Evidence map›Paper›PMID 38714842›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2024

Introduction of oral feeding in premature infants on high flow nasal cannula in a level IV neonatal intensive care unit: a quality improvement initiative.

Hilal Yildiz Atar, Rita M Ryan, Sheri Ricciardi, Charlene Nauman, Madison Pihlblad, Taylor Forsythe, Monika Bhola

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Article in Journal of perinatology : official journal of the California Perinatal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. We're going bananas! The effectiveness and safety of banana puree as an intervention for improving oral feeding in a level IV NICU.Journal of perinatology : official journal of the California Perinatal Association · 2026
    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

7 authors.

Hilal Yildiz AtarRainbow Babies and Children's Hospital, Cleveland, OH, USA. hilalyildizatar@gmail.com.ORCID 0000-0001-9881-7841
Rita M RyanRainbow Babies and Children's Hospital, Cleveland, OH, USA.
Sheri RicciardiRainbow Babies and Children's Hospital, Cleveland, OH, USA.
Charlene NaumanRainbow Babies and Children's Hospital, Cleveland, OH, USA.
Madison PihlbladRainbow Babies and Children's Hospital, Cleveland, OH, USA.
Taylor ForsytheRainbow Babies and Children's Hospital, Cleveland, OH, USA.
Monika BholaRainbow Babies and Children's Hospital, Cleveland, OH, USA.ORCID 0000-0002-7028-8359

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFailure to reach full oral feeding remains a significant barrier for premature infants to discharge home. Postmenstrual age (PMA) at first oral feeding is significantly associated with the length of hospital stay (LOS).

methodsSingle-center QI to introduce oral feeding to infants on high-flow nasal cannula (HFNC) by reducing the flow to 2 L during feeds. GLOBAL

aimTo reduce PMA at first oral feeding and reduce the LOS. SMART

aimTo introduce oral feeds in 40% of infants who are on ≤4 L HFNC by the end of 12 months.

resultsOver 12 months, SMART aim reached with 100% enrollment. PMA at first oral feeding decreased from a median of 42.4w ((IQR) (40,46.6) to 37.8w (35.8,43.2), PMA at discharge decreased from 47w (44.6,50.7) to 42.6w (41.3,48.8).

conclusionAllowing oral feeding in infants while on HFNC is feasible. This approach can significantly reduce PMA at first and full oral feeding.

Indexed as

CannulaEnteral NutritionInfant, PrematureIntensive Care Units, NeonatalLength of StayQuality ImprovementBottle FeedingFemaleGestational AgeHumansInfant, NewbornMaleOxygen Inhalation TherapyPatient Discharge

Identifiers

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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.