Evidence map›Paper›PMID 35177107›Full record

ArticleItalian journal of pediatrics2022

Effect of selective gastric residual monitoring on enteral intake in preterm infants.

Serena Elia, Martina Ciarcià, Francesca Miselli, Giovanna Bertini, Carlo Dani

Open access · goldAbstract read
In one paragraph

Article in Italian journal of pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 24% 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.

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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. 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

5 authors at 1 institution in 1 country.

Serena EliaDivision of Neonatology, Careggi University Hospital of Florence, Florence, Italy.
Martina CiarciàDivision of Neonatology, Careggi University Hospital of Florence, Florence, Italy.
Francesca MiselliDivision of Neonatology, Careggi University Hospital of Florence, Florence, Italy.
Giovanna BertiniDivision of Neonatology, Careggi University Hospital of Florence, Florence, Italy.
Carlo DaniDivision of Neonatology, Careggi University Hospital of Florence, Florence, Italy. cdani@unifi.it.
Azienda Ospedaliero-Universitaria Careggi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrefeed gastric residuals (GRs) monitoring has been correlated with an increased time to reach full feeds and longer parenteral nutrition without beneficial effect on necrotizing enterocolitis (NEC) occurrence. We aimed to assess effects of a new local protocol to provide for the selective evaluation of GRs excluding their routine monitoring.

methodsWe carried out a retrospective study based on a "before and after" design in a cohort of infants born at 23

resultsWe studied 49 infants in the selective GR group and 59 in the routine GR group. Age at full (150 mL/kg) enteral feeding (17.8 ± 10.1 vs. 22.9 ± 10.5 days, P = 0.017) and regaining of birth weight (11.1 ± 3.0 vs. 12.5 ± 3.5 days, P = 0.039) were lower while the Z-scores of weight at discharge (-1.10 ± 0.83 vs. -1.60 ± 1.45, P = 0.040) were higher in infants in the selective GR group in comparison with infants in the routine GR group.

conclusionsSelective monitoring of GRs decreased age at full enteral feeding and at regaining of birth weight and induced better Z-scores of weight at discharge in comparison with routine GR monitoring in a cohort of extremely preterm infants without increasing the incidence of NEC. Omitting prefeed GRs monitoring in clinical practice seems reasonable.

Indexed as

Enterocolitis, NecrotizingEnteral NutritionHumansInfantInfant, Extremely PrematureInfant, NewbornInfant, Very Low Birth WeightParenteral NutritionRetrospective StudiesFeeding intoleranceGastric residualNecrotizing enterocolitisPreterm infant

Identifiers

PMID35177107
PMCPMC8851703
OpenAlexW4213330688

What OpenQuestion holds

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LicenceCC BY
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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.