Effectiveness and safety of fast enteral advancement in preterm infants between 1000 and 2000 g of birth weight

Q1

Autores:
Montealegre, Adriana
Bertolotto, Ana María
Muñoz-Ramírez, Kelly José
Tipo de recurso:
Article of data
Fecha de publicación:
2020
Institución:
Pontificia Universidad Javeriana
Repositorio:
Repositorio Universidad Javeriana
Idioma:
eng
OAI Identifier:
oai:repository.javeriana.edu.co:10554/53037
Acceso en línea:
https://aspenjournals.onlinelibrary.wiley.com/doi/abs/10.1002/jpen.1925
http://hdl.handle.net/10554/53037
https://doi.org/10.1002/jpen.1925
Palabra clave:
Enteral nutrition
Feeding advancement
Infant
Premature
Rights
License
Atribución-NoComercial 4.0 Internacional
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oai_identifier_str oai:repository.javeriana.edu.co:10554/53037
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network_name_str Repositorio Universidad Javeriana
repository_id_str
dc.title.spa.fl_str_mv Effectiveness and safety of fast enteral advancement in preterm infants between 1000 and 2000 g of birth weight
title Effectiveness and safety of fast enteral advancement in preterm infants between 1000 and 2000 g of birth weight
spellingShingle Effectiveness and safety of fast enteral advancement in preterm infants between 1000 and 2000 g of birth weight
Enteral nutrition
Feeding advancement
Infant
Premature
title_short Effectiveness and safety of fast enteral advancement in preterm infants between 1000 and 2000 g of birth weight
title_full Effectiveness and safety of fast enteral advancement in preterm infants between 1000 and 2000 g of birth weight
title_fullStr Effectiveness and safety of fast enteral advancement in preterm infants between 1000 and 2000 g of birth weight
title_full_unstemmed Effectiveness and safety of fast enteral advancement in preterm infants between 1000 and 2000 g of birth weight
title_sort Effectiveness and safety of fast enteral advancement in preterm infants between 1000 and 2000 g of birth weight
dc.creator.fl_str_mv Montealegre, Adriana
Bertolotto, Ana María
Muñoz-Ramírez, Kelly José
dc.contributor.author.none.fl_str_mv Montealegre, Adriana
Bertolotto, Ana María
Muñoz-Ramírez, Kelly José
dc.contributor.corporatename.none.fl_str_mv Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Pediatría. Grupo de Investigación de la Mujer y de la Infancia (GIMI)
dc.subject.keyword.spa.fl_str_mv Enteral nutrition
Feeding advancement
Infant
Premature
topic Enteral nutrition
Feeding advancement
Infant
Premature
description Q1
publishDate 2020
dc.date.created.none.fl_str_mv 2020-05-22
dc.date.accessioned.none.fl_str_mv 2021-02-20T03:51:33Z
dc.date.available.none.fl_str_mv 2021-02-20T03:51:33Z
dc.type.local.spa.fl_str_mv Artículo de revista
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dc.identifier.spa.fl_str_mv https://aspenjournals.onlinelibrary.wiley.com/doi/abs/10.1002/jpen.1925
dc.identifier.issn.spa.fl_str_mv 1941-2444 / 0148-6071 (Electrónico)
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10554/53037
dc.identifier.doi.spa.fl_str_mv https://doi.org/10.1002/jpen.1925
dc.identifier.instname.spa.fl_str_mv instname:Pontificia Universidad Javeriana
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional - Pontificia Universidad Javeriana
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.javeriana.edu.co
url https://aspenjournals.onlinelibrary.wiley.com/doi/abs/10.1002/jpen.1925
http://hdl.handle.net/10554/53037
https://doi.org/10.1002/jpen.1925
identifier_str_mv 1941-2444 / 0148-6071 (Electrónico)
instname:Pontificia Universidad Javeriana
reponame:Repositorio Institucional - Pontificia Universidad Javeriana
repourl:https://repository.javeriana.edu.co
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationstartpage.spa.fl_str_mv 1
dc.relation.citationendpage.spa.fl_str_mv 9
dc.relation.ispartofjournal.spa.fl_str_mv Journal of Parenteral and Enteral Nutrition
dc.rights.licence.*.fl_str_mv Atribución-NoComercial 4.0 Internacional
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0/
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rights_invalid_str_mv Atribución-NoComercial 4.0 Internacional
http://creativecommons.org/licenses/by-nc/4.0/
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institution Pontificia Universidad Javeriana
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spelling Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2Montealegre, AdrianaBertolotto, Ana MaríaMuñoz-Ramírez, Kelly JoséPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Pediatría. Grupo de Investigación de la Mujer y de la Infancia (GIMI)2021-02-20T03:51:33Z2021-02-20T03:51:33Z2020-05-22https://aspenjournals.onlinelibrary.wiley.com/doi/abs/10.1002/jpen.19251941-2444 / 0148-6071 (Electrónico)http://hdl.handle.net/10554/53037https://doi.org/10.1002/jpen.1925instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengEffectiveness and safety of fast enteral advancement in preterm infants between 1000 and 2000 g of birth weightArtículo de revistahttp://purl.org/coar/resource_type/c_beb9Q1Background The advancement of enteral nutrition in premature infants is still controversial. Clinicians must provide adequate caloric intake but avoiding feeding intolerance and necrotizing enterocolitis (NEC). The aim of this study was to establish the safety and effectiveness of fast enteral advancement by comparing it with traditional advancement. Methods This is a controlled randomized clinical trial. Feeding was advanced at 30 mL/kg/d vs 20 mL/kg/d in premature infants under 34 weeks between 1000 and 1499g birth weight, and at 40 mL/kg/d vs 20 mL/kg/day in those weighing 1500–1999 g. Outcomes included time to reach total enteral nutrition, days of parenteral nutrition (PN) and/or intravenous fluid (IVF), days to recover birth weight, episodes of feeding intolerance, growth and weight gain at 40 weeks, sepsis, hypoglycemia, hyperbilirubinemia, NEC, and mortality. Student t‐test or Mann‐Whitney U test, Fisher test or χ2 test, and multiple linear regression were used. Results Differences were found in days to reach total enteral nutrition (slow: 7 [IQR(interquartile range), 6–9], fast: 4 [IQR, 4–6]; P < .001) and days of IVF or PN (slow: 6 [IQR, 4–8], fast: 3 [IQR, 3–5]; P < .001). Fast advancement decreases time to total enteral nutrition by 3 days and PN and/or IVF by up to 5 days. There were no differences in other outcomes. Conclusions Fast enteral advancement decreases the days to reach total enteral nutrition and the days of PN and/or IVF without causing greater feeding intolerance. Additional studies are required for more evidence.https://orcid.org/0000-0001-5464-2701https://orcid.org/0000-0001-9795-6866N/AEnteral nutritionFeeding advancementInfantPremature19Journal of Parenteral and Enteral NutritionORIGINALjpen1925_Rev2.pdfjpen1925_Rev2.pdfArtículoapplication/pdf539490http://repository.javeriana.edu.co/bitstream/10554/53037/1/jpen1925_Rev2.pdffae400adcae7a36a5d723c7b7e306dacMD51embargoed access|||9999-02-19LICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/53037/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessTHUMBNAILjpen1925_Rev2.pdf.jpgjpen1925_Rev2.pdf.jpgIM Thumbnailimage/jpeg4046http://repository.javeriana.edu.co/bitstream/10554/53037/3/jpen1925_Rev2.pdf.jpgac336cca81253c58faaee856d13f3575MD53open access10554/53037oai:repository.javeriana.edu.co:10554/530372021-02-26 10:15:08.262Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.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