The Impact of Routine Evaluation of Gastric Residual Volumes on the Time to Achieve Full Enteral Feeding in Preterm Infants

Riskin, Arieh; Cohen, Keren; Kugelman, Amir; Toropine, Arina; Said, Waseem; Bader, David A.

doi:10.1016/j.jpeds.2017.05.054

Cited by 52 publications

(77 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Overall, despite limitations, the study design is appropriate. Results are consistent with other literature suggesting that omitting prefeed gastric residual evaluation improves nutritional outcomes without increasing complications . Given the importance of infant nutrition, it would seem reasonable to omit prefeed gastric residuals in clinical practice for the population studied here.…”

supporting

confidence: 90%

“…However, evidence behind this practice is limited . It may reduce nutritional intake when feeds are stopped based on subjective assessments . This is concerning because adequate nutrition is essential for growth and neurodevelopment …”

mentioning

confidence: 99%

“…[1][2][3] It may reduce nutritional intake when feeds are stopped based on subjective assessments. [1][2][3][4][5] This is concerning because adequate nutrition is essential for growth and neurodevelopment. 1,3,6 This study investigates routine prefeed gastric residual evaluation, and is the first study to evaluate its effects on VAP rates.…”

mentioning

confidence: 99%

“…Results are consistent with other literature suggesting that omitting prefeed gastric residual evaluation improves nutritional outcomes 2-5,9 without increasing complications. 2,4,5,9 Given the importance of infant nutrition, it would seem reasonable to omit prefeed gastric residuals in clinical practice for the population studied here. Gastric residuals would only be evaluated if infants had gastro-intestinal symptoms.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Does prefeed gastric residual evaluation impair enteral nutrition intake in very preterm infants?

Hare

Boyle

2019

Acta Paediatrica

View full text Add to dashboard Cite

supporting

confidence: 90%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Does prefeed gastric residual evaluation impair enteral nutrition intake in very preterm infants?

Hare

Boyle

2019

Acta Paediatrica

View full text Add to dashboard Cite

“…Our ELBW infants initiated enteral feeding at relatively early age, but the progress delayed compared to the guideline of Canada (38) . Although some studies identi ed the safety and e cacy of early aggressive infant's feeding (39,40) , restrictive feeding practice, ie. prolonged parenteral nutrition and late achieved full enteral feeding, still exists in Chinese NICUs (41) .…”

Section: Risk Factors Of Growth Retardation During In-patient Periodmentioning

confidence: 99%

Challenges in Early Postnatal Care and Growth in Extremely Low Birth Weight Infants: A Multi-Center Study

Li¹,

Feng²,

Tong³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Postnatal care and growth in extremely low birth weight (ELBW) infants are being increasingly focused on worldwide. However, few data from China have been reported, expecially multicenters. This multicenter study was designed to investigate the problems existing in postnatal care, weight gain and the related risk factors in in-patient ELBW infants. Methods Eligible ELBW infants admitted to involved neonatal intensive care units (NICUs) in 2017 in Beijing were studied retrospectively. Except for general early outcomes, Weight Z score and feeding practice related information was caculated, and collected. Growth retardation (GR) was diagnosed if body weight Z score at discharge dropped more than one standard deviation (SD) compared with birth. Results Of our cohort of 137 ELBW infants, 92 infants discharged with medical advice were analyzed. Full enteral feeding reached at 37.0 (27.0, 51.8)days. Exclusive breast milk feeding rate was 30.4% at discharge. All infants had decreased weight Z score, and its change was similar in different weight subgroups. The incidence of GR was 66.3%. Multiple-factor analysis showed the risk factors for GR were small for gestational age(OR 34.768, 95%CI 1.652-731.728), average weight gain rate < 15 g/(kg.d)(OR 249.062, 95%CI 11.211-5532.889), and non-invasive and/or mechanicl ventilation duration > 28days(OR 6.867, 95%CI 1.211–38.957), P༜0.05. Keeping ELBW infants staying in hospital longer was beneficial to their weight gain (OR = 0.950, 95% CI 0.909–0.993, P < 0.05). Conclusion Maintaining appropriate weight gain in early age is still a great challenge in ELBW infants. Fetal growth, early nutrition and sickness are critical influencing factors.

show abstract

Breast Milk Enema and Meconium Evacuation Among Preterm Infants

Zheng,

Gai,

et al. 2024

JAMA Netw Open

View full text Add to dashboard Cite

ImportanceDelayed meconium evacuation and delayed achievement of full enteral feeding among premature infants are associated with poor short- and long-term outcomes. Identifying a more effective and safer enema for meconium evacuation is imperative for improving neonatal care.ObjectiveTo examine whether breast milk enemas can shorten the time to complete meconium evacuation and achievement of full enteral feeding for preterm infants.Design, Setting, and ParticipantsThis randomized, open-label, parallel-group, single-center clinical trial was conducted from September 1, 2019, to September 30, 2022, among 286 preterm infants with a gestational age of 23 to 30 weeks in the neonatal ward of the Shengjing Hospital of China Medical University in Shenyang.InterventionsPreterm infants were randomly assigned to receive either breast milk enemas or normal saline enemas 48 hours after birth.Main Outcome and MeasuresThe primary outcomes were time to complete meconium evacuation and time to achieve full enteral feeding. Secondary outcomes were duration of hospitalization, weight at discharge, and duration of total parenteral nutrition. Intention-to-treat and per-protocol analyses were conducted.ResultsIn total, 286 preterm infants (mean [SD] gestational age, 198.8 [7.9] days; 166 boys [58.0%]) were eligible and included in this study. A total of 145 infants were randomized to the normal saline group, and 141 were randomized to the breast milk group. The time to achieve complete meconium evacuation was significantly shorter in the breast milk group than in the normal saline group (–2.2 days; 95% CI, −3.2 to −1.2 days). The time to achieve full enteral feeding was also significantly shorter in the breast milk group than in the normal saline group (−4.6 days; 95% CI, −8.0 to −1.2 days). The duration of total parenteral nutrition was significantly shorter in the breast milk group than in the normal saline group (−4.6 days; 95% CI, −8.6 to −1.0 days). There were no clinically notable differences in any other secondary or safety outcomes between the 2 groups.Conclusions and RelevanceIn this randomized clinical trial testing the effects of breast milk enema on meconium evacuation, breast milk reduced the time to achieve complete meconium evacuation and achieve full enteral feeding for preterm infants with a gestational age of 23 to 30 weeks. Subgroup analyses highlight the need for tailored interventions based on gestational age considerations.Trial Registrationisrctn.org Identifier: ISRCTN17847514

show abstract

The Impact of Routine Evaluation of Gastric Residual Volumes on the Time to Achieve Full Enteral Feeding in Preterm Infants

Cited by 52 publications

References 25 publications

Does prefeed gastric residual evaluation impair enteral nutrition intake in very preterm infants?

Does prefeed gastric residual evaluation impair enteral nutrition intake in very preterm infants?

Challenges in Early Postnatal Care and Growth in Extremely Low Birth Weight Infants: A Multi-Center Study

Breast Milk Enema and Meconium Evacuation Among Preterm Infants

Contact Info

Product

Resources

About