The Effect of Standardized Feeding Protocol on Early Outcome Following Gastroschisis Repair: A Systematic Review and Meta-analysis
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In brief
In brief
Systematic review and meta-analysis examining whether standardized feeding protocols improve outcomes after gastroschisis repair in neonates. Study analyzes time to full enteral feeding, duration of parenteral nutrition, length of stay, and complication rates across multiple studies published 2000-2019.
Written by the GCMD Library team from the article.
Background
: Improved post-operative outcomes following gastroschisis repair are attributed to advancement in perioperative and post-operative care and early enteral feeding. This study evaluates the role of standardized postoperative feeding protocols in gastroschisis.
Study design
: A systematic review and meta-analysis of studies published from January 2000 to April 2019 in MEDLINE, EMBASE, Cochrane Library databases and Google Scholar was conducted. Primary outcomes were duration to full enteral feeding and cessation of parenteral nutrition. Secondary outcomes included days to first enteral feeding, length of stay, compliance, complication and mortality rates. Meta-analysis was done using the RevMan Analysis Statistical Package in Review Manager (Version 5.3) using a random effects model and reported as pooled Risk Ratio and Mean Difference. P-value