Evidence map›Paper›PMID 35157095›Full record

ArticlePediatric cardiology2022

Assessing the Association Between Pre-operative Feeding and the Development of Oral Feeding Skills in Infants with Single Ventricle Heart Disease: An Analysis of the NPC-QIC Dataset.

E Sagiv, Y L Tjoeng, M Davis, E Keenan, J Fogel, K Fogg, N Slater, S Prochaska-Davis, K D Frontier, J Fridgen and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Observational
  4. 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

11 authors.

E SagivDivision of Pediatric Cardiology, Seattle Children's Hospital and the University of Washington School of Medicine, 4800 Sand Point Way NE, RC.2.839, Seattle, WA, 98105, USA. eyal.sagiv@seattlechildrens.org.ORCID http://orcid.org/0000-0002-7010-7722
Y L TjoengDivision of Pediatric Cardiology, Seattle Children's Hospital and the University of Washington School of Medicine, 4800 Sand Point Way NE, RC.2.839, Seattle, WA, 98105, USA.
M DavisAdvocate Children's Hospital, Oak Lawn, IL, USA.
E KeenanBoston Children's Hospital, Boston, MA, USA.
J FogelAdvocate Children's Hospital, Oak Lawn, IL, USA.
K FoggMedical University of South Carolina, Shawn Jenkins Children's Hospital, Charleston, SC, USA.
N SlaterChildren's Hospital of Minnesota, Minneapolis, MN, USA.
S Prochaska-DavisChildren's National Medical Center, Washington, DC, USA.
K D FrontierChildren's Wisconsin, Milwaukee, WI, USA.
J FridgenDivision of Pediatric Cardiology, Seattle Children's Hospital and the University of Washington School of Medicine, 4800 Sand Point Way NE, RC.2.839, Seattle, WA, 98105, USA.
T ChanDivision of Pediatric Cardiology, Seattle Children's Hospital and the University of Washington School of Medicine, 4800 Sand Point Way NE, RC.2.839, Seattle, WA, 98105, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pre-operative feeding may improve long-term feeding outcomes in single ventricle patients, including weaning from supplemental tube feedings in infancy. This study examines the association between pre-operative enteral feeding and subsequent long-term feeding outcomes while also assessing the counterbalancing risk of necrotizing enterocolitis (NEC). Secondary analysis of the National Pediatric Cardiology Quality Improvement Collaborative database was performed. The association between pre-operative feeding practice and achieving all oral feeds through the first year of life was examined using a multivariable regression model. Similarly, the association between pre-operative oral feeding and NEC was also assessed. Of 944 patients with 1-year feeding outcomes available, 58% were fed preoperatively (41.3% exclusively oral) and 12.3% were not fed per institutional approach. At hospital discharge after Stage 1 palliation, 57% required a feeding tube, while 39% required a feeding tube at their first birthday. In infants who were orally fed, the odds ratio to achieving tube-free feeding at 1 year was not significantly increased (1.3, confidence interval 0.8-2.0). Of 1740 infants with pre-operative feeding and Stage 1 there was no statistically significant difference in NEC among patients who were preoperatively fed versus those that were not fed per institutional approach (p = 0.2). Pre-operative feeding of infants with single ventricle heart disease was not associated with early achievement of tube-free feeding in the first year of life. However, pre-operative oral feeding was also not associated with increased risk of NEC, suggesting that it can be safely offered among appropriate patients.

Indexed as

Enterocolitis, NecrotizingHeart DiseasesHypoplastic Left Heart SyndromeInfant, Newborn, DiseasesUniventricular HeartChildEnteral NutritionHumansInfantInfant, NewbornTreatment OutcomeHypoplastic left heartNecrotizing enterocolitisNorwoodPre-operative feedingSingle ventricle

Identifiers

PMID35157095

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.