The Use of Standardized Solutions Instead of Individualized Prescriptions for Parenteral Nutrition on the Neonatal Intensive Care Unit in UZ Brussel: A Feasibility Study.
Melanie BatteuxGarmt MeersBockstal FienPieter-Jan CortoosFilip CoolsPublished in: Clinical pediatrics (2023)
For parenteral nutrition (PN) of newborns, the European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) 2018 guidelines recommend standardized solutions over individual PN (IPN) solutions for most patients. This retrospective study assessed if a shift from IPN to standardized PN was feasible at the UZ Brussel. Using prescription data of 145 neonates, we calculated the nutrient provision for IPN and for standardized PN of the same volumes. We compared the macronutrient intakes with ESPGHAN 2018 recommendations to assess the feasibility. For neonates of a gestational age (GA) <32 or >36 weeks, standardized PN reached recommendations as least as fast as IPN. For neonates with a GA of 32 to 36 weeks, the administration protocol requires further adjustments as amino acid provision was lacking compared to IPN. Overall, the results support the feasibility of a shift from IPN to standardized PN at the UZ Brussel.
Keyphrases
- gestational age
- low birth weight
- birth weight
- preterm birth
- pet ct
- clinical practice
- amino acid
- emergency department
- newly diagnosed
- randomized controlled trial
- preterm infants
- palliative care
- intensive care unit
- physical activity
- pregnant women
- ejection fraction
- machine learning
- body mass index
- weight loss
- patient reported
- weight gain