Neonatos críticos recebem a terapia nutricional parenteral em volume conforme suas necessidades prescritas? Estudo clínico observacional

Abstract

Introduction: Monitoring of parenteral nutrition therapy (NPT) in critical neonates is essential for clinical outcome, and it is indispensable to quantify the infused NPT compared to the prescribed and prepared amount. The purpose of this study is to account for monetary losses due to unmanaged NPT disposal. Methods: Neonates were stratified into two groups. Group A (n = 6): low birth weight preterm infants; Group B (n = 6): preterm infants of very low weight and extreme low weight <1,000 g, followed by 167 days of NPT, compared to the percentage differences in volumes, calories and average monetary losses of the despised volumes. Results: The percentage difference between volume prescribed and prepared for group A was 42.49 ± 18.27% and for group B it was 86.82 ± 63.52% (p = 0.003). Between volume prepared and infused, the difference was 63.15 ± 15.11% for group A and 47.98 ± 17.25% for group B (p = 0.003). Among prescribed and infused calories, the difference was 22.61 ± 8.69% for group A and 13.92 ± 3.45% for group B (p = 0.04). The average monetary losses of the despised volumes were R$ 992.68 and R$ 1,296.81 (p = 0.0129), respectively. Conclusion: Infused NPT was lower than prescribed, resulting in lower caloric intake for neonates and significant financial losses associated with NPT disposal.