Evidence map›Paper›PMID 26000176›Full record

ArticleNursing research and practice2015

Effect of four approaches to oral feeding progression on clinical outcomes in preterm infants.

Rita H Pickler, Barbara A Reyna, Paul A Wetzel, Mary Lewis

Abstract read
In one paragraph

Article in Nursing research and practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Relationship between feeding milestones and comorbidities with the postnatal growth in preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  6. Article
  7. A Unique Clinical Tool for the Evaluation of Oral Feeding Skills in Infants.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2023
    Article
  8. Article
  9. Oral-feeding guidelines for preterm neonates in the NICU: a scoping review.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  10. Article
  11. The effects of oral feeding while on nasal continuous positive airway pressure (NCPAP) in preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2020
    Article
  12. Transitioning from gavage to full oral feeds in premature infants: When should we discontinue the nasogastric tube?Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Rita H PicklerNursing Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 11016, Cincinnati, OH 45229, USA.
Barbara A ReynaNeonatal Nurse Practitioner, Children's Hospital of Richmond at VCU, P.O. Box 985912, Richmond, VA 23298, USA.
Paul A WetzelDepartment of Biomedical Engineering, School of Engineering, Virginia Commonwealth University, P.O. Box 843067, Richmond, VA 23284-3067, USA.
Mary LewisChildren's Hospital of Richmond at VCU, P.O. Box 985912, Richmond, VA 23298, USA.ORCID 0000-0002-5367-0126

Funding

Feeding Readiness in Preterm InfantsR01NR005182 · NINR · VIRGINIA COMMONWEALTH UNIVERSITY · PI PICKLER, RITA H · 2001 to 2010
$3.8M
NINR NIH HHS R01 NR005182
6 · The paper itself

Abstract

Background. The purpose of this study of preterm infants was to test the effect of four approaches to the time of transition from gavage to full oral feedings, time to discharge, and weight gain during the transition. Methods. A randomized experimental design was used with four intervention groups: early start (32 weeks' postmenstrual age)/slow progressing experience (gradually increasing oral feedings offered per day); early start/maximum experience (oral feedings offered at every feeding opportunity); late start (34 weeks' postmenstrual age)/slow progressing experience; and late start/maximum experience. Results. The analysis included 86 preterm infants. Once oral feedings were initiated, infants in the late start/maximum experience group achieved full oral feeding and were discharged to home significantly sooner than infants in either early start group. Although not significantly different, these infants also achieved these outcomes sooner than infants in the late start/slow progressing experience group. There were no differences in weight gain across groups. Conclusions. Results suggest starting oral feedings later in preterm infants may result in more rapid transition to full oral feedings and discharge although not at early postnatal ages. Provision of a more consistent approach to oral feeding may support infant neurodevelopment and reduce length of hospitalization.

Identifiers

PMID26000176
PMCPMC4427091

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.