Raiten Daniel J, Steiber Alison L, Carlson Susan E, Griffin Ian, Anderson Diane, Hay William W, Robins Sandra, Neu Josef, Georgieff Michael K, Groh-Wargo Sharon, Fenton Tanis R
Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, Bethesda, MD;
Academy of Nutrition and Dietetics, Chicago, IL;
Am J Clin Nutr. 2016 Feb;103(2):648S-78S. doi: 10.3945/ajcn.115.117309. Epub 2016 Jan 20.
The "Evaluation of the Evidence to Support Practice Guidelines for the Nutritional Care of Preterm Infants: The Pre-B Project" is the first phase in a process to present the current state of knowledge and to support the development of evidence-informed guidance for the nutritional care of preterm and high-risk newborn infants. The future systematic reviews that will ultimately provide the underpinning for guideline development will be conducted by the Academy of Nutrition and Dietetics' Evidence Analysis Library (EAL). To accomplish the objectives of this first phase, the Pre-B Project organizers established 4 working groups (WGs) to address the following themes: 1) nutrient specifications for preterm infants, 2) clinical and practical issues in enteral feeding of preterm infants, 3) gastrointestinal and surgical issues, and 4) current standards of infant feeding. Each WG was asked to 1) develop a series of topics relevant to their respective themes, 2) identify questions for which there is sufficient evidence to support a systematic review process conducted by the EAL, and 3) develop a research agenda to address priority gaps in our understanding of the role of nutrition in health and development of preterm/neonatal intensive care unit infants. This article is a summary of the reports from the 4 Pre-B WGs.
“支持早产儿营养护理实践指南的证据评估:Pre - B项目”是展示当前知识状态并支持为早产儿和高危新生儿营养护理制定循证指南的过程中的第一阶段。最终将为指南制定提供基础的未来系统评价将由营养与饮食学会证据分析库(EAL)进行。为实现这第一阶段的目标,Pre - B项目组织者设立了4个工作组(WG)来处理以下主题:1)早产儿的营养素规格,2)早产儿肠内喂养的临床和实际问题,3)胃肠道和外科问题,以及4)婴儿喂养的当前标准。要求每个工作组1)制定一系列与其各自主题相关的主题,2)确定有足够证据支持由EAL进行系统评价过程的问题,3)制定研究议程以解决我们在理解营养在早产儿/新生儿重症监护病房婴儿健康和发育中的作用方面的优先差距。本文是4个Pre - B工作组报告的总结。