Efficacy of body position on gastric residual in preterm infant: a systematic review and meta-analysis.

Body position Gastric emptying Gastric residual Neonate Preterm babies

Journal

Clinical and experimental pediatrics
ISSN: 2713-4148
Titre abrégé: Clin Exp Pediatr
Pays: Korea (South)
ID NLM: 101761234

Informations de publication

Date de publication:
Jun 2023
Historique:
received: 06 10 2021
accepted: 08 11 2022
medline: 6 12 2022
pubmed: 6 12 2022
entrez: 5 12 2022
Statut: ppublish

Résumé

Preterm babies are born before completion of 37 weeks of gestational. Compared to term neonates, preterm babies are difficult to adjust to extra uterine life and 15 million babies (11%) born before 37 weeks of gestation. This systematic review and meta-analysis aimed to evaluate evidence concerning the efficacy of body position on gastric residual volume among preterm infants. We conducted a systematic search of studies trials published in PubMed, MEDLINE, CINHAL, Clinical Key, Cochrane Library, and Google scholar. Two authors independently appraised the selected randomized control trials for evaluating the effectiveness of body position on gastric emptying. This systematic review and meta-analysis was conducted based on the Cochrane risk bias assessment tool using Revman 5.3 software. On assessment this systematic review and meta-analysis comprised 289 preterm infants from the included 7 trials, with the sample size ranging from 20-63. The gestational age ranged from 28-37 weeks, with an average gestational age of 31.7 weeks. The age of the participants postnatal ranged from 6.6 days to 33.4 days, with an average age of 18±6 days. The weight of the participants during data collection ranged from 1,272-2,683 g, with an average of 1,795 g. This systematic review and meta-analysis revealed that right lateral and prone position lesser gastric residual volume in comparison to preterm infants placed in supine and left lateral position.

Sections du résumé

BACKGROUND BACKGROUND
Preterm babies are born before completion of 37 weeks of gestational. Compared to term neonates, preterm babies are difficult to adjust to extra uterine life and 15 million babies (11%) born before 37 weeks of gestation.
PURPOSE OBJECTIVE
This systematic review and meta-analysis aimed to evaluate evidence concerning the efficacy of body position on gastric residual volume among preterm infants.
METHODS METHODS
We conducted a systematic search of studies trials published in PubMed, MEDLINE, CINHAL, Clinical Key, Cochrane Library, and Google scholar. Two authors independently appraised the selected randomized control trials for evaluating the effectiveness of body position on gastric emptying. This systematic review and meta-analysis was conducted based on the Cochrane risk bias assessment tool using Revman 5.3 software.
RESULTS RESULTS
On assessment this systematic review and meta-analysis comprised 289 preterm infants from the included 7 trials, with the sample size ranging from 20-63. The gestational age ranged from 28-37 weeks, with an average gestational age of 31.7 weeks. The age of the participants postnatal ranged from 6.6 days to 33.4 days, with an average age of 18±6 days. The weight of the participants during data collection ranged from 1,272-2,683 g, with an average of 1,795 g.
CONCLUSION CONCLUSIONS
This systematic review and meta-analysis revealed that right lateral and prone position lesser gastric residual volume in comparison to preterm infants placed in supine and left lateral position.

Identifiants

pubmed: 36470278
pii: cep.2021.01508
doi: 10.3345/cep.2021.01508
pmc: PMC10248320
doi:

Types de publication

Journal Article

Langues

eng

Pagination

262-270

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Auteurs

Kurvatteppa Halemani (K)

College of Nursing, Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Lucknow, Uttar Pradesh, India.

Alwin Issac (A)

College of Nursing, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha, India.

Sanjay Dhiraaj (S)

Department of Anaesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Prabhaker Mishra (P)

Department of Biostatistics & Health Informatics Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS), Lucknow, Uttar Pradesh, India.

Classifications MeSH