O efeito da nutrição enteral precoce na evolução clínica de recém-nascidos pré-termo de muito baixo peso ao nascer ; The effect of early enteral nutrition on the clinical evolution of very low birth weight preterm newborns

Introduction: The onset of inbreeding in preterm infants, especially for very low birth weight infants, is still a challenge in neonatal units. The first round is an early trial, which is difficult to determine, since the largest number of studies available is the number of children adopted and the different species and protocols. Objective: To evaluate the effect of early and nutritional enteral nutrition in very low birth weight preterm infants during the period of hospitalization in the neonatal unit. Materials and Methods: Retrospective study by means of the results analysis of preterm newborns, with gestational age ≤ 32 weeks and birth weight ≤ 1500g, from January 2010 to December 2015. According to time O Early onset of diet entered the newborns into two groups: Group I - Beginning up to 48h of life - early enteral nutrition, and Group II - beginning after 48h of life - late enteral nutrition. Clinical, nutritional and outcome characteristics were analyzed during hospitalization. Blood and menstrual tensions decreased with multivariate logistic regression, odds ratio, and Wald statistics. Statistically significant values of p <0.05 were considered. Results: Of the 339 medical charts evaluated, 181 (53.4%) were found to have received early precocious nutrition and 158 (46.6%) received late enteral nutrition. After analyzing the data, no early enteral nutrition group was observed for a shorter time of use of parenteral nutrition (p <0.001), fewer days of hospital stay (p = 0.001), fewer days of hospital stay (p = 0.001) 0.031), lower incidence of neonatal sepsis (p = 0.011) and death (p = 0.043). Conclusion: In the present study, the benefits of early bowel nutrition in the preterm newborn were significantly underweight, with a lower number of days of hospitalization, a lower incidence of sepsis and death. ; Dissertação (Mestrado) ; Introdução: O início da alimentação enteral nos recém-nascidos pré-termo, especialmente para os nascidos com muito baixo peso, ainda é um desafio nas unidades neonatais. O ...