A Post-operative Feeding Protocol to Improve Outcomes for Neonates With Critical Congenital Heart Disease
A Post-operative Feeding Protocol to Improve Outcomes for Neonates With Critical Congenital Heart Disease
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DOI：
10.1016/j.pedn.2016.12.010
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发表时间：
2017-07-01
影响因子：
2.4
通讯作者：
Fry-Bowers, Eileen
中科院分区：
文献类型：
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作者：
Newcombe, Jennifer;Fry-Bowers, Eileen
危重型先天性心脏病（CCHD）新生儿术后易因高代谢和高分解代谢而发生营养不良。为了改善住院期间的营养状况，在美国一家大型儿童医院实施了护士领导的术后肠内喂养方案。在8个月的实施期间，21名新生儿符合方案纳入标准。新生儿达到目标热量喂养（120千卡/公斤/天）的天数减少。单向重复测量方差分析显示，在整个住院期间，血清白蛋白水平和连续人体测量值显著改善
Neonates with critical congenital heart disease (CCHD) are vulnerable to malnutrition during the post-operative period due to hypermetabolism and hypercatabolism. To improve nutritional outcomes during hospitalization, a nurse led post-operative enteral feeding protocol was implemented at a large U.S. children's hospital. During an eight-month implementation period, twenty-one neonates met protocol inclusion criteria. Days for neonates to achieve goal caloric feedings (120 kcal/kg/day) were decreased. A one-way repeated measures analysis of variance showed serum albumin levels and serial anthropometric measurements improved significantly throughout hospitalization (p