Peripherally inserted central catheters optimize nutrient intake in moderately preterm infants

Anne L Smazal; Anne B Kavars; Susan J Carlson; Tarah T Colaizy; John M Dagle

doi:10.1038/pr.2016.73

Back

Peripherally inserted central catheters optimize nutrient intake in moderately preterm infants

Journal article

Open access

Peer reviewed

Peripherally inserted central catheters optimize nutrient intake in moderately preterm infants

Anne L Smazal, Anne B Kavars, Susan J Carlson, Tarah T Colaizy and John M Dagle

Pediatric research, Vol.80(2), pp.185-189

08/2016

DOI: 10.1038/pr.2016.73

PMID: 27057735

Files and links (1)

url

https://doi.org/10.1038/pr.2016.73View

Published (Version of record) Open Access

Abstract

While very preterm (<32 wk gestation) infants are routinely provided intensive nutritional support via central line, clinical practice varies for nutrient delivery in infants born moderately preterm (32-34 wk gestation). We sought to define the impact of nutritional support via peripherally inserted central catheter (PICC) on nutrient delivery in the first 2 wk of life and growth by discharge. Data were extracted from the records of 187 infants born between 32 and 34 6/7 wk gestation and admitted to the University of Iowa Children's Hospital between April 2012 and December 2013. Records of all feedings, weights, and PICC placements were collected. The growth outcomes at discharge for infants who received nutrition via PICC were compared to those who did not. In the first week of life, newborns who received nutrition via PICC line received 17.6 more kilocalories (confidence interval (CI): 12.5-22.7, P < 0.001) and 1.2 more grams protein per kilogram body weight per day (CI: 0.9-1.4, P < 0.001) compared to control infants. By discharge, the PICC group had gained 302 g more body weight (P < 0.001). This study demonstrates superior nutrient intake and growth in the first 2 wk of life for infants who received nutrition via PICC line.

Catheterization, Peripheral - methods

Infant Nutritional Physiological Phenomena

Parenteral Nutrition, Total

Humans

Catheterization, Central Venous - methods

Male

Enteral Nutrition

Energy Intake

Gestational Age

Intensive Care Units, Neonatal

Infant, Premature

Female

Catheterization, Central Venous - adverse effects

Infant, Newborn

Details

Title: Subtitle: Peripherally inserted central catheters optimize nutrient intake in moderately preterm infants
Creators: Anne L Smazal - Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa
Anne B Kavars - Department of Pediatrics, University of Iowa Children's Hospital, Iowa City, Iowa
Susan J Carlson - Department of Pediatrics, University of Iowa Children's Hospital, Iowa City, Iowa
Tarah T Colaizy - Department of Pediatrics, University of Iowa Children's Hospital, Iowa City, Iowa
John M Dagle - Department of Pediatrics, University of Iowa Children's Hospital, Iowa City, Iowa
Resource Type: Journal article
Publication Details: Pediatric research, Vol.80(2), pp.185-189
Publisher: United States
DOI: 10.1038/pr.2016.73
PMID: 27057735
ISSN: 0031-3998
eISSN: 1530-0447
Language: English
Date published: 08/2016
Academic Unit: Stead Family Department of Pediatrics; Epidemiology; Biochemistry and Molecular Biology; Neonatology
Record Identifier: 9984024552402771

Metrics

18 Record Views

14 Times Cited - Web of Science

See more details