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Fifteen-minute consultation: ABCDE approach to nutritional assessment in preterm infants早产儿的15分钟营养评估法:ABCDE

Lookup NU author(s): Professor Nicholas EmbletonORCiD

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Abstract

Copyright © 2021 by the Chinese Medical Association.The last 20 years has seen dramatic improvements in the survival of preterm infants due to improved antenatal and neonatal care. Closer attention to nutrition means early parenteral nutrition and mother's own milk are considered as standard of care. Many uncertainties remain however, such as optimal macronutrient intakes for longer term cognitive and metabolic outcomes, and the optimal probiotic regime to reduce the risk of necrotising enterocolitis. Nutrition involves macronutrients and micronutrients, immunonutrients, microbiomic aspects and nutrient delivery. It is also clear that there are behavioural and psychological aspects, and strongly held beliefs for parents and professionals that affect practice. While many healthcare professionals (HCPs) are aware of several key nutritional concepts on the neonatal intensive care unit (NICU), many HCPs lack a concise, systematic approach. This article provides a brief approach to nutritional assessment for use on the NICU summarised as ABCDE: A—anthropometry, B—biochemistry, C—clinical, D—dietary intakes, E—environment and evaluation.

Publication metadata

Author(s): Embleton ND

Publication type: Article

Publication status: Published

Journal: Chinese Journal of Perinatal Medicine

Year: 2021

Volume: 24

Issue: 9

Pages: 646-650

Online publication date: 16/09/2021

Acceptance date: 02/04/2020

Publisher: Chinese Medical Journals Publishing House Co.Ltd

URL: https://doi.org/10.3760/cma.j.cn113903-20210830-00749

DOI: 10.3760/cma.j.cn113903-20210830-00749

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