Gastric feeding in critically ill children: a randomized controlled trial

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Title Gastric feeding in critically ill children: a randomized controlled trial
Author Horn, Desley; Chaboyer, Wendy
Journal Name American Journal of Critical Care
Editor Kathleen Dracup
Year Published 2003
Place of publication USA
Publisher American Association of Critical-Care Nurses
Abstract Background Provision of enteral nutrition via the gastric route is a common nursing procedure in pediatric intensive care units. Little research, however, has focused on children’s tolerance of different types of gastric feeding regimens. Objectives To examine the relationship between 2 gastric feeding regimens, continuous and intermittent, and children’s tolerance as measured by the number of stools and prevalences of diarrhea and vomiting. Methods A randomized controlled trial was conducted in an Australian pediatric intensive care unit; 45 children were randomly assigned to either the continuous or the intermittent gastric feeding groups. Participants remained in the assigned feeding group for the duration of the study, and values of variables used to monitor patients’ tolerance were recorded. Results Both feeding groups were similar with respect to Pediatric Index Mortality score, age, weight, sex, diagnosis, and use of pharmacological agents known to affect the gastrointestinal tract. Additionally, the 2 groups did not differ in study duration or the daily volume of administered enteral formula per kilogram of body weight. The number of stools per day and the prevalences of diarrhea and vomiting did not differ significantly between the 2 groups. Discussion Continuous and intermittent gastric feeding regimens have similar outcomes with respect to the number of stools per day and the prevalence of diarrhea and vomiting in pediatric intensive care patients. Further gastric feeding studies and the development of enteral feeding guidelines for critically ill children are needed.
Peer Reviewed Yes
Published Yes
Publisher URI http://ajcc.aacnjournals.org/content/12/5/461.abstract
Copyright Statement Self-archiving of the author-manuscript version is not yet supported by this journal. Please refer to the journal link for access to the definitive, published version or contact the author[s] for more information.
Volume 12
Issue Number 5
Page from 461
Page to 468
ISSN 1062-3264
Date Accessioned 2004-03-30
Date Available 2015-02-04T04:25:23Z
Language en_US
Research Centre Centre for Health Practice Innovation; Griffith Health Institute
Faculty Faculty of Nursing & Health
Subject PRE2009-Clinical Nursing: Secondary (Acute Care)
URI http://hdl.handle.net/10072/6251
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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