(pp.193-212) Y. O. Sari, M. B. Bahari and B. Ibrahim ‘Clinical characteristics and socio-demographic differences in a Neonatal Intensive Care Unit’, IJFNPH, Vol. 6, No. 2, 2013
Purpose: The objective of this study is to evaluate the clinical characteristics of the neonatal patients receiving total parenteral nutrition (TPN) and also to determine the socio-demographic differences in parenteral nutrition practices.
Design/methodology/approach: A two-year retrospective cross-sectional observational study design was selected to conduct this study. Subjects of this research were neonatal patients receiving TPN in the Neonatal Intensive Care Unit (NICU) of Hospital Penang, Malaysia. A self-developed data collection form was used in this study, using a single data collector to avoid data collection bias. Data analysis was done via the Statistical Package for Social Science 15.0 (SPSS 15.0).
Findings: All of the 234 (100%) patients admitted to NICU Hospital Pulau Pinang were included in this study. Among them, the majority (123, 52.6%) were females and the rest (111, 47.4) were males. Ethnic distribution showed a predominance of Malay with 158 (67.5%), followed by Chinese 41 (17.5%), Indian 23 (9.8%) and 12 (5.1%) other races. Most patients (98, 41.8%) were born at 28-31 weeks of gestation and 156 (66.67%) were in the range of 1001-2000 grams. The majority of patients (91, 38.89%) were administered with TPN through the longline route, 173 (73.93%) were started in the range of Day 1 to Day 3 of life, 217 (92.7%) could not tolerate feeding and 51 (21.8%) had an infection. In conclusion, generally, the study found a lack of TPN screening and assessment practices in the study hospital. Appropriate practices are required to reduce the medical complications among neonates.
Keywords: TPN; Pediatrics; Clinical care; Parenteral nutrition