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Optimizing protein intake in premature infants: a neonatal quality improvement project.

Publication ,  Journal Article
Strahm, A; Mohsini, K; Nwankwo, M; Turner, B
Published in: Advances in neonatal care : official journal of the National Association of Neonatal Nurses
December 2013

This article examines a quality-improvement project to reduce clinical practice variation and measure growth outcomes by standardizing the process for the provision of protein intake for premature infants weighing 1250 g or less. Eighteen infants with a birth weight of 1250 g or less and gestational age of 32 weeks or less born between June and October 2010 were compared with 15 historical controls of the same birth weight and gestation born between January and May 2010 using a prospective cohort design. The prospective group followed a newly implemented standardized protein nutritional guideline. Independent t-tests and repeated measures of analyses of variance (between- and within-subjects) were performed on the difference between the intended and actual protein intakes between the 2 groups. A multivariate analysis of variance computed the difference between the birth and discharge gains. The prospective group showed statistically significant differences between the amount of intended and actual protein intakes (P = .023) when compared with historical controls. Growth outcomes were not significantly different (P = .67) between the 2 groups. Length of stay was not statistically significantly shorter (P = .06) in the prospective group. Reduction in clinical practice variation was associated with the implementation of a protein nutritional guideline. There was no statistical support for an improvement in the growth outcomes or reduction in length of stay.

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Published In

Advances in neonatal care : official journal of the National Association of Neonatal Nurses

DOI

EISSN

1536-0911

ISSN

1536-0903

Publication Date

December 2013

Volume

13

Issue

6

Start / End Page

E1 / E8

Related Subject Headings

  • Weight Gain
  • Quality Improvement
  • Prospective Studies
  • Pediatrics
  • Parenteral Nutrition, Total
  • Multivariate Analysis
  • Intensive Care, Neonatal
  • Infant, Very Low Birth Weight
  • Infant, Premature
  • Infant, Newborn
 

Citation

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Chicago
ICMJE
MLA
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Strahm, A., Mohsini, K., Nwankwo, M., & Turner, B. (2013). Optimizing protein intake in premature infants: a neonatal quality improvement project. Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses, 13(6), E1–E8. https://doi.org/10.1097/anc.0b013e3182a0a178
Strahm, Alyse, Khawar Mohsini, Martin Nwankwo, and Barbara Turner. “Optimizing protein intake in premature infants: a neonatal quality improvement project.Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses 13, no. 6 (December 2013): E1–8. https://doi.org/10.1097/anc.0b013e3182a0a178.
Strahm A, Mohsini K, Nwankwo M, Turner B. Optimizing protein intake in premature infants: a neonatal quality improvement project. Advances in neonatal care : official journal of the National Association of Neonatal Nurses. 2013 Dec;13(6):E1–8.
Strahm, Alyse, et al. “Optimizing protein intake in premature infants: a neonatal quality improvement project.Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses, vol. 13, no. 6, Dec. 2013, pp. E1–8. Epmc, doi:10.1097/anc.0b013e3182a0a178.
Strahm A, Mohsini K, Nwankwo M, Turner B. Optimizing protein intake in premature infants: a neonatal quality improvement project. Advances in neonatal care : official journal of the National Association of Neonatal Nurses. 2013 Dec;13(6):E1–E8.

Published In

Advances in neonatal care : official journal of the National Association of Neonatal Nurses

DOI

EISSN

1536-0911

ISSN

1536-0903

Publication Date

December 2013

Volume

13

Issue

6

Start / End Page

E1 / E8

Related Subject Headings

  • Weight Gain
  • Quality Improvement
  • Prospective Studies
  • Pediatrics
  • Parenteral Nutrition, Total
  • Multivariate Analysis
  • Intensive Care, Neonatal
  • Infant, Very Low Birth Weight
  • Infant, Premature
  • Infant, Newborn