AUTOMATED CALCULATOR FOR PARENTERAL NUTRITION IN NEWBORNS: DEVELOPMENT AND EVALUATION OF EFFECTIVENESS IN CLINICAL PRACTICE
Abstract
Introduction. Planning and calculating adequate nutritional support to meet the metabolic needs of newborns with varying gestational ages is an essential daily task for a resuscitator in the neonatal intensive care unit. This process is time-consuming, requiring the physician’s practical knowledge, skills, and expertise, and is associated with the risk of potentially fatal errors. Purposes. To optimize the methodology for calculating parenteral nutrition in the practice of resuscitators using a parenteral nutrition calculator (PNC) for newborns with different gestational ages. Materials and methods. Data from global literature on the use and implementation of PNC in various clinics worldwide were analyzed. Based on the results from international literature and Russian recommendations on neonatal parenteral nutrition, a proprietary PNC prototype was developed. The automated calculator was tested in two groups of resuscitators in the neonatal intensive care unit (NICU) with varying levels of experience. Results and discussion. The developed PNC successfully underwent clinical trials in the NICU and demonstrated high levels of physician satisfaction with its use. In the group of physicians with over 4 years of experience, the average time spent completing one clinical case scenario (CCS) using the PNC was 2 minutes 4 seconds, compared to 4 minutes 31 seconds without the PNC. In the group of physicians with less than 4 years of experience, the differences were even more pronounced: 2 minutes 5 seconds with the PNC, compared to 6 minutes 10 seconds without it. Conclusions. The developed PNC demonstrates a real opportunity to optimize PN calculations, reduce the time burden on physicians, and minimize errors. Future studies should analyze the impact of the PNC on reducing clinical errors and explore the possibility of integrating it into electronic medical records to further standardize and improve neonatal care practices.
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