Cochrane · systematic review · CD001819

Continuous nasogastric milk feeding versus intermittent bolus milk feeding for preterm infants less than 1500 grams

Sadrudin Premji, S, Chessell, L, Stewart, F · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

NeonatalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 28.6%Low 5 · 71.4%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Continuous compared to intermittent bolus (nasogastric and orogastric tube) milk feeding ‐ all preterm infants less than 1500 grams

Population: preterm infants less than 1500 grams
7 questions
OutcomeEffectEvidenceStatus / GRADE
Age at full enteral feedings (days)
Continuous vs intermittent bolus (nasogastric and orogastric tube) milk feeding ‐ all preterm infants less than 1500 grams
no estimate extracted7 studies · 628 participantsLow
Downgraded: risk of bias, imprecision
Feeding intolerance: number of days of feeding interruptions
Continuous vs intermittent bolus (nasogastric and orogastric tube) milk feeding ‐ all preterm infants less than 1500 grams
no estimate extracted1 study · 171 participantsVery low
Downgraded: risk of bias, imprecision
Days to regain birth weight
Continuous vs intermittent bolus (nasogastric and orogastric tube) milk feeding ‐ all preterm infants less than 1500 grams
no estimate extracted6 studies · 610 participantsLow
Downgraded: risk of bias, imprecision
End of intervention: rate of gain in weight
Continuous vs intermittent bolus (nasogastric and orogastric tube) milk feeding ‐ all preterm infants less than 1500 grams
no estimate extracted5 studies · 433 participantsVery low
Downgraded: risk of bias, imprecision
End of intervention: rate of gain in length (cm/week)
Continuous vs intermittent bolus (nasogastric and orogastric tube) milk feeding ‐ all preterm infants less than 1500 grams
no estimate extracted5 studies · 433 participantsLow
Downgraded: risk of bias, imprecision
End of intervention: rate of gain in head circumference (cm/week)
Continuous vs intermittent bolus (nasogastric and orogastric tube) milk feeding ‐ all preterm infants less than 1500 grams
no estimate extracted5 studies · 433 participantsLow
Downgraded: risk of bias, imprecision
Necrotising enterocolitis (NEC)
Continuous vs intermittent bolus (nasogastric and orogastric tube) milk feeding ‐ all preterm infants less than 1500 grams
RR 1.19 [0.67, 2.11]4 studies · 372 participantsLow
Downgraded: risk of bias, imprecision