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. 2021 Aug 24;2021(8):CD001241. doi: 10.1002/14651858.CD001241.pub8

Krishnamurthy 2010.

Study characteristics
Methods Randomised controlled trial
Participants Preterm infants (birth weight 1000 to 1499 grams) and gestational age < 34 weeks at birth
Exclusion criteria included respiratory distress, mechanical ventilation, inotrope support, and umbilical arterial or venous catheterisation.
Setting: Department of Paediatrics, University College of Medical Sciences, Delhi, India (2007 to 2009)
Interventions Feed advancement at 20 mL/kg/d (n = 50) vs 30 mL/kg/d (n = 50)
Outcomes
  • NEC

  • Incidence of invasive infection

  • In‐hospital mortality

  • Time to regain birth weight

  • Time to achieve full enteral feeds

  • Time to hospital discharge

Notes All feeds were delivered by gavage via nasogastric tube at 2‐hour intervals.
Feeds were ceased if any of the following occurred: residual gastric contents > 50% of previous feed volume (delayed if volume was 25% to 50%), > 3 episodes of apnoea in the preceding hour, abdominal distension or tenderness, or bloody stools (including occult blood).
Parenteral nutrition was not available.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated sequence
Allocation concealment (selection bias) Low risk Opaque, sealed envelopes
Blinding of participants and personnel (performance bias)
All outcomes High risk Unmasked
Blinding of outcome assessment (detection bias)
All outcomes High risk Unmasked
Incomplete outcome data (attrition bias)
All outcomes Low risk No loss to follow‐up
Selective reporting (reporting bias) Low risk Unlikely
Other bias Low risk No evidence of baseline imbalance