nutritional status of preterm infants at discharge: a study at tehran valie-e-asr hospital

نویسندگان

firouzeh nili dept. of pediatrics, tehran university of medical sciences, tehran, i.r. iran.سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (tehran university of medical sciences)

alireza ebadi dept. of pediatrics, tehran university of medical sciences, tehran, i.r. iran.سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (tehran university of medical sciences)

چکیده

abstract background: nutrients meeting recommended dietary intakes take time to establish and once established are rarely maintained throughout hospital stay in preterm infants. methods: our purpose is to define the nutritional status and growth parameters of hospitalized patients at discharge in our hospital. data were obtained concerning all 50 infants born weighing < 1800 g and < 34 weeks of gestation who survived until at least 21 days of age. at weekly intervals, intakes of fluid, energy, and protein from all sources were determined and body weight, head circumference and length were recorded. results: 50 premature neonates with gestational age of 30.5 ± 2.35 weeks and birth weight of 1337 ±232 g comprising 26 (52%) females and 24 (48%) males were entered into this study from april to july 2004. the mean time of caloric intake of 120kcal /kg/d was 18.41 ± 6.7 days of age. 37.8% of mothers provide breast milk, 51% preterm formula and the rest of the patients consumed both. biochemical markers of nutritional status showed that 64% of neonates had blood urea nitrogen < 5 mg/dl, 70% had alkaline phosphatase >450 iu/l, 73% had serum phosphorus < 4.5 mg/dl, and 49% had serum albumin < 3 g/dl at time of discharge. except for serum albumin, comparisons of biochemical parameters between small for gestational age & appropriate for gestational age infants were not significant at discharge time. comparisons of weight and head circumference at birth and at discharge time showed that a significant number of neonates became small for gestational age at discharge (p< 0.05). conclusion: availability of appropriate amino acid solutions for neonates, parenteral phosphorus, trace elements and human fortifier could reduce these problems.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

NUTRITIONAL STATUS OF PRETERM INFANTS AT DISCHARGE: A STUDY AT TEHRAN VALIE-E-ASR HOSPITAL

 ABSTRACT Background: Nutrients meeting recommended dietary intakes take time to establish and once established are rarely maintained throughout hospital stay in preterm infants. Methods: Our purpose is to define the nutritional status and growth parameters of hospitalized patients at discharge in our hospital. Data were obtained concerning all 50 infants born weighing <1800 g and <34 weeks of ...

متن کامل

Very Preterm Infants after Hospital Discharge

The trial has been carried out at the Departments of Paeditric at Holbaek Hospital, Kolding Hospital, Aarhus University Hospital at Skejby, and at Hans Christian Andersen Children’s Hospital at Odense University Hospital in Odense, Denmark. The present work was conducted during an employment as a research assistant at The Paediatric Research Unit at Hans Christian Andersen Children’s Hospital, ...

متن کامل

Determinants of body composition in preterm infants at the time of hospital discharge.

BACKGROUND Preterm infants have a higher fat mass (FM) percentage and a lower fat-free mass (FFM) than do term infants at the time of hospital discharge. OBJECTIVE We determined perinatal and nutritional factors that affect the body composition of preterm infants at discharge. DESIGN A total of 141 preterm infants born at <35 wk of gestation and admitted to Nantes University Hospital Neonat...

متن کامل

Safe transportation of preterm and low birth weight infants at hospital discharge.

Safe transportation of preterm and low birth weight infants requires special considerations. Both physiologic immaturity and low birth weight must be taken into account to properly position such infants. This clinical report provides guidelines for pediatricians and other caregivers who counsel parents of preterm and low birth weight infants about car safety seats.

متن کامل

Nutritional assessment in hospitalized patients of orthopedic ward at hospital admission and discharge time in Shohadaye Ashayer hospital

Background: Malnutrition is one of the significant factors in extending hospitalization period, augmenting disease complications, enhancing treatment and hospitalization costs, and increasing deaths in hospitals. This study was conducted to investigate patients, nutritional conditions, before and discharge time in the orthopedic ward of Shohadaye Ashayer hospital in 2010. Materials and Methods...

متن کامل

Assessment of vitamin A nutritional status in newborn preterm infants.

OBJECTIVE This study assessed the vitamin A nutritional status of preterm infants determined by the vitamin A relative dose-response test (RDR) compared with serum levels of vitamin A, retinol-binding protein (RBP), transthyretin (TTR), and retinol relations with carrier proteins. METHODS Serum levels of retinol, RBP, and TTR and retinol/RBP, retinol/TTR, and RBP/TTR molar ratios were determi...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
medical journal of islamic republic of iran

جلد ۲۰، شماره ۱، صفحات ۳۳-۳۶

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023