Clinical validation of the Preterm Oral Feeding Readiness Assessment Scale.

Autor:	Fujinaga CI; Universidade Estadual do Centro-Oeste do Paraná, Brazil. cifujinaga@gmail.com, de Moraes SA, Zamberlan-Amorim NE, Castral TC, de Almeida e Silva A, Scochi CG
Jazyk:	English; Portuguese
Zdroj:	Revista latino-americana de enfermagem [Rev Lat Am Enfermagem] 2013 Jan-Feb; Vol. 21 Spec No, pp. 140-5.
DOI:	10.1590/s0104-11692013000700018
Abstrakt:	Introduction: Health professionals have great difficulties to establish the adequate and safe time to start breast feeding in preterm infants. There is a need to develop a standardized tool to help health professionals to comprehensively evaluate preterm infant readiness to transition preterm infants' feeding from gastric to oral, and encourage breast feeding practice in neonatal units. Aims: To clinical validate the accuracy of a Preterm Oral Feeding Readiness Assessment Scale with 60 clinically stable preterm infants. Methods: Global accuracy, sensitivity and specificity of Preterm Oral Feeding Readiness Assessment Scale cut-offs, compared to milk intake through translactation, were estimated through ROC curves (Receiver Operating Characteristic Curves). Results: The global accuracy of Preterm Oral Feeding Readiness Assessment Scale was 74.38%. The highest sensitivity and specificity were obtained for three cut-offs: 28, 29 and 30. Since higher specificity (75.68%) for the Preterm Oral Feeding Readiness Assessment Scale was found at a score cut-off=of 30 showed higher specificity (75.68%), it should be used as a cut-off score to select initiate breastfeeding the preterm newborns' oral feeding readiness. Conclusion: The Preterm Oral Feeding Readiness Assessment Scale is considered valid to assist health professionals to initiate preterm feeding in view of promoting safe and objective breastfeeding.
Databáze:	MEDLINE
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