Reducing time to initiation and advancement of enteral feeding in an all-referral neonatal intensive care unit.
J Perinatol
; 38(7): 936-943, 2018 07.
Article
em En
| MEDLINE
| ID: mdl-29740193
ABSTRACT
OBJECTIVE:
Decrease time to enteral feeding initiation and advancement. STUDYDESIGN:
In our all-referral neonatal intensive care unit, we developed an evidence-based guideline addressing feeding initiation and advancement. During 6 months before and 7 months after guideline implementation, we measured time to initiate feeding, time to 100 ml/kg/day of feeding, gastric residual measurement frequency, and incidence of necrotizing enterocolitis (balancing measure).RESULT:
Two hundred twenty-three infants were studied. Time from admission to feeding initiation was shorter after guideline implementation (mean 0.5 days [95% CI 0.4-0.7] vs. 1.1 days [95% CI 0.7-1.5], p = 0.01). Time from admission to 100 ml/kg/day feeding was also shorter (3.6 days [95% CI 2.8-4.4] vs. 6.2 days [95% CI 4.4-8.1], p = 0.01). After guideline implementation, routine gastric residual measurements were discontinued.CONCLUSION:
After implementation of an enteral feeding guideline, which included discontinuation of routine gastric residual assessment, we observed a faster initiation of enteral feeding and shorter time to reach 100 ml/kg/day.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Recém-Nascido Prematuro
/
Unidades de Terapia Intensiva Neonatal
/
Nutrição Enteral
/
Guias de Prática Clínica como Assunto
/
Tempo de Internação
Tipo de estudo:
Etiology_studies
/
Guideline
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
/
Newborn
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Perinatol
Assunto da revista:
PERINATOLOGIA
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Estados Unidos