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Blood Urea Nitrogen Concentration and Aggressive Parenteral Amino Acid Administration in Extremely Low Birth Weight Infants during the First Week / 대한주산의학회잡지
Korean Journal of Perinatology ; : 20-28, 2013.
Artigo em Coreano | WPRIM | ID: wpr-208961
ABSTRACT

PURPOSE:

Early administration of parenteral amino acids has been shown to limit catabolism and improve growth in extremely low birth weight infants (ELBWI). This study aimed to evaluate the relationship between an earlier aggressive administration of amino acids and blood urea nitrogen (BUN).

METHODS:

We retrospectively analyzed the medical records of all ELBWI who were born and admitted to Hanyang University Hospital from March 2007 to December 2009. The high initial dose group received > or =3.0 g/kg/d amino acids, while the lower initial dose group did not received a minimum of > or =3.0 g/kg/d parenteral AA at < or =3 days of age.

RESULTS:

There were no differences in gestational age, birth weight and sex between the groups. Mean fluid intake and total calories during the first 48 hours of life were similar between two groups. There is no correlation between amino acid intake and BUN level in ELBWI during study period. However, gestational age showed a significant negative correlation with BUN level in ELBWI on day 3 and 7.

CONCLUSION:

An earlier, more aggressive administration of amino acids was safe and well-tolerated. There is no correlation between amino acid intake and BUN level in ELBWI infants within 7 days of life.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Peso ao Nascer / Nitrogênio da Ureia Sanguínea / Recém-Nascido de Baixo Peso / Prontuários Médicos / Estudos Retrospectivos / Idade Gestacional / Aminoácidos Tipo de estudo: Estudo observacional Limite: Humanos / Lactente / Recém-Nascido Idioma: Coreano Revista: Korean Journal of Perinatology Ano de publicação: 2013 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Peso ao Nascer / Nitrogênio da Ureia Sanguínea / Recém-Nascido de Baixo Peso / Prontuários Médicos / Estudos Retrospectivos / Idade Gestacional / Aminoácidos Tipo de estudo: Estudo observacional Limite: Humanos / Lactente / Recém-Nascido Idioma: Coreano Revista: Korean Journal of Perinatology Ano de publicação: 2013 Tipo de documento: Artigo