Neonatos críticos recebem a terapia nutricional parenteral em volume conforme suas necessidades prescritas? Estudo clínico observacional

Monitoring of parenteral nutrition therapy (NPT) in critical neonates is essentialfor clinical outcome, and it is indispensable to quantify the infused NPT compared to the prescribed and prepared amount. The purpose of this study is to account for monetary losses dueto unmanaged NPT disposal. Methods: Neonates were stratified into two groups. Group A (n= 6): low birth weight preterm infants; Group B (n = 6): preterm infants of very low weightand extreme low weight <1,000 g, followed by 167 days of NPT, compared to the percentagedifferences in volumes, calories and average monetary losses of the despised volumes. Results:The percentage difference between volume prescribed and prepared for group A was 42.49 ±18.27% and for group B it was 86.82 ± 63.52% (p = 0.003). Between volume prepared andinfused, the difference was 63.15 ± 15.11% for group A and 47.98 ± 17.25% for group B (p= 0.003). Among prescribed and infused calories, the difference was 22.61 ± 8.69% for groupA and 13.92 ± 3.45% for group B (p = 0.04). The average monetary losses of the despisedvolumes were R$ 992.68 and R$ 1,296.81 (p = 0.0129), respectively. Conclusion: Infused NPTwas lower than prescribed, resulting in lower caloric intake for neonates and significant financiallosses associated with NPT disposal.