Abstract：
Recent evidence demonstrates that earlier feeding may be beneficial after non-surgical necrotizing enterocolitis (NEC). We aimed to decrease time to reach full enteral feeds by 20% post-NEC by standardizing time to reinitiate feeds.
We implemented a consensus-based guideline for earlier feeding post-NEC. Outcome measures included days to initiate enteral feeds and reach full enteral feeds. Central venous line days and length of stay were also evaluated. Balancing measures were NEC recurrence and post-NEC stricture. Statistical analysis used process control methodology and standard comparison statistical testing.
Average days infants with Stage II NEC began feeding decreased from 9.4 to 5.1 days and average days to reach full feeds was decreased by 35% from 24.0 to 15.7 days. We observed no change in our balancing measures.
A multidisciplinary consensus-based NEC earlier feeding guideline decreased time to reach full enteral feeds and reduced central line days without adverse events.
We implemented a consensus-based guideline for earlier feeding post-NEC. Outcome measures included days to initiate enteral feeds and reach full enteral feeds. Central venous line days and length of stay were also evaluated. Balancing measures were NEC recurrence and post-NEC stricture. Statistical analysis used process control methodology and standard comparison statistical testing.
Average days infants with Stage II NEC began feeding decreased from 9.4 to 5.1 days and average days to reach full feeds was decreased by 35% from 24.0 to 15.7 days. We observed no change in our balancing measures.
A multidisciplinary consensus-based NEC earlier feeding guideline decreased time to reach full enteral feeds and reduced central line days without adverse events.
摘要：
最近的证据表明，在非手术性坏死性小肠结肠炎（NEC）后，早期喂养可能是有益的。我们的目标是通过标准化重新开始喂养的时间，将NEC后达到完全肠内喂养的时间减少20％。
我们为NEC后的早期喂养实施了基于共识的指南。结果指标包括开始肠内喂养和达到完全肠内喂养的天数。还评估了中心静脉线天数和住院时间。平衡措施是NEC复发和NEC后狭窄。统计分析使用过程控制方法和标准比较统计测试。
II期NEC婴儿开始喂养的平均天数从9.4天减少到5.1天，达到完全喂养的平均天数从24.0天减少到15.7天，减少了35%。我们观察到我们的平衡措施没有变化。
基于多学科共识的NEC早期喂养指南减少了达到完全肠内喂养的时间，并减少了无不良事件的中心线天数。
我们为NEC后的早期喂养实施了基于共识的指南。结果指标包括开始肠内喂养和达到完全肠内喂养的天数。还评估了中心静脉线天数和住院时间。平衡措施是NEC复发和NEC后狭窄。统计分析使用过程控制方法和标准比较统计测试。
II期NEC婴儿开始喂养的平均天数从9.4天减少到5.1天，达到完全喂养的平均天数从24.0天减少到15.7天，减少了35%。我们观察到我们的平衡措施没有变化。
基于多学科共识的NEC早期喂养指南减少了达到完全肠内喂养的时间，并减少了无不良事件的中心线天数。
