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Checking of gastric residuals prior to the continuation/increase of enteral feeding prolongs the time to establish full gastric feeding in the early postnatal period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No routine check for gastric residuals | Experimental |
| |
| Routine check for gastric residuals | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No check of gastric residuals for early enteral feeding advancement | Procedure | Discontinuation of gastric feeding and its advancement will be based on clinical examination of the abdomen and gastric aspirates containing blood or significant vomiting. |
| Measure | Description | Time Frame |
|---|---|---|
| Time to reach full enteral feeding | Full enteral feeding is defned as an milk intake of equal or more than 120 ml/kg/d. | from inclusion (during first 48h of life) until 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| growth, tolerance, morbidity | Time to regain birth weight and maintain weight gain. Incidence of sepsis from birth until 48 hours after parenteral nutrition was administered. Use of antibiotics. Incidence of feeding intolerance and necrotizing enterocolitis. | from inclusion (during first 48h of life) until one month |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sumesh Thomas, MD | McMaster University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| McMaster Children's Hospital | Hamilton | Ontario | L8N 3Z5 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29866595 | Derived | Singh B, Rochow N, Chessell L, Wilson J, Cunningham K, Fusch C, Dutta S, Thomas S. Gastric Residual Volume in Feeding Advancement in Preterm Infants (GRIP Study): A Randomized Trial. J Pediatr. 2018 Sep;200:79-83.e1. doi: 10.1016/j.jpeds.2018.04.072. Epub 2018 Jun 1. |
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| Routine check of gastric residuals for early enteral feeding advancement | Procedure | Discontinuation of gastric feeding and its advancement will be based on current practice of clinical examination of the abdomen and checking residual before every feed. Volume and color of gastric residual will be considered according to the current guideline. |
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