The role of feeding advancement strategy on length of stay and hospital costs in newborns with gastroschisis
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In brief
In brief
Retrospective study of 74 gastroschisis patients comparing two feeding advancement protocols found that faster advancement (20 ml/kg/day vs 10 ml/kg/day) reduced time to goal feeds from 20 to 14 days. The study examines impact on length of stay and hospital costs in uncomplicated cases.
Written by the GCMD Library team from the article.
Background
: Infants with gastroschisis require prolonged hospitalization for surgical repair and gradual advancement of feeds. The present study explores the effect of a change in a protocolized enteral feeding regimen with length of hospital stay (LOS) and total costs in newborns with gastroschisis.
Methods
: A retrospective review was performed in neonates with uncomplicated gastroschisis at a free-standing pediatric institution from 2012 to 2020. The effect of two different enteral feed advancement protocols on clinical outcomes and hospital costs was analyzed.
Results
: Seventy-four patients were identified, of which 50 (68%) underwent 10 ml/kg/day feeding advancements, and 24 (32%) underwent 20 ml/kg/day feeding advancements. Compared to neonates who underwent 10 ml/kg/day enteral advancements, neonates receiving 20 ml/kg/day advancements reached goal feeds faster (14 vs 20 days, p