Show simple item record

dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.contributor.authorMontealegre, Adriana
dc.contributor.authorBertolotto, Ana María
dc.contributor.authorMuñoz-Ramírez, Kelly José
dc.date.accessioned2021-02-20T03:51:33Z
dc.date.available2021-02-20T03:51:33Z
dc.date.created2020-05-22
dc.identifierhttps://aspenjournals.onlinelibrary.wiley.com/doi/abs/10.1002/jpen.1925spa
dc.identifier.issn1941-2444 / 0148-6071 (Electrónico)spa
dc.identifier.urihttp://hdl.handle.net/10554/53037
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.language.isoengspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.titleEffectiveness and safety of fast enteral advancement in preterm infants between 1000 and 2000 g of birth weightspa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.description.quartilescopusQ1spa
dc.identifier.doihttps://doi.org/10.1002/jpen.1925spa
dc.subject.keywordEnteral nutritionspa
dc.subject.keywordFeeding advancementspa
dc.subject.keywordInfantspa
dc.subject.keywordPrematurespa
dc.description.abstractenglishBackground 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.spa
dc.type.localArtículosspa
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Pediatría. Grupo de Investigación de la Mujer y de la Infancia (GIMI)
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.type.coarhttp://purl.org/coar/resource_type/c_beb9spa
dc.description.orcidhttps://orcid.org/0000-0001-5464-2701spa
dc.description.orcidhttps://orcid.org/0000-0001-9795-6866spa
dc.relation.citationstartpage1spa
dc.relation.citationendpage9spa
dc.relation.ispartofjournalJournal of Parenteral and Enteral Nutritionspa
dc.description.indexingN/Aspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record

Atribución-NoComercial 4.0 Internacional
Except where otherwise noted, this item's license is described as Atribución-NoComercial 4.0 Internacional