Effect of timing of enteral feeding on outcome in gastroschisis

Aljahdali, Akram; Mohajerani, Noosheen; Skarsgard, Erik D.

doi:10.1016/j.jpedsurg.2013.02.014

Cited by 46 publications

(27 citation statements)

References 19 publications

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“…Interestingly in our cohort, time to initiation of EN was not independently associated with time to enteral autonomy when also considering prematurity, atresia, CLABSI, and type of closure. Other studies have suggested that protocolized feeding with earlier initiation of EN, at around day 7 of life or 1 week after abdominal closure, may be associated with shorter PN dependence and length of stay . Earlier initiation of EN is likely a marker for milder disease severity.…”

Section: Discussionmentioning

confidence: 98%

Nutrition Delivery and Growth Outcomes in Infants With Gastroschisis

Hong

Zurakowski

Fullerton

et al. 2018

J Parenter Enteral Nutr

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Section: Discussionmentioning

confidence: 98%

Nutrition Delivery and Growth Outcomes in Infants With Gastroschisis

Hong

Zurakowski

Fullerton

et al. 2018

J Parenter Enteral Nutr

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“…19,20 Aljahdali et al 19 observed a better evolution when diets were initiated seven days after the abdominal wall closure. Sharp et al 20 found that for every day of delay of the start of enteral nutrition, there was an increase in the length of stay of 1.05 days and an increase in the duration of enteral nutrition of 1.06 days.…”

Section: Discussionmentioning

confidence: 99%

Nutritional management and postoperative prognosis of newborns submitted to primary surgical repair of gastroschisis

Alves

Miranda

Aguiar

et al. 2016

Jornal de Pediatria

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“…Considerable variability in the surgical and medical management of infants with gastroschisis has been noted [2, 3], and a consensus is lacking for the optimal surgical repair method [2–7], ventilation and paralysis strategies [2], pain management [2], antibiotic and central line duration [3], and feeding regimens [8]. Not only do different centers use varying management strategies, but variability within single institutions is also prevalent.…”

Section: Introductionmentioning

confidence: 99%

Multi-institutional practice patterns and outcomes in uncomplicated gastroschisis: A report from the University of California Fetal Consortium (UCfC)

Lusk

Brown

Overcash

et al. 2014

Journal of Pediatric Surgery

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Background/Purpose Gastroschisis is a resource-intensive birth defect without consensus regarding optimal surgical and medical management. We sought to determine best–practice guidelines by examining differences in multi-institutional practices and outcomes. Methods Site-specific practice patterns were queried, and infant-maternal chart review was retrospectively performed for gastroschisis infants treated at 5 UCfC institutions (2007–2012). The primary outcome was length of stay. Univariate analysis was done to assess variation practices and outcomes by site. Multivariate models were constructed with site as an instrumental variable and with sites grouped by silo practice pattern adjusting for confounding factors. Results Of 191 gastroschisis infants, 164 infants were uncomplicated. Among uncomplicated patients, there were no deaths and only one case of necrotizing enterocolitis. Bivariate analysis revealed significant differences in practices and outcomes by site. Despite wide variations in practice patterns, there were no major differences in outcome among sites or by silo practice, after adjusting for confounding factors. Conclusions Wide variability exists in institutional practice patterns for infants with gastroschisis, but poor outcomes were not associated with expeditious silo or primary closure, avoidance of routine paralysis, or limited central line and antibiotic durations. Development of clinical pathways incorporating these practices may help standardize care and reduce health care costs.

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Effect of timing of enteral feeding on outcome in gastroschisis

Cited by 46 publications

References 19 publications

Nutrition Delivery and Growth Outcomes in Infants With Gastroschisis

Nutrition Delivery and Growth Outcomes in Infants With Gastroschisis

Nutritional management and postoperative prognosis of newborns submitted to primary surgical repair of gastroschisis

Multi-institutional practice patterns and outcomes in uncomplicated gastroschisis: A report from the University of California Fetal Consortium (UCfC)

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