Monday, 30 June 2025

N. PN increases morty

Here’s a concise summary of Mislu et al. (2024): a prospective follow-up study on mortality among low-birth-weight (LBW) neonates receiving parenteral nutrition.





🧷 Study Details



  • Design: Prospective cohort of LBW neonates (<2.5 kg) admitted to NICU; followed during hospital stay.
  • Setting: Published May 9, 2024, in Research and Reports in Neonatology  .
  • Sample: Exact cohort size not mentioned in abstracts; full text likely details this.




Key Findings



  1. High mortality: A significantly elevated death rate was observed among LBW neonates on parenteral feeding  .
  2. Time-to-event analysis: Kaplan–Meier curves in the study highlighted critical periods of mortality ().
  3. Risk factors:
    • Lower birth weight correlated with higher mortality.
    • Additional risk factors likely include gestational age, underlying conditions, infections, though specifics require the full article.






Interpretation & Context



  • Clinical implication: LBW infants relying on parenteral nutrition remain at very high risk, stressing the need for intensified monitoring, infection prevention, and strategies for transitioning to enteral feeding.
  • Literature context: Aligns with global evidence showing the inverse association between birth weight/gestational age and neonatal morbidity/mortality  .






What’s Next?



To fully interpret these results and apply them in practice, it would help to review:


  • The full text for detailed methodology, sample size, statistical analyses, and adjusted hazard ratios.
  • Comparisons with prior studies (since some LBW cohorts have 20–30% mortality) to assess if parenteral feeding posed additional risk here.





Would you like help locating the full PDF, diving deeper into the statistical analysis, or comparing with other research cohorts?


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