The successful accomplishment of nutritional and clinical outcomes via the implementation of a multidisciplinary nutrition support team in the neonatal intensive care unit
Nutritional support is critical for preterm infants in the neonatal intensive care unit (NICU). A multidisciplinary nutritional support team (NST) that focuses on providing optimal and individualized nutrition care could be helpful. We conducted a thorough evaluation of clinical and nutritional outc...
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| Veröffentlicht in: | BMC pediatrics 2016-07, Vol.16 (1), p.113-113, Article 113 |
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| creator | Jeong, Eurim Jung, Young Hwa Shin, Seung Han Kim, Moon Jin Bae, Hye Jung Cho, Yoon Sook Kim, Kwi Suk Kim, Hyang Sook Moon, Jin Soo Kim, Ee-Kyung Kim, Han-Suk Ko, Jae Sung |
| description | Nutritional support is critical for preterm infants in the neonatal intensive care unit (NICU). A multidisciplinary nutritional support team (NST) that focuses on providing optimal and individualized nutrition care could be helpful. We conducted a thorough evaluation of clinical and nutritional outcomes in a tertiary NICU following the implementation of an NST.
This study used a retrospective approach with historical comparisons. Preterm neonates |
| doi_str_mv | 10.1186/s12887-016-0648-0 |
| format | Article |
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This study used a retrospective approach with historical comparisons. Preterm neonates < 30 weeks gestational age or weighing < 1250 g were enrolled. Clinical and nutritional outcomes were compared before and after the establishment of the NST. Medical records were reviewed, and clinical and nutritional outcomes were compared between the two groups.
In total, 107 patients from the pre-NST period and 122 patients from the post-NST period were included. The cumulative energy delivery during the first week of life improved during the post-NST period (350.17 vs. 408.62 kcal/kg, p < 0.001). The cumulative protein and lipid deliveries also significantly increased. The time required to reach full enteric feedings decreased during the post-NST period (6.4 ± 5.8 vs. 4.7 ± 5.1 days, p = 0.016). Changes of Z-score in weight from admission to discharge exhibited more favorable results in the post-NST period (-1.13 ± 0.99 vs.-0.91 ± 0.74, p = 0.055), and the length of ICU stay significantly decreased in the post-NST period (81.7 ± 36.6 vs. 72.2 ± 32.9 days, p = 0.040).
NST intervention in the NICU resulted in significant improvements in the provision of nutrition to preterm infants in the first week of life. There were also favorable clinical outcomes, such as increased weight gain and reduced length of ICU stay. Evaluable data remain sparse in the NICU setting with premature neonatal populations; therefore, the successful outcomes identified in this study may provide support for NST practices.</description><identifier>ISSN: 1471-2431</identifier><identifier>EISSN: 1471-2431</identifier><identifier>DOI: 10.1186/s12887-016-0648-0</identifier><identifier>PMID: 27465214</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Clinical outcomes ; Female ; Health aspects ; Humans ; Infant Nutritional Physiological Phenomena ; Infant, Newborn ; Infant, Premature ; Infants (Premature) ; Intensive Care Units, Neonatal - organization & administration ; Intensive Care, Neonatal - methods ; Intensive Care, Neonatal - organization & administration ; Linear Models ; Male ; Management ; Medical records ; Neonatal intensive care units ; Nutritional Status ; Nutritional Support - methods ; Outcome and Process Assessment (Health Care) ; Parenteral feeding ; Parenteral therapy ; Patient Care Team ; Patient outcomes ; Program Evaluation ; Retrospective Studies</subject><ispartof>BMC pediatrics, 2016-07, Vol.16 (1), p.113-113, Article 113</ispartof><rights>COPYRIGHT 2016 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2016</rights><rights>The Author(s). 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c591t-741756859edea3f0d9bee011fa9d25788f9c8424d577f11e9e602ae759feb7033</citedby><cites>FETCH-LOGICAL-c591t-741756859edea3f0d9bee011fa9d25788f9c8424d577f11e9e602ae759feb7033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4963950/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4963950/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27465214$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jeong, Eurim</creatorcontrib><creatorcontrib>Jung, Young Hwa</creatorcontrib><creatorcontrib>Shin, Seung Han</creatorcontrib><creatorcontrib>Kim, Moon Jin</creatorcontrib><creatorcontrib>Bae, Hye Jung</creatorcontrib><creatorcontrib>Cho, Yoon Sook</creatorcontrib><creatorcontrib>Kim, Kwi Suk</creatorcontrib><creatorcontrib>Kim, Hyang Sook</creatorcontrib><creatorcontrib>Moon, Jin Soo</creatorcontrib><creatorcontrib>Kim, Ee-Kyung</creatorcontrib><creatorcontrib>Kim, Han-Suk</creatorcontrib><creatorcontrib>Ko, Jae Sung</creatorcontrib><title>The successful accomplishment of nutritional and clinical outcomes via the implementation of a multidisciplinary nutrition support team in the neonatal intensive care unit</title><title>BMC pediatrics</title><addtitle>BMC Pediatr</addtitle><description>Nutritional support is critical for preterm infants in the neonatal intensive care unit (NICU). A multidisciplinary nutritional support team (NST) that focuses on providing optimal and individualized nutrition care could be helpful. We conducted a thorough evaluation of clinical and nutritional outcomes in a tertiary NICU following the implementation of an NST.
