推迟极低出生体重儿的肠内喂养预防坏死性小肠结肠炎
Información
- DOI:
- https://doi.org/10.1002/14651858.CD001970.pub5Copiar DOI
- Base de datos:
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- Cochrane Database of Systematic Reviews
- Versión publicada:
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- 01 diciembre 2014see what's new
- Tipo:
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- Intervention
- Etapa:
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- Review
- Grupo Editorial Cochrane:
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Grupo Cochrane de Neonatología
- Copyright:
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- Copyright © 2014 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Cifras del artículo
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Autores
Contributions of authors
Lauren Young and William McGuire updated the search, independently determined the eligibility of identified studies, assessed the methodological quality of the included trials, and extracted the relevant information and data.
All authors completed the final review.
Sources of support
Internal sources
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Centre for Reviews and Dissemination, Hull York Medical School, UK.
External sources
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National Institute for Health Research, UK.
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Eunice Kennedy Shriver National Institute of Child Health and Human Development National Institutes of Health, Department of Health and Human Services, USA.
Editorial support of the Cochrane Neonatal Review Group was funded with Federal funds from the Eunice Kennedy Shriver National Institute of Child Health and Human Development National Institutes of Health, Department of Health and Human Services, USA, under Contract No. HHSN267200603418C
Declarations of interest
None known.
Acknowledgements
This report is independent research funded by a UK National Institute of Health Research Grant (NIHR) Cochrane Programme Grant (13/89/12). The views expressed in this publication are those of the authors and not necessarily those of the National Health Service (NHS), the NIHR or the UK Department of Health.
Version history
| Published | Title | Stage | Authors | Version |
| 2022 Jan 20 | Delayed introduction of progressive enteral feeds to prevent necrotising enterocolitis in very low birth weight infants | Review | Lauren Young, Sam J Oddie, William McGuire | |
| 2014 Dec 01 | Delayed introduction of progressive enteral feeds to prevent necrotising enterocolitis in very low birth weight infants | Review | Jessie Morgan, Lauren Young, William McGuire | |
| 2013 May 31 | Delayed introduction of progressive enteral feeds to prevent necrotising enterocolitis in very low birth weight infants | Review | Jessie Morgan, Lauren Young, William McGuire | |
| 2011 Mar 16 | Delayed introduction of progressive enteral feeds to prevent necrotising enterocolitis in very low birth weight infants | Review | Jessie Morgan, Lauren Young, William McGuire | |
| 2008 Apr 23 | Delayed introduction of progressive enteral feeds to prevent necrotising enterocolitis in very low birth weight infants | Review | Sarah Bombell, William McGuire | |
| 2000 Jan 24 | Early versus delayed initiation of progressive enteral feedings for parenterally fed low birth weight or preterm infants | Review | Kathleen A Kennedy, Jon E Tyson | |
Keywords
MeSH
Medical Subject Headings (MeSH) Keywords
- *Infant, Low Birth Weight;
- *Infant, Premature;
- Cause of Death;
- Enteral Nutrition [*methods];
- Enterocolitis, Necrotizing [*prevention & control];
- Infant, Extremely Low Birth Weight;
- Infant, Extremely Premature;
- Infant, Very Low Birth Weight;
- Parenteral Nutrition;
- Randomized Controlled Trials as Topic;
- Time Factors;
Medical Subject Headings Check Words
Humans; Infant, Newborn;
PICO
'Risk of bias' graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
Forest plot of comparison: 1 Delayed versus early introduction of progressive enteral feeding, outcome: 1.1 Necrotising enterocolitis.
Forest plot of comparison: 1 Delayed versus early introduction of progressive enteral feeding, outcome: 1.2 Mortality prior to discharge.
Forest plot of comparison: 1 Delayed versus early introduction of progressive enteral feeding, outcome: 1.3 Feed intolerance.
Forest plot of comparison: 1 Delayed versus early introduction of progressive enteral feeding, outcome: 1.5 Duration of hospital admission (days).
Comparison 1 Delayed versus early introduction of progressive enteral feeding, Outcome 1 Necrotising enterocolitis.
Comparison 1 Delayed versus early introduction of progressive enteral feeding, Outcome 2 Mortality prior to discharge.
Comparison 1 Delayed versus early introduction of progressive enteral feeding, Outcome 3 Feed intolerance.
Comparison 1 Delayed versus early introduction of progressive enteral feeding, Outcome 4 Incidence of invasive infection.
Comparison 1 Delayed versus early introduction of progressive enteral feeding, Outcome 5 Duration of hospital admission (days).
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Necrotising enterocolitis Show forest plot | 8 | Risk Ratio (M‐H, Fixed, 95% CI) | Subtotals only | |
| 1.1 All trials | 8 | 1092 | Risk Ratio (M‐H, Fixed, 95% CI) | 0.93 [0.64, 1.34] |
| 1.2 Trials of infants with intrauterine growth restriction or abnormal antenatal Doppler flow velocities | 4 | 673 | Risk Ratio (M‐H, Fixed, 95% CI) | 0.87 [0.54, 1.41] |
| 2 Mortality prior to discharge Show forest plot | 7 | Risk Ratio (M‐H, Fixed, 95% CI) | Subtotals only | |
| 2.1 All trials | 7 | 967 | Risk Ratio (M‐H, Fixed, 95% CI) | 1.18 [0.75, 1.88] |
| 2.2 Trials of infants with intrauterine growth restriction or abnormal antenatal Doppler flow velocities | 3 | 548 | Risk Ratio (M‐H, Fixed, 95% CI) | 1.06 [0.55, 2.05] |
| 3 Feed intolerance Show forest plot | 3 | 288 | Risk Ratio (M‐H, Fixed, 95% CI) | 0.84 [0.62, 1.15] |
| 4 Incidence of invasive infection Show forest plot | 2 | 457 | Risk Ratio (M‐H, Fixed, 95% CI) | 1.27 [0.95, 1.70] |
| 5 Duration of hospital admission (days) Show forest plot | 3 | 346 | Mean Difference (IV, Fixed, 95% CI) | 2.11 [0.31, 3.90] |
