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- Title
Incidencia de complicaciones metabólicas asociadas a la nutrición parenteral en recién nacidos de la Unidad de Cuidados Intensivos Neonatales de Referencia Regional.
- Authors
J. J., López-Sandoval; D. E., Alfaro-Castellanos; E., Valle-Delgado; E., Angulo-Castellanos; H., García-Camarena; S., Parra-O'connor; L. F., González-Cortés; J. C., Villalobos-Lizardi; L. E., Álvarez-Mancilla; O., Aguirre-Jáuregui; G., Yanowski-Reyes; R., Santana-Ortiz; H., Padilla-Muñoz
- Abstract
Introduction. Total parenteral nutrition is used in patients with gastrointestinal abnormalities; nevertheless it has been associated to metabolic, infectious and mechanic complications. The main objective of this study is to investigate the main metabolic complications of total parenteral nutrition (TPN) in neonates at the extern neonatal intensive care unit (UCINEX). Material and Methods. This is a transversal and analytic study. All neonates admitted to the ENICU at the Hospital Civil de Guadalajara Fray Antonio Alcalde who received TPN for more than 10 days were included. The study took place from January 2011 to December 2014. The following variables were analyzed: biophysical profile (gender, gestational age, weight at start and at the end of TPN), duration of TPN, type of catheter used, (peripheral percutaneous o central venous access) and biochemical data (blood count, renal function tests, lipid profile, electrolytes and liver tests). Data were processed using IBM SPSS program 20.0 version for Windows 7, Epidat from the Galicia Joint, and Panamerican Health Organization version 3.1, and Epi Info version 7.0 from the Atlanta CDC. Results. The weight when NPT was started had a correlation of 89% with the weight at the end of it. In both groups central venous access was the most common administration route (76.1%). In both groups, the most common metabolic complication was cholestasis in 38% of the term newborns and 35.9% of the preterm newborns. The second most common was hyperglycemia with 38% and 28% respectively. Conclusions. Complications associated to TPN were most frequent among preterm infants. In the Extern Neonatal Intensive Care Unit, the use of TPN has a positive impact in growth and development of newborns.
- Publication
Revista Médica MD, 2016, Vol 7, Issue 4, p230
- ISSN
2007-8188
- Publication type
Article