This study used a retrospective approach with historical comparisons. Preterm neonates < 30 weeks gestational age or weighing < 1250 g were enrolled. Clinical and nutritional outcomes were compared before and after the establishment of the NST. Medical records were reviewed, and clinical and nutritional outcomes were compared between the two groups.
In total, 107 patients from the pre-NST period and 122 patients from the post-NST period were included. The cumulative energy delivery during the first week of life improved during the post-NST period (350.17 vs. 408.62 kcal/kg, p < 0.001). The cumulative protein and lipid deliveries also significantly increased. The time required to reach full enteric feedings decreased during the post-NST period (6.4 ± 5.8 vs. 4.7 ± 5.1 days, p = 0.016). Changes of Z-score in weight from admission to discharge exhibited more favorable results in the post-NST period (-1.13 ± 0.99 vs.-0.91 ± 0.74, p = 0.055), and the length of ICU stay significantly decreased in the post-NST period (81.7 ± 36.6 vs. 72.2 ± 32.9 days, p = 0.040).
NST intervention in the NICU resulted in significant improvements in the provision of nutrition to preterm infants in the first week of life. There were also favorable clinical outcomes, such as increased weight gain and reduced length of ICU stay. Evaluable data remain sparse in the NICU setting with premature neonatal populations; therefore, the successful outcomes identified in this study may provide support for NST practices.</description><subject>Clinical outcomes</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Infant Nutritional Physiological Phenomena</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infants (Premature)</subject><subject>Intensive Care Units, Neonatal - organization & administration</subject><subject>Intensive Care, Neonatal - methods</subject><subject>Intensive Care, Neonatal - organization & administration</subject><subject>Linear Models</subject><subject>Male</subject><subject>Management</subject><subject>Medical records</subject><subject>Neonatal intensive care units</subject><subject>Nutritional Status</subject><subject>Nutritional Support - methods</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Parenteral feeding</subject><subject>Parenteral therapy</subject><subject>Patient Care Team</subject><subject>Patient outcomes</subject><subject>Program Evaluation</subject><subject>Retrospective Studies</subject><issn>1471-2431</issn><issn>1471-2431</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</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><recordid>eNptks1u1DAUhSMEoqXwAGyQJSTEJsU3cWxng1RV_EmV2JS15XGuG1eJPcT2SH0mXhKnU8oMQlnkx985V_fkVNVroOcAkn-I0Egpagq8ppzJmj6pToEJqBvWwtOD55PqRYy3lIKQjD-vThrBeNcAO61-XY9IYjYGY7R5ItqYMG8nF8cZfSLBEp_T4pILXpdTPxAzOe9MeQk5FRYj2TlNUrFxRYirTK_4qtVkzlNyg4vGFVOvl7u_fmXsdhuWRBLqmTh_7-GxDErF3fmEProdEqMXJNm79LJ6ZvUU8dXD_az68fnT9eXX-ur7l2-XF1e16XpItWAgOi67HgfUraVDv0GkAFb3Q9MJKW1vJGvY0AlhAbBHThuNoustbgRt27Pq4953mzczDqZstOhJbRc3lwVU0E4dn3g3qpuwU6znbd_RYvD-wWAJPzPGpOaSAE6TLuvlqEBSIYUAzgr69h_0NuSlZH1PSehb1h1QN3pC5bwNZa5ZTdUF41L2QDkU6vw_VLkGnJ0JHq0r348E7w4EI-opjTFMef078RiEPWiWEOOC9jEMoGqtotpXUZUqqrWKag3hzWGKj4o_3Wt_A6kd3UA</recordid><startdate>20160728</startdate><enddate>20160728</enddate><creator>Jeong, Eurim</creator><creator>Jung, Young Hwa</creator><creator>Shin, Seung Han</creator><creator>Kim, Moon Jin</creator><creator>Bae, Hye Jung</creator><creator>Cho, Yoon Sook</creator><creator>Kim, Kwi Suk</creator><creator>Kim, Hyang Sook</creator><creator>Moon, Jin Soo</creator><creator>Kim, Ee-Kyung</creator><creator>Kim, Han-Suk</creator><creator>Ko, Jae Sung</creator><general>BioMed Central Ltd</general><general>BioMed Central</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>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160728</creationdate><title>The successful accomplishment of nutritional and clinical outcomes via the implementation of a multidisciplinary nutrition support team in the neonatal intensive care unit</title><author>Jeong, Eurim ; Jung, Young Hwa ; Shin, Seung Han ; Kim, Moon Jin ; Bae, Hye Jung ; Cho, Yoon Sook ; Kim, Kwi Suk ; Kim, Hyang Sook ; Moon, Jin Soo ; Kim, Ee-Kyung ; Kim, Han-Suk ; Ko, Jae Sung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c591t-741756859edea3f0d9bee011fa9d25788f9c8424d577f11e9e602ae759feb7033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Clinical outcomes</topic><topic>Female</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Infant Nutritional Physiological Phenomena</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infants (Premature)</topic><topic>Intensive Care Units, Neonatal - organization & administration</topic><topic>Intensive Care, Neonatal - methods</topic><topic>Intensive Care, Neonatal - organization & administration</topic><topic>Linear Models</topic><topic>Male</topic><topic>Management</topic><topic>Medical