Table 2.
Outcomes for earlier vs. later refeeding after necrotizing enterocolitis without Bell’s Stage I NEC infants.
| Bohnhorst et al. (2003) [14] | Brotschi et al. (2009) [15] | Arbra et al. (2018) [12] | All three studies combined | |||||
|---|---|---|---|---|---|---|---|---|
| Earlier (median 4 d) n = 26 | Later (median 10 d) n = 18 | Earlier (<5 d) n = 30 | Later (>5 d) n = 17 | Earlier (<7 d) n = 23 | Later (n≥7 d) n = 84 | Earlier (median 4 d, <5–7 d) n = 79 | Later (median 10 d, ≥5–7 d) n = 119 | |
| Recurrent NEC | 2 (8%) | 1 (6%) | 1 (3%) | 2 (12%) | 0 (0%) | 11 (13%) | 3 (4%) | 14 (12%) |
| Post-NEC stricture | 2 (8%) | 2 (11%) | 1 (3%) | 4 (24%) | 0 (0%) | 2 (2%) | 3 (4%) | 8 (7%) |
| Composite outcome (Recurrent or Stricture) | 4 (15%) | 3 (17%) | 2 (7%) | 6 (35%) | 0 (0%) | 13 (16%) | 6 (8%) | 22 (19%) |
| CLABSI after NEC | 18% | 29% | 0 (0%) | 5 (29%) | 1 (4%) | 8 (10%) | 6 (8%) | 19 (16%) |
| Time to full feeds after NEC | 10 (7–31 d) | 19 (9–76 d) | 14.9 ± 4 d | 18.5 ± 5.9 d | 9.9 ± 4.8 d | 11.0 ± 9.6 d | 11.6 ± 2.9 d | 16.2 ± 4.5 d |
Categorical data shown as count (percentage or percentage alone). Continuous data shown as median (range) or mean ± standard deviation. d days.