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- Title
Amino acid dosing in parenteral nutrition for very low birth weight preterm neonates: an outcome assessment.
- Authors
Kamarudin, Nor Aini; Manan, Mohamed Mansor; Zulkifly, Hanis Hanum; Chin Fen Neoh; Ali, Salmiah Mohd; Chiau Ming, Long; Neoh, Chin Fen; Ming, Long Chiau
- Abstract
This study aimed to investigate the effects of parenteral nutrition (PN) administration of amino acids (AA) on physical changes among very low birth weight infants in a local hospital setting in Malaysia. A retrospective study was carried out at a hospital in Malaysia. Records of neonates prescribed PN in the neonatal unit in 2012 were screened for eligibility. A total of 199 premature neonates received PN support in the year 2012 and, of these, 100 fulfilled the inclusion criteria. The median value of AA intake on the first day of PN was 2.00 (<28 weeks group); 1.00 (28-31 weeks group) and 0.75 (>31 weeks group). Neonates in the <28 weeks group were more likely to receive AA at an earlier time and higher initial dose compared with the other age groups. The study also found that there was no statistically significant difference in the dose of AA on the first day of PN administration and that the significant variations in nutritional parameters among the subjects did not lead to differences in physical outcomes. This study identified that when PN is provided in the local hospital setting, it is likely that the current nutritional practices are inadequate to achieve the standard growth recommendations. Our findings call for a need to optimize AA and calorie intake since growth restriction is a morbidity which will affect the infants' growth and development. Current prescriptions for PN in this hospital need to be reviewed in order to improve patient outcomes.
- Subjects
MALAYSIA; AMINO acids in human nutrition; PARENTERAL feeding; LOW birth weight; PREMATURE infants; HEALTH outcome assessment; HEALTH; AMINO acids; GESTATIONAL age; INGESTION; NEONATAL intensive care; WEIGHT gain; TREATMENT effectiveness; RETROSPECTIVE studies
- Publication
Asia Pacific Journal of Clinical Nutrition, 2016, Vol 25, Issue 1, p53
- ISSN
0964-7058
- Publication type
journal article
- DOI
10.6133/apjcn.2016.25.2.02