Evidence map›Paper›PMID 38760751›Full record

ArticleBMC nursing2024

Nursing practice of routine gastric aspiration in preterm infants and its link to necrotizing enterocolitis: is the practice still clinically relevant?

Osama Mohamed Elsayed Ramadan, Majed Mowanes Alruwaili, Abeer Nuwayfi Alruwaili, Nadia Bassuoni Elsharkawy, Enas Mahrous Abdelaziz, Mohammed Elsayed Zaky, Marwa Mamdouh Shaban, Mostafa Shaban

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Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

8 authors.

Osama Mohamed Elsayed RamadanCollege of Nursing, Jouf University, Sakaka, Saudi Arabia, 72388. omramadan@ju.edu.sa.ORCID https://orcid.org/0000-0002-9616-8590
Majed Mowanes AlruwailiCollege of Nursing, Jouf University, Sakaka, Saudi Arabia, 72388. majed@ju.edu.sa.ORCID https://orcid.org/0000-0001-8491-8190
Abeer Nuwayfi AlruwailiCollege of Nursing, Jouf University, Sakaka, Saudi Arabia, 72388.
Nadia Bassuoni ElsharkawyCollege of Nursing, Jouf University, Sakaka, Saudi Arabia, 72388.
Enas Mahrous AbdelazizCollege of Nursing, Jouf University, Sakaka, Saudi Arabia, 72388.
Mohammed Elsayed ZakyCollege of Nursing, Jouf University, Sakaka, Saudi Arabia, 72388.
Marwa Mamdouh ShabanLecturer of Community Health Nursing, Faculty of Nursing, Cairo University, Cairo, Egypt.
Mostafa ShabanCollege of Nursing, Jouf University, Sakaka, Saudi Arabia, 72388.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The practice of routine gastric residual aspiration in preterm infants remains controversial, with conflicting evidence regarding its impact on necrotizing enterocolitis (NEC). As front-line caregivers, nurses play a vital role in gastric aspiration procedures and must be informed by evidence. This quasi-experimental nursing study aimed to assess whether gastric aspiration is clinically relevant in reducing the risk of NEC in preterm infants.A total of 250 preterm infants from two NICUs in Egypt were allocated to the gastric aspiration (n = 125) and non-aspiration (n = 125) groups. Feeding practices, gastric residuals, and incidence/severity of NEC were compared between groups according to modified Bell's criteria. Risk factors were analyzed using multivariate regression. There were no significant baseline differences between the groups. The gastric residual attributes and feeding outcomes did not differ substantially from aspiration. The overall incidence of NEC was 14-15%, with no significant differences in the odds of onset or progression of NEC by stage between the groups. Lower gestational age and birth weight emerged as stronger predictors of NEC. Routine gastric aspiration does not appear to directly prevent or reduce the severity of NEC in this population. Although gastric residuals retain clinical importance, study findings question assumptions that aspiration protects against NEC and informs nursing practice. Evidence-based feeding protocols must continually evolve through ongoing research on modifiable risk factors for this devastating intestinal disease in preterm infants.

Indexed as

Evidence-based practiceFeed toleranceGastric aspirationGastric residualsNecrotizing enterocolitisPreterm infants

Identifiers

PMID38760751
PMCPMC11100149

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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.