Standardization of Feeding Advancement after Neonatal Gastrointestinal Surgery: Does It Improve Outcomes?

Kate B. Savoie, Marielena Bachier-Rodriguez, Tamekia L. Jones, Kristen Jeffreys, Dita Papraniku, Wednesday Marie A. Sevilla, Emma Tillman, Eunice Y. Huang

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Background: Postabdominal intestinal surgery (PAIS) infants pose many complex management issues. Utilization of feeding guidelines has been shown to improve outcomes in preterm and low-birth-weight infants. We propose that standardization of feeding for PAIS infants is safe. Methods: We identified 163 PAIS infants: 93 prior to and 70 after implementation of a feeding guideline. The primary outcome was time to full enteral nutrition (EN). A propensity score-matched analysis was performed. Results: The preimplementation and postimplementation PAIS infants were similar at baseline. No significant differences were seen in matched groups for time to full EN, parenteral nutrition days, or time to discharge, but cholestasis was less severe in the postimplementation group and breast milk use increased. Good compliance (67%) to daily guideline use was achieved during the initial 2 years. Conclusions: Utilization of a feeding guideline is safe and standardizes care within an institution, improving compliance to evidence-based practices and outcomes.

Original languageEnglish (US)
Pages (from-to)810-818
Number of pages9
JournalNutrition in Clinical Practice
Volume31
Issue number6
DOIs
StatePublished - Dec 1 2016
Externally publishedYes

Keywords

  • enteral nutrition
  • feeding guideline
  • gastroschisis
  • intestinal atresia
  • intestinal surgery
  • intestinal volvulus
  • necrotizing enterocolitis
  • newborn infant
  • nutritional support
  • parenteral nutrition
  • practice guideline

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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  • Cite this

    Savoie, K. B., Bachier-Rodriguez, M., Jones, T. L., Jeffreys, K., Papraniku, D., Sevilla, W. M. A., Tillman, E., & Huang, E. Y. (2016). Standardization of Feeding Advancement after Neonatal Gastrointestinal Surgery: Does It Improve Outcomes? Nutrition in Clinical Practice, 31(6), 810-818. https://doi.org/10.1177/0884533616658766