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PhilSPEN Online Journal of Parenteral and Enteral Nutrition

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Submitted Abstracts

PENSA 2017 Congress

Submitted: June 8, 2017

Abstract ID = 20

Title: The role of nutrition support team on improving post-operative nutritional status in pediatric patients undergoing gastrointestinal surgery

Author(s): Zarei-Shargh P. (1), Mehdizadeh-Hakkak A. (1), Bagherniya M. (1), Jarahi L. (2), Mousavi Z. (3), Safarian M. (1)

Institution where study was conducted:

  1. Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  2. Department of Community Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  3. Department of Endocrinology, Imam-Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

Mashhad University of Medical Sciences, Mashdad, Iran

Keywords:

Background: Surgical treatment is the usual intervention for correction of gastrointestinal anomalies and nutrition is the key component in the postoperative management.

Objectives: The aim of this study is to evaluate the role of nutrition support team (NST) on postoperative nutritional status and clinical outcome in neonates who undergo operation due to congenital gastrointestinal anomalies.

Methods: This cross-sectional clinical study was carried out at two neonatal intensive care units (NICUs) in Dr. Sheikh Pediatric Hospital, Mashhad, Iran; One being supported by NST and the other not, during 2014-2015, when the staff of each NICU were almost the same. A total of 120 patients were included through a non-random simple sampling. Different variables such as weight gain in NICU, length of NICU stay, post-operative enteral nutrition initiation, duration of mechanical ventilation, mortality rate, and distribution of energy from enteral or parenteral routes were compared between patients of two NICUs.

Results: Mean weight gain and the amount of calorie delivered during NICU stay NST-supported patients were significantly higher (t-test, p=0.003 and <0.001 respectively), while no significant difference existed between length of NICU stay, enteral nutrition initiation after operation, ventilation days and mortality between two groups. Energy intake from aminoacid and intralipid during parenteral nutrition in NST-supported patients were significantly higher, while energy from dextrose was higher in patients who were not supported.

Conclusion: Activities of nutrition support teams in neonatal intensive care units can improve postoperative weight gain and calorie delivery as well as distribution of energy intake in neonates with gastrointestinal anomalies.

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