Evidence map›Paper›PMID 35091710›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2022

A quality improvement initiative to standardize time to initiation of enteral feeds after non-surgical necrotizing enterocolitis using a consensus-based guideline.

Ekta U Patel, William T Head, Allison Rohrer, Rita M Ryan, Aaron P Lesher

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Article in Journal of perinatology : official journal of the California Perinatal Association, 2022. 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. Review
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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

5 authors.

Ekta U PatelDepartment of Pediatrics, Division of Neonatology, Medical University of South Carolina, Charleston, South Carolina; Children's Hospital Kansas City, Kansas City, MO, USA. eupatel@cmh.edu.ORCID 0000-0002-3301-5167
William T HeadMedical University of South Carolina, Charleston, SC, USA.ORCID 0000-0001-9482-979X
Allison RohrerDepartment of Surgery, Division of Pediatric Surgery, Medical University of South Carolina, Charleston, SC, USA.
Rita M RyanDepartment of Pediatrics, Division of Neonatology, Case Western Reserve University and UH Rainbow Babies and Children's Hospital, Cleveland, OH, USA.ORCID 0000-0002-4588-3412
Aaron P LesherDepartment of Surgery, Division of Pediatric Surgery, Medical University of South Carolina, Charleston, SC, USA.ORCID 0000-0002-5396-3770

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent evidence demonstrates that earlier feeding may be beneficial after non-surgical necrotizing enterocolitis (NEC). We aimed to decrease time to reach full enteral feeds by 20% post-NEC by standardizing time to reinitiate feeds.

methodsWe implemented a consensus-based guideline for earlier feeding post-NEC. Outcome measures included days to initiate enteral feeds and reach full enteral feeds. Central venous line days and length of stay were also evaluated. Balancing measures were NEC recurrence and post-NEC stricture. Statistical analysis used process control methodology and standard comparison statistical testing.

resultsAverage days infants with Stage II NEC began feeding decreased from 9.4 to 5.1 days and average days to reach full feeds was decreased by 35% from 24.0 to 15.7 days. We observed no change in our balancing measures.

conclusionA multidisciplinary consensus-based NEC earlier feeding guideline decreased time to reach full enteral feeds and reduced central line days without adverse events.

Indexed as

Enterocolitis, NecrotizingInfant, Newborn, DiseasesConsensusEnteral NutritionHumansInfantInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightPractice Guidelines as TopicQuality Improvement

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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.