontrib>Doolan, A.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Agricultural Science Collection</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>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>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</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>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</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 Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Branagan, A.</au><au>Perrem, L.</au><au>Semberova, J.</au><au>O’Sullivan, A.</au><au>Miletin, J.</au><au>Doolan, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Central catheter removal timing and growth patterns in preterm infants</atitle><jtitle>European journal of clinical nutrition</jtitle><stitle>Eur J Clin Nutr</stitle><addtitle>Eur J Clin Nutr</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>74</volume><issue>12</issue><spage>1661</spage><epage>1667</epage><pages>1661-1667</pages><issn>0954-3007</issn><eissn>1476-5640</eissn><abstract>Background
Early discontinuation of total parenteral nutrition (TPN) at 100 ml/kg/day of enteral feeds, compared with 140 ml/kg/day, led to significant delay in time to regain the birth weight in very low birth weight infants (birth weight < 1500 g, VLBW). Our aim was to compare the growth of infants in relation with timing of TPN discontinuation up to 2 years corrected gestational age (CGA).
Methods
Posttrial follow-up study using review of paper medical records. Participants of the randomized controlled trial studying effect of early parenteral nutrition discontinuation on time to regain birth weight in VLBW infants were included. Growth parameters inclusive of weight, length, and occipital-frontal circumference (OFC) were collected.
Z
-scores were calculated at five predefined time points—birth, 0–11 weeks CGA, 12–35 weeks CGA, 36–60 weeks CGA, and 61–96 weeks CGA and compared for control and intervention groups.
Results
Regarding weight, we found lower mean
Z
-score in the intervention group between 0 and 11 weeks CGA, with larger difference in extremely low birth weight infants (birth weight < 1000 g, ELBW), but this did not reach the statistical significance. Regarding length, the same difference, slightly delayed to 35 weeks CGA was observed and reached statistical significance for ELBW infants between 12 and 35 weeks CGA. There was no difference in OFC mean
Z
-scores at any timepoint.
Conclusions
The discontinuation of TPN at 100 ml/kg/day showed significantly lower
Z
-score for length in ELBW infants between 12 and 35 weeks CGA. There were no differences in
Z
-scores by 2 years CGA.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32371987</pmid><doi>10.1038/s41430-020-0645-0</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5220-5372</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | European journal of clinical nutrition, 2020-12, Vol.74 (12), p.1661-1667 |
| issn | 0954-3007 1476-5640 |
| language | eng |
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| source | Alma/SFX Local Collection |
| subjects | 692/699/1702/295 692/700/1720 Birth weight Care and treatment Catheters Clinical Nutrition Enteral nutrition Epidemiology Gestational age Growth Growth patterns Infants Infants (Premature) Internal Medicine Low birth weight Medical instruments Medical records Medicine Medicine & Public Health Metabolic Diseases Nutrition Parenteral feeding Parenteral nutrition Parenteral therapy Premature babies Premature birth Public Health Statistics Weight |
| title | Central catheter removal timing and growth patterns in preterm infants |
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