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미숙아에서 영양지원팀에 의한 영양중재가 출생 후 성장에 미치는 영향

Other Titles
 Effect of Nutritional Intervention by the Nutrition Support Team on Postnatal Growth in Preterm Infants 
 윤소진  ;  임주희  ;  이순민  ;  김선정  ;  이선경  ;  이수민 
 Journal of Clinical Nutrition, Vol.12(2) : 26-33, 2020-12 
Journal Title
Journal of Clinical Nutrition
Issue Date
Premature infant ; Quality improvement ; Nutritional support ; Growth
"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."
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Yoon, So Jin(윤소진) ORCID logo https://orcid.org/0000-0002-7028-7217
Lee, Soon Min(이순민) ORCID logo https://orcid.org/0000-0003-0174-1065
Lim, Joo Hee(임주희) ORCID logo https://orcid.org/0000-0003-4376-6607
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