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Perioperative nutrition in extremely preterm infants undergoing surgical treatment for patent ductus arteriosus is suboptimal
Author(s) -
Westin Vera,
Stoltz Sjöström Elisabeth,
Ahlsson Fredrik,
Domellöf Magnus,
Norman Mikael
Publication year - 2014
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12497
Subject(s) - medicine , perioperative , gestational age , ductus arteriosus , parenteral nutrition , malnutrition , population , pediatrics , low birth weight , anesthesia , surgery , pregnancy , environmental health , biology , genetics
Aim To evaluate perioperative nutrition in extremely preterm infants undergoing surgery for patent ductus arteriosus ( PDA ). Methods This is a population‐based study of extremely preterm infants born in S weden during 2004–2007 and operated on for PDA . Data on perioperative nutrition were obtained from hospital records. All enteral and parenteral nutrients and blood products were used to calculate daily nutritional intakes, starting 3 days before and ending 3 days after surgery. Data are mean (95% confidence intervals). Results Study infants (n = 140) had a mean gestational age ( GA ) of 24.8 weeks, and mean birth weight was 723 g. Energy and macronutrient intakes were below minimal requirements before, during and after PDA surgery. On the day of surgery, energy intake was 78 (74–81) kcal/kg/day, protein 2.9 (2.7–3.2) g/kg/day, fat 2.5 (2.3–2.7) g/kg/day and carbohydrate intake 10.7 (10.2–11.2) g/kg/day. Nutrition did not vary in relation to GA , but infants operated early (0–6 days after birth) received poorer nutrition than infants operated at older age. Fluid intake was 164 (159–169) mL/kg/day, and it did not vary during the week of surgery. Conclusion Perioperative nutrition in extremely preterm infants undergoing PDA surgery in S weden is suboptimal and needs to be improved. The significance of malnutrition for outcome after PDA surgery remains unclear and requires further investigation.