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Evidence-Based Nursing 2009;12:50; doi:10.1136/ebn.12.2.50
Copyright © 2009 by BMJ Publishing Group Ltd & RCN Publishing Company Ltd.

TREATMENT

Review: early feeding and delayed feeding after PEG placement do not differ for complications or death within 72 hours

The first 150 words of the full text of this article appear below.

M L Bechtold

Dr M L Bechtold, University of Missouri School of Medicine, Columbia, MO, USA; bechtoldm@health.missouri.edu

QUESTION

How does early (<=4 h) feeding compare with delayed or next-day feeding after percutaneous endoscopic gastrostomy (PEG) placement in terms of complications and death within 72 hours?

REVIEW SCOPE

Included studies compared early (<=4 h) with delayed or next-day feeding after PEG placement. Outcomes were death within 72 hours, complications, and gastric residual volumes on day 1.

REVIEW METHODS

Medline, Cochrane Central Register of Controlled Trials, CINAHL, Database of Systematic Reviews, Database of Abstracts of Reviews of Effectiveness, OVID Healthstar and Journals, and conference proceedings were searched to November 2007 for randomised controlled trials (RCTs). 6 RCTs (n = 467, mean age 63–76 y) met the selection criteria; all had Jadad scores of 2 out of 5.

MAIN RESULTS

Meta-analysis showed that early and delayed feeding did not differ for death within 72 hours or complications (including . . . [Full text of this article]

Robert Lindeboom

Academic Medical Center, Amsterdam, The Netherlands


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