records</topic><topic>Neonatal intensive care units</topic><topic>Nutritional Status</topic><topic>Nutritional Support - methods</topic><topic>Outcome and Process Assessment (Health Care)</topic><topic>Parenteral feeding</topic><topic>Parenteral therapy</topic><topic>Patient Care Team</topic><topic>Patient outcomes</topic><topic>Program Evaluation</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jeong, Eurim</creatorcontrib><creatorcontrib>Jung, Young Hwa</creatorcontrib><creatorcontrib>Shin, Seung Han</creatorcontrib><creatorcontrib>Kim, Moon Jin</creatorcontrib><creatorcontrib>Bae, Hye Jung</creatorcontrib><creatorcontrib>Cho, Yoon Sook</creatorcontrib><creatorcontrib>Kim, Kwi Suk</creatorcontrib><creatorcontrib>Kim, Hyang Sook</creatorcontrib><creatorcontrib>Moon, Jin Soo</creatorcontrib><creatorcontrib>Kim, Ee-Kyung</creatorcontrib><creatorcontrib>Kim, Han-Suk</creatorcontrib><creatorcontrib>Ko, Jae Sung</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>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</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>ProQuest Central Essentials</collection><collection>ProQuest Central</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 Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jeong, Eurim</au><au>Jung, Young Hwa</au><au>Shin, Seung Han</au><au>Kim, Moon Jin</au><au>Bae, Hye Jung</au><au>Cho, Yoon Sook</au><au>Kim, Kwi Suk</au><au>Kim, Hyang Sook</au><au>Moon, Jin Soo</au><au>Kim, Ee-Kyung</au><au>Kim, Han-Suk</au><au>Ko, Jae Sung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The successful accomplishment of nutritional and clinical outcomes via the implementation of a multidisciplinary nutrition support team in the neonatal intensive care unit</atitle><jtitle>BMC pediatrics</jtitle><addtitle>BMC Pediatr</addtitle><date>2016-07-28</date><risdate>2016</risdate><volume>16</volume><issue>1</issue><spage>113</spage><epage>113</epage><pages>113-113</pages><artnum>113</artnum><issn>1471-2431</issn><eissn>1471-2431</eissn><abstract>Nutritional support is critical for preterm infants in the neonatal intensive care unit (NICU). A multidisciplinary nutritional support team (NST) that focuses on providing optimal and individualized nutrition care could be helpful. We conducted a thorough evaluation of clinical and nutritional outcomes in a tertiary NICU following the implementation of an NST.
This study used a retrospective approach with historical comparisons. Preterm neonates < 30 weeks gestational age or weighing < 1250 g were enrolled. Clinical and nutritional outcomes were compared before and after the establishment of the NST. Medical records were reviewed, and clinical and nutritional outcomes were compared between the two groups.
In total, 107 patients from the pre-NST period and 122 patients from the post-NST period were included. The cumulative energy delivery during the first week of life improved during the post-NST period (350.17 vs. 408.62 kcal/kg, p < 0.001). The cumulative protein and lipid deliveries also significantly increased. The time required to reach full enteric feedings decreased during the post-NST period (6.4 ± 5.8 vs. 4.7 ± 5.1 days, p = 0.016). Changes of Z-score in weight from admission to discharge exhibited more favorable results in the post-NST period (-1.13 ± 0.99 vs.-0.91 ± 0.74, p = 0.055), and the length of ICU stay significantly decreased in the post-NST period (81.7 ± 36.6 vs. 72.2 ± 32.9 days, p = 0.040).
NST intervention in the NICU resulted in significant improvements in the provision of nutrition to preterm infants in the first week of life. There were also favorable clinical outcomes, such as increased weight gain and reduced length of ICU stay. Evaluable data remain sparse in the NICU setting with premature neonatal populations; therefore, the successful outcomes identified in this study may provide support for NST practices.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>27465214</pmid><doi>10.1186/s12887-016-0648-0</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Clinical outcomes Female Health aspects Humans Infant Nutritional Physiological Phenomena Infant, Newborn Infant, Premature Infants (Premature) Intensive Care Units, Neonatal - organization & administration Intensive Care, Neonatal - methods Intensive Care, Neonatal - organization & administration Linear Models Male Management Medical records Neonatal intensive care units Nutritional Status Nutritional Support - methods Outcome and Process Assessment (Health Care) Parenteral feeding Parenteral therapy Patient Care Team Patient outcomes Program Evaluation Retrospective Studies |
| title | The successful accomplishment of nutritional and clinical outcomes via the implementation of a multidisciplinary nutrition support team in the neonatal intensive care unit |
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