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Time to Full Enteral Feeding for Very Low-Birth-Weight Infants Varies Markedly Among Hospitals Worldwide But May Not Be Associated With Incidence of Necrotizing Enterocolitis: The NEOMUNE-NeoNutriNet Cohort Study.

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收录情况： ◇ SCIE

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机构： [1]Department of Pediatrics, Amsterdam UMC, Vrije Universiteit, Emma Children’s Hospital, Amsterdam, The Netherlands [2]Comparative Pediatrics and Nutrition, University of Copenhagen, Copenhagen, Denmark [3]School of Public Health, Sun Yat-sen University,Guangzhou, China [4]Department of Pediatrics-Neonatology Unit, College of Medicine, University of Ibadan and University College Hospital,Ibadan, Nigeria [5]Department of Neonatology, Newcastle Hospitals NHS Foundation Trust, Newcastle, United Kingdom [6]Liggins Institute,University of Auckland and Newborn Service, National Women’s Health, Auckland, New Zealand [7]Department of Neonatology,Rigshospitalet, Copenhagen, Denmark [8]Department of Neonatology, Shenzhen Nanshan People’s Hospital, Shenzhen, China [9]Department ofNeonatology, Shenzhen Bao’an Maternal and Child Health Hospital, Shenzhen, China [10]China Medical University Children’s Hospital,Taichung, Taiwan [S]chool of Chinese Medicine, China Medical University, Taichung, Taiwan [A]sia University Hospital, Asia University,Taichung, Taiwan [11]Department of Neonatology, Shenzhen Maternity & Child Health Care Hospital, Shenzhen, China [12]Department ofPediatrics, Section of Neonatology, Rush University Children’s Hospital, Chicago, Illinois, USA [13]Department of Neonatology, GuangdongWomen and Children Hospital, Guangzhou, China [14]Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen,Denmark [15]Department of Pediatrics and Adolescent Medicine, Rigshospitalet, Copenhagen, Denmark [16]Hans Christian Andersen Children’sHospital, Odense, Denmark [17]Centre for Neonatal Research and Education, University of Western Australia and King Edward MemorialHospital, Perth, Australia [18]Foshan Woman and Children’s Hospital, Foshan, China [19]Jinan University, Guangzhou, China.

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关键词： antibiotics formula growth milk NEC parenteral preterm infants

摘要：

Transition to enteral feeding is difficult for very low-birth-weight (VLBW; ≤1500 g) infants, and optimal nutrition is important for clinical outcomes. Data on feeding practices and short-term clinical outcomes (growth, necrotizing enterocolitis [NEC], mortality) in VLBW infants were collected from 13 neonatal intensive care units (NICUs) in 5 continents (n = 2947). Specifically, 5 NICUs in Guangdong province in China (GD), mainly using formula feeding and slow feeding advancement (n = 1366), were compared with the remaining NICUs (non-GD, n = 1581, Oceania, Europe, United States, Taiwan, Africa) using mainly human milk with faster advancement rates. Across NICUs, large differences were observed for time to reach full enteral feeding (TFF; 8-33 days), weight gain (5.0-14.6 g/kg/day), ∆z-scores (-0.54 to -1.64), incidence of NEC (1%-13%), and mortality (1%-18%). Adjusted for gestational age, GD units had longer TFF (26 vs 11 days), lower weight gain (8.7 vs 10.9 g/kg/day), and more days on antibiotics (17 vs 11 days; all P < .001) than non-GD units, but NEC incidence and mortality were similar. Feeding practices for VLBW infants vary markedly around the world. Use of formula and long TFF in South China was associated with more use of antibiotics and slower weight gain, but apparently not with more NEC or higher mortality. Both infant- and hospital-related factors influence feeding practices for preterm infants. Multicenter, randomized controlled trials are required to identify the optimal feeding strategy during the first weeks of life. © 2018 American Society for Parenteral and Enteral Nutrition.

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出版当年[2018]版：

大类 | 2 区医学

小类 | 2 区营养学

最新[2025]版：

大类 | 3 区医学

小类 | 3 区营养学

JCR分区：

出版当年[2017]版：

Q1 NUTRITION & DIETETICS

最新[2023]版：

Q2 NUTRITION & DIETETICS

影响因子： 3.2 最新[2023版] 3.6 最新五年平均 4.249 出版当年[2017版] 4.035 出版当年五年平均 4.22 出版前一年[2016版] 4.109 出版后一年[2018版]

第一作者：

第一作者机构： [1]Department of Pediatrics, Amsterdam UMC, Vrije Universiteit, Emma Children’s Hospital, Amsterdam, The Netherlands

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通讯作者：

通讯机构： [2]Comparative Pediatrics and Nutrition, University of Copenhagen, Copenhagen, Denmark [15]Department of Pediatrics and Adolescent Medicine, Rigshospitalet, Copenhagen, Denmark [16]Hans Christian Andersen Children’sHospital, Odense, Denmark [*1]Comparative Pediatrics and Nutrition, University of Copenhagen, Copenhagen, Denmark

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Time to Full Enteral Feeding for Very Low-Birth-Weight Infants Varies Markedly Among Hospitals Worldwide But May Not Be Associated With Incidence of Necrotizing Enterocolitis: The NEOMUNE-NeoNutriNet Cohort Study.

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