June 2020. Volume 16. Number 2

Faster increments in milk volume do not increase the risk of necrotizing enterocolitis in very preterm infants

 
 
 
 
 
 
 
 
 
 
Rating: 0 (0 Votes)
Newsletter Free Subscription
Regularly recieve most recent articles by e-mail
Subscribe
Print
Add to library
Discuss this article

AVC | Critically appraised articles

Dorling J, Abbott J, Berrington J, Bosiak B, Bowler U, Boyle E, et al. Controlled trial of two incremental milk-feeding rates in preterm infants. N Engl J Med. 2019;381:1434-43.

Reviewers: Rivas Fernández MÁ1, Cuestas Montañés EJ2.
1Hospital Universitario General de Cataluña. Sant Cugat del Vallés. Barcelona. España.
2Servicio de Pediatría y Neonatología. Hospital Privado Universitario de Córdoba. Córdoba. Argentina.
Correspondence: Eduardo José Cuestas Montañés. Email: ecuestas@hospitalprivadosa.com.ar
Reception date: 18/03/2020
Acceptance date: 30/03/2020
Publication date: 08/04/2020

Abstract

Authors’ conclusions: there was no significant difference in survival without moderate or severe neurodevelopmental disability at 24 months in very preterm or very-low-birth-weight infants with a strategy of advancing milk-feeding volumes in daily increments of 30 ml per kilogram as compared with 18 ml per kilogram.

Reviewers’ commentary: according to the analyzed study results, faster increments in milk volume (30 ml per kg / day) would not increase the risk of necrotizing enterocolitis, although the study reported a higher risk of moderate to severe motor disability. This finding could not be adequately explained and should be clarified in future research.

How to cite this article

Rivas Fernández MA, Cuestas Montañés E. En recién nacidos pretérmino, es seguro incrementar de forma rápida el volumen de leche. Evid Pediatr. 2020;16:20.

AVC | Critically appraised articles

Dorling J, Abbott J, Berrington J, Bosiak B, Bowler U, Boyle E, et al. Controlled trial of two incremental milk-feeding rates in preterm infants. N Engl J Med. 2019;381:1434-43.

Reviewers: Rivas Fernández MÁ1, Cuestas Montañés EJ2.
1Hospital Universitario General de Cataluña. Sant Cugat del Vallés. Barcelona. España.
2Servicio de Pediatría y Neonatología. Hospital Privado Universitario de Córdoba. Córdoba. Argentina.
Correspondence: Eduardo José Cuestas Montañés. Email: ecuestas@hospitalprivadosa.com.ar
Reception date: 18/03/2020
Acceptance date: 30/03/2020
Publication date: 08/04/2020

How to cite this article

Rivas Fernández MA, Cuestas Montañés E. En recién nacidos pretérmino, es seguro incrementar de forma rápida el volumen de leche. Evid Pediatr. 2020;16:20.

08/04/2020

Linked Comment