Effect of an enteral iron dosing change on hemoglobin and transfusion rates in very low birth weight infants. Issue 5 (October 2017)

• Record Type: Journal Article
• Authors: Blowey, Bridget; Oschman, Alexandra; Pallotto, Eugenia; Ball, Anne; Reid, Kimberly J.; Tracy, Kelly; Lewis, Tamorah
• Is Part Of: Journal of neonatal nursing. Volume 23:Issue 5(2017)
• Page Start: 223
• Page End: 227
• Publication Date: 2017-10
• Subjects: Nadir -- Ferrous sulfate -- Transfusion; Newborn infants -- Care -- Periodicals; Newborn infants -- Diseases -- Periodicals; Neonatal intensive care -- Periodicals; Soins infirmiers en néonatologie -- Périodiques; Infant, Newborn, Diseases -- Periodicals; Intensive Care, Neonatal -- Periodicals; Neonatal Nursing -- Periodicals; 618.9200231
• DOI: 10.1016/j.jnn.2017.05.002
• Languages: English
• ISSNs: 1355-1841

Abstract

Abstract: Objectives: To evaluate the impact of targeting 2 mg/kg/day of enteral iron supplementation versus 4 mg/kg/day on hemoglobin and transfusion endpoints in very low birth weight neonates. Methods: Retrospective cohort study of neonates less than 32 weeks gestational age or less than 1500 g at birth who received iron supplementation within the first 12 weeks of life. Patients received weight-based standard enteral iron supplementation targeting 4 mg/kg/day (Group 1) or 2 mg/kg/day (Group 2). Results: 110 of 163 patients met inclusion criteria. A change from targeting 4 to 2 mg/kg/day in enteral standard iron supplementation did not affect the nadir in hemoglobin, proportion of patients requiring transfusion, or average number of transfusions. Conclusions: Targeting a lower goal of standard enteral iron supplementation does not decrease time to hemoglobin nadir or value of nadir.