Evidence map›Paper›PMID 30967655›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2019

Early transpyloric vs gastric feeding in preterm infants: a retrospective cohort study.

Matthew B Wallenstein, Cindy Brooks, Timothy A Kline, Rebecca Q Beck, Wei Yang, Gary M Shaw, David K Stevenson

Registry-linked trialOpen access · bronzeAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04246333 (Feasibility and Safety of Duodenal Feeds in Very Low Birth Weight Infants), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 13% of its field
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.

NCT04246333 nacompletednot on this mapstarted 2020, after this paper: background citation

Feasibility and Safety of Duodenal Feeds in Very Low Birth Weight Infants

TypeinterventionalSponsorJohns Hopkins All Children's HospitalRan2020 to 2026Enrolled24ConditionsBPD - Bronchopulmonary Dysplasia, VLBW - Very Low Birth Weight Infant, Feeding Disorder Neonatal, FeedingArmsMode of Delivery of Feeds
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Gastroesophageal reflux during postpyloric versus gastric tube feeding in preterm infants with bronchopulmonary dysplasia.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Observational
  5. Article
  6. Article
  7. Transpyloric feeding in severe BPD: a call for prospective trials.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  8. Transpyloric feeding is associated with adverse in-hospital outcomes in infants with severe bronchopulmonary dysplasia.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  9. Article
  10. Bronchopulmonary Dysplasia: Then, Now, and Next.Pediatric allergy, immunology, and pulmonology · 2020
    Review
  11. Article
  12. [Expert consensus on nutritional management of preterm infants with bronchopulmonary dysplasia].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2020
    Article
  13. Transpyloric feeds and bronchopulmonary dysplasia.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  14. Reply to: Transpyloric feeds and bronchopulmonary dysplasia.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  15. Early transpyloric feeding: an old wine in a new bottle.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  16. Reply to: 'Early transyploric feeding: an old wine in a new bottle'.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Matthew B WallensteinDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA. matthew.ben.wallenstein@gmail.com.
Cindy BrooksFairfax Neonatal Associates Neonatal Intensive Care Unit at Inova Children's Hospital, Falls Church, VA, USA.
Timothy A KlineFairfax Neonatal Associates Neonatal Intensive Care Unit at Inova Children's Hospital, Falls Church, VA, USA.
Rebecca Q BeckFairfax Neonatal Associates Neonatal Intensive Care Unit at Inova Children's Hospital, Falls Church, VA, USA.
Wei YangDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA.
Gary M ShawDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA.
David K StevensonDivision of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA.
Stanford University · USFairfax Neonatal Associates · USInova Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeonatal transpyloric feeding (TPF) has not been rigorously studied since the 1980s. Our objective was to evaluate early TPF, defined as TPF initiated within the first week after birth, among preterm infants in the setting of modern neonatal practice. STUDY

designA retrospective cohort study was conducted between 2013 and 2017 for all extremely low birth weight (ELBW) infants born in a tertiary neonatal intensive care unit where early TPF is a common practice. Infants were excluded if they did not receive enteral feeding within the first week after birth or if they died prior to initiation of enteral feeding. The primary outcome was death or bronchopulmonary dysplasia (BPD). The association between early TPF and the primary outcome was assessed using multivariable logistic regression, with adjustment for gestational age, birth weight, and intubation status.

resultThe study sample included 368 ELBW infants. Twenty-seven percent received early TPF. Death or BPD occurred in 58% of infants who received early TPF compared with 67% of infants who received gastric feeding, adjusted odds ratio 0.6, 95% confidence interval 0.3-0.9. Growth and adverse gastrointestinal outcomes did not differ between the two groups.

conclusionEarly TPF is associated with reduced risk of death or BPD among ELBW infants. Further investigation in the form of a randomized controlled trial is required to confirm a causal association between early TPF and improved clinical outcomes.

Indexed as

Bronchopulmonary DysplasiaEnteral NutritionFemaleHumansInfant, Extremely PrematureInfant, NewbornInfant, Very Low Birth WeightIntensive Care UnitsIntensive Care Units, NeonatalMalePylorusRetrospective Studies

Identifiers

PMID30967655
OpenAlexW2936556672

What OpenQuestion holds

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Registered trials

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.