{"title":"Evaluation of a weight-based enteral feeding program for the very low birth weight infant in the neonatal intensive care unit","authors":"","doi":"10.1016/j.jnn.2023.11.005","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>This project was a program evaluation of the first year of implementation of weight-based fast advancement enteral feeding programs for very low birthweight preterm infants, related to adherence to the guidelines, length of indwelling central line days, and infection and growth rates.</p></div><div><h3>Results</h3><p>The sample consists of infants born at less than 33 weeks and less than 1500 g, n = 221; defined as pre-(n = 107) and post-program (n = 114) implementation groups further stratified into adherent (n = 53) and non-adherent (n = 58) cohorts. In the post-program adherent cohort, central line days were decreased from 17 to 10 days (p < 0.001) with no documented infection events in the first 14 days of life (p < 0.001) compared to the post-program non-adherent cohort.</p></div><div><h3>Conclusion</h3><p>This feeding program is an evidence-based conservative approach to fast advancement. There is evidence to support more aggressive feeding advancement in all weight categories that could further decrease both indwelling central line days and infection events.</p></div>","PeriodicalId":35482,"journal":{"name":"Journal of Neonatal Nursing","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Neonatal Nursing","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1355184123001989","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Nursing","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose
This project was a program evaluation of the first year of implementation of weight-based fast advancement enteral feeding programs for very low birthweight preterm infants, related to adherence to the guidelines, length of indwelling central line days, and infection and growth rates.
Results
The sample consists of infants born at less than 33 weeks and less than 1500 g, n = 221; defined as pre-(n = 107) and post-program (n = 114) implementation groups further stratified into adherent (n = 53) and non-adherent (n = 58) cohorts. In the post-program adherent cohort, central line days were decreased from 17 to 10 days (p < 0.001) with no documented infection events in the first 14 days of life (p < 0.001) compared to the post-program non-adherent cohort.
Conclusion
This feeding program is an evidence-based conservative approach to fast advancement. There is evidence to support more aggressive feeding advancement in all weight categories that could further decrease both indwelling central line days and infection events.
期刊介绍:
Aims & Scope: This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field.