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Low prevalence of clinical decision support to calculate caloric and fluid intake for infants in the neonatal intensive care unit.
Journal of Perinatology ( IF 2.4 ) Pub Date : 2019-12-09 , DOI: 10.1038/s41372-019-0546-z Gustave H Falciglia 1, 2 , Karna Murthy 1, 2, 3 , Jane L Holl 2, 4 , Hannah L Palac 5 , Donna M Woods 1, 4 , Daniel T Robinson 1, 2
Journal of Perinatology ( IF 2.4 ) Pub Date : 2019-12-09 , DOI: 10.1038/s41372-019-0546-z Gustave H Falciglia 1, 2 , Karna Murthy 1, 2, 3 , Jane L Holl 2, 4 , Hannah L Palac 5 , Donna M Woods 1, 4 , Daniel T Robinson 1, 2
Affiliation
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BACKGROUND
Clinical decision support (CDS) improves nutrition delivery for infants in the neonatal intensive care unit (NICU), however, the prevalence of CDS to support nutrition is unknown.
METHODS
Online surveys, with telephone and email validation of responses, were administered to NICU clinicians in the Children's Hospital Neonatal Consortium (CHNC). We determined and compared the availability of CDS to calculate calories and fluid received in the prior 24 h, stratified by enteral and parenteral intake, using McNemar's test.
RESULTS
Clinicians at all 34 CHNC hospitals responded with 98 of 108 (91%) surveys completed. NICUs have considerably less CDS to calculate enteral calories received than enteral fluid received (32% vs. 82%, p < 0.001) and less CDS to calculate parenteral calories received than parenteral fluid received (29% vs. 82%, p < 0.001).
DISCUSSION
Most CHNC NICUs are unable to reliably and consistently monitor caloric intake delivered to critically ill infants at risk for growth failure.
中文翻译：
新生儿重症监护室中婴儿计算热量和体液摄入量的临床决策支持率较低。
背景技术临床决策支持（CDS）改善了新生儿重症监护病房（NICU）中婴儿的营养供应，但是，支持营养的CDS患病率尚不清楚。方法对儿童医院新生儿联合会（CHNC）的NICU临床医生进行在线调查，并通过电话和电子邮件确认答复。我们使用McNemar检验确定并比较了CDS的可用性，以计算在过去24小时内按肠内和肠胃外摄入量分层的卡路里和体液。结果所有34家CHNC医院的临床医生均完成了108项调查中的98项（占91％）。与接受肠液相比，重症监护病房计算出肠内卡路里的CDS要少得多（32％对82％，p <0。001）和比接受肠胃外输液少的CDS（29％比82％，p <0.001）。讨论大多数CHNC新生儿重症监护病房无法可靠，始终如一地监测发给处于生长衰竭风险的危重婴儿的热量摄入。
更新日期：2019-12-09
中文翻译：
新生儿重症监护室中婴儿计算热量和体液摄入量的临床决策支持率较低。
背景技术临床决策支持（CDS）改善了新生儿重症监护病房（NICU）中婴儿的营养供应，但是，支持营养的CDS患病率尚不清楚。方法对儿童医院新生儿联合会（CHNC）的NICU临床医生进行在线调查，并通过电话和电子邮件确认答复。我们使用McNemar检验确定并比较了CDS的可用性，以计算在过去24小时内按肠内和肠胃外摄入量分层的卡路里和体液。结果所有34家CHNC医院的临床医生均完成了108项调查中的98项（占91％）。与接受肠液相比，重症监护病房计算出肠内卡路里的CDS要少得多（32％对82％，p <0。001）和比接受肠胃外输液少的CDS（29％比82％，p <0.001）。讨论大多数CHNC新生儿重症监护病房无法可靠，始终如一地监测发给处于生长衰竭风险的危重婴儿的热量摄入。
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