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Gastric Residuals in Preterm Infants

Gastric Residuals in Preterm Infants (GRIP)

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01337622
Enrollment
87
Registered
2011-04-19
Start date
2011-03-31
Completion date
2013-12-31
Last updated
2015-03-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Early Enteral Feeding Advancement, Nutrition, Preterm Infants

Brief summary

Checking of gastric residuals prior to the continuation/increase of enteral feeding prolongs the time to establish full gastric feeding in the early postnatal period.

Interventions

PROCEDURENo check of gastric residuals for early enteral feeding advancement

Discontinuation of gastric feeding and its advancement will be based on clinical examination of the abdomen and gastric aspirates containing blood or significant vomiting.

PROCEDURERoutine check of gastric residuals for early enteral feeding advancement

Discontinuation of gastric feeding and its advancement will be based on current practice of clinical examination of the abdomen and checking residual before every feed. Volume and color of gastric residual will be considered according to the current guideline.

Sponsors

McMaster Children's Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
No minimum to 48 Hours
Healthy volunteers
No

Inclusion criteria

* Infants with a birth weight ≥ 1500g and \< 2000g * Age ≤48 hours of life * Informed, written parental consent

Exclusion criteria

* Antenatally recognized gastrointestinal malformation * Major congenital anomaly * Chromosomal anomaly * NEC stage II * Severe acidosis, asphyxia (pH \<7.0) * Severe growth restriction below 3rd percentile

Design outcomes

Primary

MeasureTime frameDescription
Time to reach full enteral feedingfrom inclusion (during first 48h of life) until 1 monthFull enteral feeding is defned as an milk intake of equal or more than 120 ml/kg/d.

Secondary

MeasureTime frameDescription
growth, tolerance, morbidityfrom inclusion (during first 48h of life) until one monthTime to regain birth weight and maintain weight gain. Incidence of sepsis from birth until 48 hours after parenteral nutrition was administered. Use of antibiotics. Incidence of feeding intolerance and necrotizing enterocolitis.

Countries

Canada

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 6, 2026