Τρίτη 3 Ιανουαρίου 2017

Nutritional Practices and Growth in Premature Infants after Surgical Necrotizing Enterocolitis.

Objective: To describe the nutritional provisions received by infants with surgical NEC and the associated effects on short-term growth. Study Design: Through the Children's Hospitals Neonatal Database we identified infants born 0.3 between groups for weight and length). Unadjusted and independent associations were identified with HC changes and HP dose ([beta]= 0.1 cm/week, p=0.03) after adjusting for gestational age, the presence of severe bronchopulmonary dysplasia, short bowel syndrome, blood stream infection, severe intraventricular hemorrhage (IVH), or small for gestational age (SGA) and calorie intake. Eventual non-survivors received 18% less protein and 14% fewer calories over the first post-operative month. Conclusions: Post-operative protein doses in infants with surgical NEC appear related to increases in HC. The influence of post-operative nutritional support on risk of adverse outcomes deserves further attention. (C) 2016 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,

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