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在新生儿重症监护室主动使用人乳脂肪模块:标准化养协议

Amanda Salley¹, Martin L Lee^2,3

¹Hinsdale Hospital, UChicago Medicine AdventHealth Hinsdale Hospital, Hinsdale, IL 60521, USA.

|April 27, 2024

概括

积极地向非常低出生体重 (VLBW) 婴儿的饮食中添加母乳脂肪模块,改善了他们的生长,减少了营养不良. 这种养方案的改变也减少了对昂贵的强化剂的需求,从而大大节省了成本.

科学领域:

新生儿营养新生儿营养
儿科胃肠病学儿科胃肠病学
改善临床质量改善临床质量

背景情况:

纯母乳饮食 (EHMD) 和标准化养方案对于出生时体重非常低 (VLBW) 的婴儿至关重要.
以前的协议使用人乳脂肪模块化反应,促使对增长和成本优化进行审查.
质量改善举措确定了加强VLBW婴儿养指南的机会.

研究的目的:

评估修订后的养方案对VLBW婴儿生长和营养支持的影响.
评估使用母乳脂肪模块和其他强化剂的变化.
确定更新养战略的成本效益.

主要方法:

一项前后队列研究,比较VLBW婴儿的食方案.
在2021年10月实施修订后的协议,主动添加人乳脂肪模块化 (Prolact CR) 后营养.
收集关于模块化使用,强化剂要求,婴儿成长和相关成本的数据.

主要成果:

修订后的协议显示,需要母乳+8强化剂的需求显著下降 (43%至14%).
每个婴儿平均节省了大约2967.78美元的成本.
婴儿的整体生长有所改善,严重营养不良的情况从3.3%降至2.7%,中度营养不良的情况从37%降至8%.

结论:

在标准化方案中主动使用母乳脂肪模块化增强VLBW婴儿生长,降低营养不良率.
这种方法减少了对更昂贵的热量强化剂的依赖.
修订后的食方案为VLBW婴儿提供了显著的临床和经济效益.

关键词:

NICU NICU是指一个国家.节省成本,节约成本,节约成本.只有母乳饮食的人类饮食增长的增长增长的增长增长的增长.人类牛奶脂肪模块化标准化养协议标准化养协议

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