| Sodium Supplementation In Neonates With Pierre Robin Sequence Significantly Improves Weight Gain If urinary Sodium Is Low. | |
| | |
MedLine Citation:
|
PMID: 21265661 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Abstract Objective: Does sodium supplementation increase weight gain in babies with Grade 3 Pierre Robin Sequence if their urinary sodium is low? Design: Retrospective review of all medical, dietician and nursing notes of babies admitted between 2000-2007 inclusive. Setting: Tertiary center for cleft care Patients: 33 babies requiring nasogastric(ng) and nasopharangeal intubation(npa) for PRS were identified. Those in whom weights could not be measured accurately (n=4), were excluded from further study. Interventions: Urinary sodium was low and weight gain poor in 21 of the remaining 29 babies (72%) and oral sodium supplementation was given to establish and maintain a normal urinary sodium (10 - 20mmol/l). Main Outcome Measure: Mean daily weight gain. Results: The mean daily weight gain of the 18 babies with low urinary sodium admitted in the first few days of life improved from 20 grams to 34 grams (p< 0.001) following oral sodium supplementation. This gave a mean difference of 14g (lower quartile 6g, upper quartile 25g, 95% confidence interval 20, 90% confidence interval 10). The mean daily weight gain of the eight patients who did not require sodium supplementation was 33.6grams. Conclusions: Urinary sodium tests are simple and noninvasive and allow monitoring of urinary sodium. If low, adequate supplementation improved weight gain (p<0.001), reversing failure to thrive in babies with severe Pierre Robin Sequence. These findings are previously unreported. Key Words: Pierre Robin Sequence, sodium, failure to thrive. |
| | |
Authors:
|
Joanna M Skillman; Rona Slator |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-1-25 |
Journal Detail:
|
Title: The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association Volume: - ISSN: 1545-1569 ISO Abbreviation: - Publication Date: 2011 Jan |
Date Detail:
|
Created Date: 2011-1-26 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9102566 Medline TA: Cleft Palate Craniofac J Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
a Birmingham Children's Hospital. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Mindfulness-based interventions for chronic pain: a systematic review of the evidence.
Next Document: A Comparative Study on the Measurements of Palatal Shelf Area and Gradient for Adult Patients With U...