Gastric Residual Volumes Versus Abdominal Girth Measurement in Assessment of Feed Tolerance in Preterm Neonates: A Randomized Controlled Trial

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
Shemi ThomasSuman Rao

Abstract

Preterm neonates often have feed intolerance that needs to be differentiated from necrotizing enterocolitis. Gastric residual volumes (GRV) are used to assess feed tolerance but with little scientific basis. To compare prefeed aspiration for GRV and prefeed measurement of abdominal girth (AG) in the time taken to reach full feeds in preterm infants. This was a randomized controlled trial. Infants with a gestational age of 27 to 37 weeks and birth weight of 750 to 2000 g, who required gavage feeds for at least 48 hours, were included. Infants were randomized into 2 groups: infants in the AG group had only prefeed AG measured. Those in the GRV group had prefeed gastric aspiration obtained for the assessment of GRV. The primary outcome was time to reach full enteral feeds at 150 mL/kg/d, tolerated for at least 24 hours. Secondary outcomes were duration of hospital stay, need for parenteral nutrition, episodes of feed intolerance, number of feeds withheld, and sepsis. Infants in the AG group reached full feeds earlier than infants in the GRV group (6 vs 9.5 days; P = .04). No significant differences were found between the 2 groups with regard to secondary outcomes. Our research suggests that measurement of AG without assessment of ...Continue Reading

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References

Aug 24, 1999·Clinical Pediatrics·B H MorrisS E Denson
Mar 5, 2002·Pediatrics·Sudarshan R Jadcherla, Robert M Kliegman
Apr 20, 2005·JPEN. Journal of Parenteral and Enteral Nutrition·Norma A MethenyRay E Clouse
Mar 30, 2007·Journal of Perinatology : Official Journal of the California Perinatal Association·D K LambertJ Burnett
Mar 31, 2009·Journal of Pediatric Gastroenterology and Nutrition·Enrico BertinoClaudio Fabris
Sep 3, 2009·Archives of Disease in Childhood. Fetal and Neonatal Edition·Caroline King
Jul 7, 2011·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Tiffany A Moore, Margaret E Wilson
Sep 7, 2011·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Renato LucchiniMario De Curtis
Jan 14, 2012·Journal of Pediatric Gastroenterology and Nutrition·Francesco RaimondiLetizia Capasso
Feb 19, 2013·Clinics in Perinatology·Manimaran Ramani, Namasivayam Ambalavanan
Mar 30, 2013·International Journal of Nursing Studies·Shiau-Shr ChenJia-Yuh Chen
Aug 22, 2013·Early Human Development·Silvia Fanaro
Aug 29, 2014·Journal of Perinatology : Official Journal of the California Perinatal Association·R M TorrazzaJ Neu
Sep 23, 2014·Journal of Pediatric Gastroenterology and Nutrition·Avneet KaurPankaj Garg
Jan 13, 2015·Nutrients·Sourabh DuttaChristoph Fusch
Jan 31, 2015·The Journal of Perinatal & Neonatal Nursing·Leslie ParkerJosef Neu
Nov 28, 2015·BMC Research Notes·Ilze MeldereZane Abola
Sep 29, 2017·PloS One·Sara SammallahtiKatri Raikkonen

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Citations

Dec 4, 2019·Pediatrics International : Official Journal of the Japan Pediatric Society·Kosuke OikawaKatsumi Mizuno
Jul 30, 2020·Journal of Paediatrics and Child Health·Lydia KennedyAmy Kate Keir
May 22, 2021·European Journal of Pediatrics·Jogender KumarArvind Shenoi
Jul 1, 2021·JPEN. Journal of Parenteral and Enteral Nutrition·Ping LuoPing-Ping Jiang
Aug 31, 2021·JAMA Pediatrics·Akash SharmaM Jeeva Sankar
Jan 12, 2021·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Sheeja Perumbil PathroseJann Foster

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