Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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The Usefulness of the Evaluation of Gastric Residuals in Premature Infants

미숙아의 장관영양 시 위 잔류 확인의 유용성 평가

  • Lee, Kyung Min (Samsung Medical Center) ;
  • Choi, Su Jung (Department of Nursing, Samsung Medical Center, Graduate School of Clinical Nursing Science, Sungkyunkwan University School of Medicine)
  • 이경민 (삼성서울병원) ;
  • 최수정 (삼성서울병원.성균관대학교 임상간호대학원 임상부)
  • Received : 2019.08.22
  • Accepted : 2019.10.14
  • Published : 2019.10.31
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Abstract

Purpose : The routine evaluation of gastric residuals (RGR) is considered standard care for premature infants. This study evaluated the usefulness of RGR in premature infants. Methods : The study retrospectively investigated 208 premature infants (gestational aged under 34 weeks) who underwent gavage feeding in a neonatal intensive care unit at a tertiary hospital. The patients were divided into two groups: RGR (n=104) and no-RGR (n=104). Those in the no-RGR group had their gastric residuals checked only if signs of feeding intolerance were present. Clinical outcomes, including the time to reach full enteral feeding (FEF) and the incidences of gastrointestinal disorders such as feeding intolerance (FI) and necrotizing enterocolitis (NEC), were compared. Data were analyzed with SPSS ver. 21, using a Mann-Whitney U test, chi-squared test, and Fisher's exact test. Results : There was no statistically significant difference for the time to FEF (z=-0.61, p=.541), incidence of FI ($X^2=0.38$, p=.540), and NEC ($X^2=1.42$, p=.234) between the two groups. Conclusion : No-RGR did not increase the risk for FI or NEC. These results suggest that RGR evaluation may not improve nutritional outcomes in premature infants. Recommendations for further research and practice guidelines will be provided.

Keywords

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