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논문 기본 정보

자료유형
학술저널
저자정보
김유진 (서울대학교병원 약제부) 신현정 (서울대학교병원 약제부) 배혜정 (서울대학교병원 약제부) 최나이 (서울대학교병원 약제부) 조은정 (서울대학교병원 약제부) 조윤숙 (서울대학교병원 약제부) 신승한 (서울대학교병원) 김이경 (서울대학교 어린이병원 소아청소년과) 김한석 (서울대학교 의과대학 소아과학교실)
저널정보
한국병원약사회 병원약사회지 병원약사회지 제38권 제4호
발행연도
2021.11
수록면
450 - 461 (12page)
DOI
10.32429/jkshp.2021.38.4.003

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Background : Long-term parenteral nutrition (PN) can increase the risk of copper deficiency. This study aimed to analyze the incidence and risk factors associated with copper deficiency in infants requiring long-term PN and to evaluate the adequacy of intravenous (IV) copper supplementation. Methods : This was a retrospective study of infants who were admitted to the neonatal intensive care unit (NICU) of a tertiary hospital in Korea from July of 2015 to June of 2020, had their serum copper concentration measured, and received PN for more than two weeks. Patients who were supplemented with IV copper and whose serum copper concentration was monitored after administration were placed in a subgroup to evaluate the copper supplementation. Results : Of the 63 patients, 39 (61.9%) were deficient in copper (serum Cu <70 μg/dL). In the copper deficiency group, gestational age and birth weight were significantly lower, and the proportion of premature infants and extremely low-birth-weight infants were significantly higher. Gestational age of less than 32 weeks was an independent risk factor for copper deficiency. In the copper deficiency group, the total NICU stay was longer, absolute neutrophil count, hemoglobin, and platelet levels were lower, and the proportion of bronchopulmonary dysplasia and rickets was higher. Conclusion : Copper deficiency was common in infants receiving long-term PN without copper, especially in patients of young gestational age. Adequate copper supplements are recommended to prevent the clinical consequences of copper deficiency. It is necessary to develop single-entity products of IV copper or multi-trace element products suitable for infants.

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