Evidence map›Paper›PMID 41867927›Full record

ArticleFrontiers in pediatrics2026

Rapid assessment of feeding intolerance: a systematic approach to reduce time to full enteral feeding in preterm infants.

Elena Maggiora, Francesco Cresi, Giulia Maiocco, Chiara Peila, Barbara Vania, Elisa Rossi, Danilo A W Gavilanes, Diego Gazzolo, Alessandra Coscia

Abstract read
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Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Elena Maggiora *Neonatology and Neonatal Intensive Care Unit, Sant'Anna Hospital, Città Della Salute e Della Scienza, Turin, Italy.
Francesco Cresi *Neonatology and Neonatal Intensive Care Unit, Sant'Anna Hospital, Città Della Salute e Della Scienza, Turin, Italy.
Giulia MaioccoNeonatology and Neonatal Intensive Care Unit, Sant'Anna Hospital, Città Della Salute e Della Scienza, Turin, Italy.
Chiara PeilaNeonatology and Neonatal Intensive Care Unit, Sant'Anna Hospital, Città Della Salute e Della Scienza, Turin, Italy.
Barbara VaniaNeonatology and Neonatal Intensive Care Unit, Sant'Anna Hospital, Città Della Salute e Della Scienza, Turin, Italy.
Elisa RossiNeonatology and Neonatal Intensive Care Unit, Sant'Anna Hospital, Città Della Salute e Della Scienza, Turin, Italy.
Danilo A W GavilanesDepartment of Pediatrics and Neonatology, Maastricht University, Maastricht, Netherlands.
Diego GazzoloNeonatal Intensive Care Unit G. D'Annunzio University of Chieti, Chieti, Italy.
Alessandra CosciaNeonatology and Neonatal Intensive Care Unit, Sant'Anna Hospital, Città Della Salute e Della Scienza, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Feeding intolerance (FI) is common in very preterm infants and often leads to unnecessary interruptions in enteral nutrition (EN), delaying full enteral feeding (FEF). The absence of standardized criteria contributes to inconsistent management. We evaluated the impact of a structured protocol-Rapid Assessment of Feeding Intolerance (RAFI)-on FEF achievement in preterm infants. Methods: This single-center, retrospective-prospective superiority cohort study included infants <30 weeks' gestation. Two cohorts were defined: a historical control group (pre-RAFI) and a RAFI group (first implementation phase). The primary outcome was time to FEF (150 mL/kg/day of EN). One-sided statistical tests were used to assess the superiority of RAFI. Stratified analysis was performed for infants with intrauterine growth restriction (IUGR). Results: Sixty infants were included (30 per group). RAFI infants achieved FEF significantly earlier than controls [median 23.0 (IQR 18.0-30.0) vs. 30.0 (24.0-34.5) days; Conclusions: RAFI implementation was associated with earlier achievement of FEF, particularly in IUGR infants. These findings suggest that a structured and standardized approach to feeding intolerance assessment may facilitate nutritional advancement in very preterm neonates.

Indexed as

enteral nutritionfeeding intolerancefull enteral feedingintrauterine growth restrictionvery preterm infants

Identifiers

PMID41867927
PMCPMC12999569

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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.