{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T16:04:03Z","timestamp":1791734643510,"version":"4.3.4"},"reference-count":9,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T00:00:00Z","timestamp":1724889600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The primary objective of this study is to determine the impact of a standardised feeding protocol for infants with gastroschisis on early enteral feeds, suck feeds, management of gastric residuals and breastfeeding at discharge. Secondary objectives were evaluation of growth, length of stay in neonatal intensive care unit (NICU), the duration of total parental nutrition (TPN), blood\u2010culture confirmed sepsis and serum bilirubin level (SBR).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This single\u2010centre retrospective quality improvement project included infants admitted to a quaternary care NICU for management of gastroschisis from 2010 to 2021. The Gastroschisis feeding protocol, a standardised pathway for managing the feeding of infants with gastroschisis, was implemented in this NICU in 2016. The outcomes of infants in the pre\u2010feeding protocol and post\u2010feeding protocol groups were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 100 infants included in the study, 49 were in the post\u2010feeding protocol group. The baseline characteristics of the study population did not differ statistically in both groups. In post\u2010feeding protocol group, there was significant reduction in the time to the first enteral feed (<jats:italic>P<\/jats:italic> value &lt;0.0001) and first suck feed (<jats:italic>P<\/jats:italic> value\u2009=\u20090.002). The median length of stay in the post\u2010feeding protocol group was significantly lower by 11\u2009days (<jats:italic>P<\/jats:italic> value\u2009=\u20090.001). Duration of TPN was 241\u2009h higher in the pre\u2010feeding protocol group (<jats:italic>P<\/jats:italic> value 0.0007).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Implementation of a feeding protocol in infants with gastroschisis led to earlier initiation of enteral feeds and suck feeds. There is a likelihood of reduction in the use of TPN and duration of admission in NICU.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16657","type":"journal-article","created":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T10:00:11Z","timestamp":1724925611000},"page":"675-679","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Evaluation of gastroschisis feeding protocol: A retrospective cohort study"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4851-349X","authenticated-orcid":false,"given":"Jeewan","family":"Jyoti","sequence":"first","affiliation":[{"name":"Grace Centre for Newborn Intensive Care The Children's Hospital of Westmead  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"James\u2010Nunez","sequence":"additional","affiliation":[{"name":"Grace Centre for Newborn Intensive Care The Children's Hospital of Westmead  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaye","family":"Spence","sequence":"additional","affiliation":[{"name":"Grace Centre for Newborn Intensive Care The Children's Hospital of Westmead  Sydney New South Wales Australia"},{"name":"Western Sydney University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brownyn","family":"Parkinson","sequence":"additional","affiliation":[{"name":"Grace Centre for Newborn Intensive Care The Children's Hospital of Westmead  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gordon","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery The Children's Hospital at Westmead  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6880-4107","authenticated-orcid":false,"given":"Amit","family":"Trivedi","sequence":"additional","affiliation":[{"name":"Grace Centre for Newborn Intensive Care The Children's Hospital of Westmead  Sydney New South Wales Australia"},{"name":"The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2021.05.022"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000336"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2008.03.053"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-019-1858-z"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2015.11.046"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/jcn.JCN_50_17"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jped.2015.07.009"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12023"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533616658766"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.16657","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T04:18:13Z","timestamp":1731644293000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.16657"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,29]]},"references-count":9,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1111\/jpc.16657"],"URL":"https:\/\/doi.org\/10.1111\/jpc.16657","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,29]]},"assertion":[{"value":"2024-05-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}