RT Journal Article
SR Electronic
T1 PO-0589 A Mixed Bag – Has The National Confidential Enquiry Into Patient Outcome And Death (ncepod-report, Uk 2010) Made A Difference To The Nutrition Of Preterm Infants?
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP A444
OP A444
DO 10.1136/archdischild-2014-307384.1230
VO 99
IS Suppl 2
A1 E Chan
A1 C Smith
A1 C Davidson
A1 R Watkins
A1 P Amess
A1 H Rabe
A1 JR Fernandez Alvarez
YR 2014
UL http://adc.bmj.com/content/99/Suppl_2/A444.2.abstract
AB Background Early parenteral nutrition (PN) improves growth in preterm neonates. Good practice in PN-care was identified in only 24% of the units in the NCEPOD-Report. Aim To compare the growth of preterm infants since the NCEPOD-Report in relation to PN-use. Methods Retrospective comparison of preterm infants cared for in a tertiary neonatal unit until 36 weeks gestational age (GA) between 2010–2013. Newborns were grouped by gestation (23–30GA/31–36GA) and birth-year. Outcomes were z-scores for birthweight (BWz), discharge-weight (DWz) and length of PN in days (loPN). Outcomes were compared between years, within years and between GA-groups including >36GA-control-group. Data-presentation/-analysis: Median (interquartile-range); Mann-Whitney-U-Test/Kruskal-Wallis-Test (p < 0.05). Results 175 newborns recruited. No significant difference for BWz and DWz between years and for BWz and DWz between GA-groups within a year except for DWz 2010(p = 0.02). No significant difference for the same GA-group between years except for DWz 23–30GA(p = 0.04). No significant difference for loPN between years and between GA-groups within a year except for 2010(p < 0.0001) and 2011(p < 0.0001). No significant difference for the same GA-group between years except for 31–36GA(p < 0.0001). View this table:Abstract PO-0589 Table 1 Conclusion Growth in preterm infants assessed by difference in z-scores appears to have improved since 2010. This may be partly due to increased PN-use which although not significant shows a notable increase since the NCEPOD-Report.