Examinando por Materia "Aumento de Peso"

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    Nutrición parenteral y variación del peso corporal en recién nacidos prematuros del Hospital Nacional Docente Madre Niño San Bartolome agosto a octubre del 2018
    (Universidad Privada Norbert Wiener, 2022-09-24) Salazar Tuanama, Rita Haydeé; León Soria, Narciso Enrique
    In Peru, there is currently limited statistics on the influence of Parenteral Nutrition (PN) in Premature Newborns (PNBs) with low birth weight. This vulnerable population exhibits a high degree of malnutrition postnatally, requiring specialized nutritional therapy like PN, which must be monitored with anthropometric parameters such as daily body weight from the start to the end of the therapy. The objective was to determine if a relationship exists between PN and body weight variation in PNBs at the San Bartolomé National Teaching Hospital for Mothers and Children from August to October 2018. Methodology: The study was correlational with an observational, analytical, and retrospective design. The study was conducted over a three-month period on PNBs with weights ranging from < 1.00 Kg to < 2.00 Kg who received PN via a central line. Data collected included sex, gestational age, weight, grams/Kg/day of proteins, carbohydrates, and lipids, and days on PN. The statistical analysis included the mean, standard deviation, range, and minimum and maximum values of the variables of interest. The difference and percentage variation of weight were estimated precisely. Results: Of the total PNBs < 2 Kg, the initial and final average PN values for proteins, carbohydrates, and lipids were in the range of 4−3.5 g/kg/day, 20.17−20.16 g/kg/day, and 3.1−3.5 g/kg/day, respectively. There was an increase in basal and final weight of 0.29 Kg/day (p=0.008) and a variation of 24.62%. For PNBs < 1.00 Kg, the final average PN values for proteins, carbohydrates, and lipids were: 4−3.5 g/kg/day, 10.10–17.29 g/kg/day, and 3.0−3.12 g/kg/day, respectively. The final weight increased from the basal weight by 0.23 Kg/day (p=0.048), with a significant variation of 31.46%. The distribution of initial and final PN weights in the rank test was significant at 8%. Conclusions: It was determined that all PNBs with weights < 1.00 Kg who received PN at the recommended dose had a greater increase in daily weight variation compared to PNBs with weights < 2.00 Kg who received PN at recommended doses and had a slightly lower increase in daily weight variation.