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  • 标题:Intravenous Lipid Emulsions Affect Respiratory Outcome in Preterm Newborn: A Case-Control Study
  • 本地全文:下载
  • 作者:Giovanni Boscarino ; Maria Giulia Conti ; Francesca De Luca
  • 期刊名称:Nutrients
  • 电子版ISSN:2072-6643
  • 出版年度:2021
  • 卷号:13
  • 期号:4
  • 页码:1243
  • DOI:10.3390/nu13041243
  • 出版社:MDPI Publishing
  • 摘要:(1) Background: Hypertriglyceridemia (HiTG) is a metabolic complication of intravenous lipid emulsions (ILEs) infusion. We aimed to evaluate the influence of HiTG on the respiratory outcome of preterm babies; (2) Methods: We enrolled, in a case–control study, newborns with gestational age 150 mg/dL; (3) Results: We enrolled 40 cases and 105 controls. Cases had an increased incidence of bronchopulmonary dysplasia (30.0% vs. 14.3%, p < 0.05) and longer duration of invasive mechanical ventilation (7 days, 95% CI 4–10 days vs. 4 days, 95% CI 1–7 days, p < 0.01) compared to controls. Multivariate analysis confirmed that HiTG independently influenced the duration of invasive mechanical ventilation, also in the subgroups with gestational age ≤28 6/7 weeks or birth weight ≤1000 g; (4) Conclusion: Newborns with HiTG related to ILEs had a longer duration of invasive mechanical ventilation. Temporary suspension or reduction in ILEs in the case of HiTG is associated with an improvement of respiratory outcome.
  • 关键词:hypertriglyceridemia; parenteral nutrition; bronchopulmonary dysplasia (BPD); invasive mechanical ventilation; respiratory distress syndrome; mortality hypertriglyceridemia ; parenteral nutrition ; bronchopulmonary dysplasia (BPD) ; invasive mechanical ventilation ; respiratory distress syndrome ; mortality
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