Annals of Clinical Nutrition and Metabolism

Original Articles

Effect of Nutritional Intervention by the Nutrition Support Team on Postnatal Growth in Preterm Infants: So Jin Yoon, Joo Hee Lim, Soon Min Lee, Sun Jung Kim, Sun Kyung Lee, Soo Min Lee; J Clin Nutr 2020;12(2):26-33. Published online December 31, 2020; DOI: https://doi.org/10.15747/jcn.2020.12.2.26

Purpose: Nutritional intervention by an interdisciplinary nutrition support team (NST) can potentially improve postnatal growth outcomes in preterm infants. This study aimed to measure the growth impact of a nutritional intervention package performed by an NST in a quality improvement effort in a neonatal intensive care unit (NICU).
Methods: Fifty-two infants born below 2,000 g and admitted to NICU participated in the Quality Improvement (QI) program between March 2016 and February 2017. The nutritional intervention was applied according to newly established nutritional guidelines on parenteral and enteral nutrition, and an NST performed a weekly nutritional assessment. The Z-scores of weight, height, and head circumference were calculated according to the gestational age and sex. The clinical impact on postnatal growth was compared between the QI and pre-QI groups. The pre-QI group included 69 infants admitted in the same NICU between 2014 and 2015.
Results: The time to the initiation of enteral nutrition decreased significantly (P<0.001). Changes in weight (P=0.027), head circumference (P=0.003), Z-scores between birth, and 40 weeks postconceptional age (PCA) were significantly larger in the QI than the pre-QI group. The percentage of infants weighing below the 10th percentile at one month after birth and at 40 weeks PCA was higher in the pre-QI than the QI group.
Conclusion: The implementation of evidence-based best practices for preterm nutrition resulted in significant improvements in the growth outcomes in preterm infants.

Citations

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Nutrition Supply and Growth Post Nutrition Support Team Activity in Neonatal Intensive Care Unit
Hye Min Ha, Yu Jin Jung, Yoo Rha Hong, So Yoon Choi
Pediatric Gastroenterology, Hepatology & Nutrition.2024; 27(5): 313. CrossRef

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Analysis of Compliance with Plan of Nutritional Support Team in Intensive Care Unit: Eunkyoung Kim, Jingyeong Kim, YunJu Park, Soyoung Baek, JinJu Lee, AeHee Lee, Jae Im Lee, Chang Hyeok An, Maru Kim; Surg Metab Nutr 2016;7(2):29-31. Published online December 30, 2016; DOI: https://doi.org/10.18858/smn.2016.7.2.29

Abstract PDF ePub

Purpose:

To improve the nutritional state of patients, cooperation between medical and nutritional support teams is needed. The present study analyzed compliance with the plan of the nutritional support team.

Materials and Methods:

From September 2015 to February 2016, patients undergoing consultation with the nutritional support team at an intensive care unit was enrolled in the study. Their medical records were retrospectively reviewed.

Results:

A total of 123 patients were analyzed. Overall compliance was 56.9% (70/123). Main reason of the non-compliant group was change in patient’s condition (44/53).

Conclusion:

To improve compliance with the medical team, there is a need to assess patients’ condition more rapidly.