A Modern Cohort of Duodenal Obstruction Patients: Predictors of Delayed Transition to Full Enteral Nutrition
Joint Authors
Lien, Chueh
Yu, David C.
Khan, Faraz Ali
Pathak, Bhavana
Grabowski, Matthew J.
Zurakowski, David
Bairdain, Sigrid
Linden, Bradley C.
Source
Journal of Nutrition and Metabolism
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-14
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
A common site for neonatal intestinal obstruction is the duodenum.
Delayed establishment of enteral nutritional autonomy continues to challenge surgeons and, since early institution of nutritional support is critical in postoperative newborns, identification of patients likely to require alternative nutritional support may improve their outcomes.
Therefore, we aimed to investigate risk factors leading to delayed establishment of full enteral nutrition in these patients.
Methods.
87 patients who were surgically treated for intrinsic duodenal obstructions from 1998 to 2012 were reviewed.
Variables were tested as potential risk factors.
Median time to full enteral nutrition was estimated using the Kaplan-Meier method.
Independent risk factors of delayed transition were identified using the multivariate Cox proportional hazards regression model.
Results.
Median time to transition to full enteral nutrition was 12 days (interquartile range: 9–17 days).
Multivariate Cox analysis identified three significant risk factors for delayed enteral nutrition: gestational age (GA) ≤ 35 weeks ( P < .
001 ), congenital heart disease (CHD) ( P = .
02 ), and malrotation ( P = .
03 ).
Conclusions.
CHD and Prematurity are most commonly associated with delayed transition to full enteral nutrition.
Thus, in these patients, supportive nutrition should strongly be considered pending enteral nutritional autonomy.
American Psychological Association (APA)
Bairdain, Sigrid& Yu, David C.& Lien, Chueh& Khan, Faraz Ali& Pathak, Bhavana& Grabowski, Matthew J.…[et al.]. 2014. A Modern Cohort of Duodenal Obstruction Patients: Predictors of Delayed Transition to Full Enteral Nutrition. Journal of Nutrition and Metabolism،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1042170
Modern Language Association (MLA)
Bairdain, Sigrid…[et al.]. A Modern Cohort of Duodenal Obstruction Patients: Predictors of Delayed Transition to Full Enteral Nutrition. Journal of Nutrition and Metabolism No. 2014 (Dec. 2014), pp.1-6.
https://search.emarefa.net/detail/BIM-1042170
American Medical Association (AMA)
Bairdain, Sigrid& Yu, David C.& Lien, Chueh& Khan, Faraz Ali& Pathak, Bhavana& Grabowski, Matthew J.…[et al.]. A Modern Cohort of Duodenal Obstruction Patients: Predictors of Delayed Transition to Full Enteral Nutrition. Journal of Nutrition and Metabolism. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1042170
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1042170