Evidence map›Paper›PMID 29740193›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2018

Reducing time to initiation and advancement of enteral feeding in an all-referral neonatal intensive care unit.

Sarah U Morton, Mandy B Belfort, Prerna S Kahlon, Sara Hajizadeh Barfjani, Coral Rudie, Emily Hashim, Anne Hansen, Susanna Y Huh

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Very low birth weight infants receive full enteral nutrition within 2 postnatal weeks.Journal of perinatology : official journal of the California Perinatal Association · 2020
    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

8 authors.

Sarah U MortonDivision of Newborn Medicine, Boston Children's Hospital, Boston, MA, 02115, USA. Sarah.Morton@childrens.harvard.edu.
Mandy B BelfortDivision of Newborn Medicine, Department of Pediatric Newborn Medicine, Brigham and Women's Hospital, Boston, MA, 02115, USA.
Prerna S KahlonProgram for Patient Safety and Quality, Boston Children's Hospital, Boston, MA, 02115, USA.
Sara Hajizadeh BarfjaniDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA, 02115, USA.
Coral RudieDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA, 02115, USA.
Emily HashimDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA, 02115, USA.
Anne HansenDivision of Newborn Medicine, Boston Children's Hospital, Boston, MA, 02115, USA.
Susanna Y HuhDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA, 02115, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDecrease time to enteral feeding initiation and advancement. STUDY

designIn our all-referral neonatal intensive care unit, we developed an evidence-based guideline addressing feeding initiation and advancement. During 6 months before and 7 months after guideline implementation, we measured time to initiate feeding, time to 100 ml/kg/day of feeding, gastric residual measurement frequency, and incidence of necrotizing enterocolitis (balancing measure).

resultTwo hundred twenty-three infants were studied. Time from admission to feeding initiation was shorter after guideline implementation (mean 0.5 days [95% CI: 0.4-0.7] vs. 1.1 days [95% CI: 0.7-1.5], p = 0.01). Time from admission to 100 ml/kg/day feeding was also shorter (3.6 days [95% CI: 2.8-4.4] vs. 6.2 days [95% CI: 4.4-8.1], p = 0.01). After guideline implementation, routine gastric residual measurements were discontinued.

conclusionAfter implementation of an enteral feeding guideline, which included discontinuation of routine gastric residual assessment, we observed a faster initiation of enteral feeding and shorter time to reach 100 ml/kg/day.

Indexed as

Infant, PrematureIntensive Care Units, NeonatalLength of StayPractice Guidelines as TopicBostonCohort StudiesEnteral NutritionFemaleFollow-Up StudiesGuideline AdherenceHospitals, PediatricHumansInfant, NewbornInfant, Very Low Birth WeightMalePatient Admission

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.