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Summary of Systematic Review

Feeding Protocols to Improve the Transition from Gavage Feeding to Oral Feeding in Healthy Premature Infants: A Systematic Review
Medhurst, A. (2005).
Evidence in Health Care Reports, 3(1), 1-25.

This review meets the criteria for a high-quality evidence-based systematic review.

Indicators of Review Quality:

The review states a clearly focused question or aim Yes
Criteria for inclusion of studies are provided Yes
Search strategy is described in sufficient detail for replication Yes
Included studies are assessed for study quality Yes
Quality assessments are reproducible Yes
Characteristics of the included studies are provided Yes

Description:
This is a systematic review of randomized or quasi-randomized controlled trials investigating the use of feeding protocols compared to traditional feeding methods in the transition from gavage to oral feeding in healthy premature infants.

Question(s)/Aim(s) Addressed:

  1. Do feeding protocols compared to the traditional feeding method reduce the transition time from gavage feeding to oral feeding in healthy premature infants?

  2. Do feeding protocols compared to the traditional feeding method for the transition from gavage feeding to oral feeding in healthy premature infants improve the rate of growth?

  3. Do feeding protocols compared to the traditional feeding method for the transition from gavage feeding to oral feeding in healthy premature infants reduce the length of hospitalisation?

Population:
Healthy premature infants.

Intervention/Assessment:
Feeding protocols

Number of Studies Included:
2

Years Included:
1993-2005

Conclusions:

Pediatric Dysphagia

  • Treatment

    • Feeding Protocols

      • "The results of this review suggest feeding protocols may improve the transition from gavage feeding to oral feeding in the healthy premature infant when compared to traditional feeding methods. When utilising feeding protocols the number of days to transit from gavage feeding to oral feeding may be reduced, growth may be maintained and the length of hospitalisation may be reduced. These results must be interpreted with caution due to the possibility of systematic errors in the design, conduct, analysis and reporting of the two RCTs included in the review" (p. 11).


    • Tube Feeding

      • "The results of this review suggest feeding protocols may improve the transition from gavage feeding to oral feeding in the healthy premature infant when compared to traditional feeding methods. When utilising feeding protocols the number of days to transit from gavage feeding to oral feeding may be reduced, growth may be maintained and the length of hospitalisation may be reduced. These results must be interpreted with caution due to the possibility of systematic errors in the design, conduct, analysis and reporting of the two RCTs included in the review" (p. 11).

Sponsoring Body:
Joanna Briggs Institute (Australia)

Keywords:
Tube Feeding, Swallowing Treatment, Swallowing Disorders, Feeding Disorders

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