Evaluation, development, and implementation of potentially better practices in neonatal intensive care nutrition.

Barbara Kuzma-O'Reilly, Maria L. Duenas, Coleen Greecher, Lois Kimberlin, Dennis Mujsce, Debra Miller, Donna Jean Walker

Research output: Contribution to journalArticle

111 Citations (Scopus)

Abstract

OBJECTIVE: The desire for evidence-based clinical guidelines for nutritional support of the preterm infant has been identified. Published evidence has not yielded clear guidelines about the best method of delivery, substrate use, or appropriate outcome measure to evaluate nutrition support. In addition, reports on research of nutrition support often fail to give the most rudimentary process necessary to improve quality in various unit settings. METHODS: The Vermont Oxford Network "Got Milk" focus group developed eight potentially better practices for nutrition support, implementation strategies for these practices, and a comprehensive appraisal process to measure nutrition outcome in preterm infants. RESULTS: After implementation of the potentially better practices, all participating institutions showed earlier initiation of nutrition support, earlier attainment of adequate energy intakes, reduced delay in reaching full enteral feeds, more consistent nutrition support practice, decreased length of stay, cost savings, and improved growth at time of discharge. CONCLUSIONS: Development and implementation of evidence-based better nutrition support practices in neonates led to improved nutrient intake and growth with reduced length of stay and related costs. Consistent, comprehensive, multidisciplinary appraisal of practice is an integral component of improving nutrition outcomes in the neonatal population.

Original languageEnglish (US)
Pages (from-to)e461-470
JournalPediatrics
Volume111
Issue number4 Pt 2
StatePublished - Apr 2003

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Neonatal Intensive Care
Premature Infants
Length of Stay
Guidelines
Process Assessment (Health Care)
Nutritional Support
Cost Savings
Growth
Energy Intake
Focus Groups
Small Intestine
Milk
Outcome Assessment (Health Care)
Newborn Infant
Costs and Cost Analysis
Food
Research
Population

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

Kuzma-O'Reilly, B., Duenas, M. L., Greecher, C., Kimberlin, L., Mujsce, D., Miller, D., & Walker, D. J. (2003). Evaluation, development, and implementation of potentially better practices in neonatal intensive care nutrition. Pediatrics, 111(4 Pt 2), e461-470.
Kuzma-O'Reilly, Barbara ; Duenas, Maria L. ; Greecher, Coleen ; Kimberlin, Lois ; Mujsce, Dennis ; Miller, Debra ; Walker, Donna Jean. / Evaluation, development, and implementation of potentially better practices in neonatal intensive care nutrition. In: Pediatrics. 2003 ; Vol. 111, No. 4 Pt 2. pp. e461-470.
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Kuzma-O'Reilly, B, Duenas, ML, Greecher, C, Kimberlin, L, Mujsce, D, Miller, D & Walker, DJ 2003, 'Evaluation, development, and implementation of potentially better practices in neonatal intensive care nutrition.', Pediatrics, vol. 111, no. 4 Pt 2, pp. e461-470.

Evaluation, development, and implementation of potentially better practices in neonatal intensive care nutrition. / Kuzma-O'Reilly, Barbara; Duenas, Maria L.; Greecher, Coleen; Kimberlin, Lois; Mujsce, Dennis; Miller, Debra; Walker, Donna Jean.

In: Pediatrics, Vol. 111, No. 4 Pt 2, 04.2003, p. e461-470.

Research output: Contribution to journalArticle

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AU - Miller, Debra

AU - Walker, Donna Jean

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Kuzma-O'Reilly B, Duenas ML, Greecher C, Kimberlin L, Mujsce D, Miller D et al. Evaluation, development, and implementation of potentially better practices in neonatal intensive care nutrition. Pediatrics. 2003 Apr;111(4 Pt 2):e461-470.