View in EDS PDF Full Text

Crecimiento intrahospitalario en recién nacidos pretérmino de muy bajo peso al nacimiento con y sin enterocolitis necrosante.

Saved in:
Bibliographic Details
Title: Crecimiento intrahospitalario en recién nacidos pretérmino de muy bajo peso al nacimiento con y sin enterocolitis necrosante.
Alternate Title: In-hospital growth in very low birth weight preterm newborns with and without necrotizing enterocolitis.
Authors: Acosta-Hernández, David1,2 drdavidacostapedia@gmail.com, Hernández-Molinero, Yahayra Tanairi1,2, Hernando-Becerra, Georgina2, Silva-Ramírez, Horacio2, Rendón-Macías, Mario Enrique3
Source: Revista Mexicana de Pediatria. jul/ago2024, Vol. 91 Issue 4, p134-141. 8p.
Subjects: VERY low birth weight, LOW birth weight, WEIGHT gain, GESTATIONAL age, PARENTERAL feeding
Abstract (English): Introduction: necrotizing enterocolitis (NEC) is an intestinal complication that limits nutrition and can compromise growth and neurodevelopment in very low birth weight preterm newborns (VLBW). Objective: to determine the impact of NEC on the intra-hospital weight growth of VLBW infants. Material and methods: Casecohort study with 199 VLBW infants, grouped into those with and without NEC. Each patient was followed for at least 21 weeks, recording their weight gain. Other study variables were weeks of gestational age at birth (GAB), age of presentation and severity of NEC, use of probiotics, type of feeding: parenteral nutrition (TPN) or enteral. Results: there were no differences between the groups in terms of sex and GEF. Neonates with NEC had lower birth weight (mean 1,165 g, versus 1,255 g, p = 0.003), received less probiotics (17.5 versus 59.6%, p < 0.001) and had fewer days hospitalized (median 62 versus 44, p < 0.001). 98.5% received TPN in the first week and began enteral stimulation on the fourth day. Cumulative weight growth was similar in both groups; total gain at 21 days was, on average, 318 g (cases) versus 299.3 g (controls), p = 0.49. Conclusions: it is likely that adequate nutrition from the first days of life, with recommended caloric intake, has allowed newborns with NEC to maintain their growth in a similar way to those who did not present NEC. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: la enterocolitis necrosante (ECN) es una complicación intestinal que limita la nutrición y puede comprometer el crecimiento y neurodesarrollo en recién nacidos pretérmino de muy bajo peso (RNMBP). Objetivo: determinar el impacto de la ECN en el crecimiento ponderal intrahospitalario de los RNMBP. Material y métodos: estudio de casocohorte con 199 RNMBP, agrupados en quienes presentaron y no presentaron ECN. Cada paciente fue seguido, al menos 21 días registrando su ganancia ponderal. Otras variables de estudio fueron, semanas de edad gestacional al nacimiento (SEG), edad de presentación y gravedad de la ECN, uso de probióticos, tipo de alimentación: nutrición parenteral (NPT) o enteral. Resultados: 63 pacientes (31.6%) presentaron ECN. No hubo diferencia entre los grupos en cuanto al sexo y SEG. Los neonatos con ECN tuvieron menor peso al nacer (promedio 1,165 g, contra 1,255 g, p = 0.003), recibieron en menor proporción probióticos (17.5 versus 59.6%, p < 0.001) y menos días hospitalizados (mediana 62 contra 44, p < 0.001). El 98.5% recibió NPT en la primera semana, e inició estímulo enteral al cuarto día. El crecimiento ponderal acumulado fue semejante en ambos grupos; la ganancia total a los 21 días fue, en promedio, 318 g (casos) contra 299.3 g (controles), p = 0.49. Conclusiones: es probable que la adecuada nutrición desde los primeros días de vida, con aportes calóricos recomendados haya permitido que los neonatos con ECN mantuvieran crecimiento similar a quienes no presentaron ECN. [ABSTRACT FROM AUTHOR]
Copyright of Revista Mexicana de Pediatria is the property of Sociedad Mexicana de Pediatria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
Description
Abstract:Introduction: necrotizing enterocolitis (NEC) is an intestinal complication that limits nutrition and can compromise growth and neurodevelopment in very low birth weight preterm newborns (VLBW). Objective: to determine the impact of NEC on the intra-hospital weight growth of VLBW infants. Material and methods: Casecohort study with 199 VLBW infants, grouped into those with and without NEC. Each patient was followed for at least 21 weeks, recording their weight gain. Other study variables were weeks of gestational age at birth (GAB), age of presentation and severity of NEC, use of probiotics, type of feeding: parenteral nutrition (TPN) or enteral. Results: there were no differences between the groups in terms of sex and GEF. Neonates with NEC had lower birth weight (mean 1,165 g, versus 1,255 g, p = 0.003), received less probiotics (17.5 versus 59.6%, p < 0.001) and had fewer days hospitalized (median 62 versus 44, p < 0.001). 98.5% received TPN in the first week and began enteral stimulation on the fourth day. Cumulative weight growth was similar in both groups; total gain at 21 days was, on average, 318 g (cases) versus 299.3 g (controls), p = 0.49. Conclusions: it is likely that adequate nutrition from the first days of life, with recommended caloric intake, has allowed newborns with NEC to maintain their growth in a similar way to those who did not present NEC. [ABSTRACT FROM AUTHOR]
ISSN:00350052
DOI:10.35366/119691