Efficacy and Safety of Enteral Human Recombinant Insulin to Reduce the Time to Full Enteral Feeding in Preterm Infants: A Meta-Analytical Study

Recombinant human insulin plays an important role in the gut maturation of preterm infants. This meta-analysis was carried out to assess the efficacy and safety of enteral recombinant human insulin in decreasing the time to full enteral feeding in preterm infants. The pooling of data from four clini...

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Main Authors: Faiza Qudsia, Muhammad Adil, Maha Kamran, Muhammad Azam, Huzaifa Ahmad Cheema, Abia Shahid, Ivan Cherrez-Ojeda
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Pediatric Reports
Subjects:
Online Access:https://www.mdpi.com/2036-7503/15/2/33
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author Faiza Qudsia
Muhammad Adil
Maha Kamran
Muhammad Azam
Huzaifa Ahmad Cheema
Abia Shahid
Ivan Cherrez-Ojeda
author_facet Faiza Qudsia
Muhammad Adil
Maha Kamran
Muhammad Azam
Huzaifa Ahmad Cheema
Abia Shahid
Ivan Cherrez-Ojeda
author_sort Faiza Qudsia
collection DOAJ
description Recombinant human insulin plays an important role in the gut maturation of preterm infants. This meta-analysis was carried out to assess the efficacy and safety of enteral recombinant human insulin in decreasing the time to full enteral feeding in preterm infants. The pooling of data from four clinical trials yielded a significant decrease in the time to full enteral feeding in preterm infants under both low (Mean difference [MD] −3.43 days; 95% CI: −6.18 to −0.69 days; I2 = 48%) and high doses of insulin (MD −7.10 days; 95% CI: −10.02 to −4.18 days; I2 = 0%). These findings require confirmation by further large trials that evaluate the efficacy and safety of enteral insulin, especially at supraphysiological doses.
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spelling doaj.art-b77bd3c893664bdf980add0eb6c686e02023-11-18T12:01:17ZengMDPI AGPediatric Reports2036-75032023-06-0115237338010.3390/pediatric15020033Efficacy and Safety of Enteral Human Recombinant Insulin to Reduce the Time to Full Enteral Feeding in Preterm Infants: A Meta-Analytical StudyFaiza Qudsia0Muhammad Adil1Maha Kamran2Muhammad Azam3Huzaifa Ahmad Cheema4Abia Shahid5Ivan Cherrez-Ojeda6Department of Medicine, King Edward Medical University, Lahore 54000, PakistanDepartment of Medicine, King Edward Medical University, Lahore 54000, PakistanDepartment of Medicine, King Edward Medical University, Lahore 54000, PakistanDepartment of Medicine, Allama Iqbal Medical College, Lahore 54550, PakistanDepartment of Medicine, King Edward Medical University, Lahore 54000, PakistanDepartment of Paediatrics, King Edward Medical University, Lahore 54000, PakistanRespiralab Research Center, Guayaquil 090512, EcuadorRecombinant human insulin plays an important role in the gut maturation of preterm infants. This meta-analysis was carried out to assess the efficacy and safety of enteral recombinant human insulin in decreasing the time to full enteral feeding in preterm infants. The pooling of data from four clinical trials yielded a significant decrease in the time to full enteral feeding in preterm infants under both low (Mean difference [MD] −3.43 days; 95% CI: −6.18 to −0.69 days; I2 = 48%) and high doses of insulin (MD −7.10 days; 95% CI: −10.02 to −4.18 days; I2 = 0%). These findings require confirmation by further large trials that evaluate the efficacy and safety of enteral insulin, especially at supraphysiological doses.https://www.mdpi.com/2036-7503/15/2/33enteral insulinpreterm infantsenteral feedingmeta-analysis
spellingShingle Faiza Qudsia
Muhammad Adil
Maha Kamran
Muhammad Azam
Huzaifa Ahmad Cheema
Abia Shahid
Ivan Cherrez-Ojeda
Efficacy and Safety of Enteral Human Recombinant Insulin to Reduce the Time to Full Enteral Feeding in Preterm Infants: A Meta-Analytical Study
Pediatric Reports
enteral insulin
preterm infants
enteral feeding
meta-analysis
title Efficacy and Safety of Enteral Human Recombinant Insulin to Reduce the Time to Full Enteral Feeding in Preterm Infants: A Meta-Analytical Study
title_full Efficacy and Safety of Enteral Human Recombinant Insulin to Reduce the Time to Full Enteral Feeding in Preterm Infants: A Meta-Analytical Study
title_fullStr Efficacy and Safety of Enteral Human Recombinant Insulin to Reduce the Time to Full Enteral Feeding in Preterm Infants: A Meta-Analytical Study
title_full_unstemmed Efficacy and Safety of Enteral Human Recombinant Insulin to Reduce the Time to Full Enteral Feeding in Preterm Infants: A Meta-Analytical Study
title_short Efficacy and Safety of Enteral Human Recombinant Insulin to Reduce the Time to Full Enteral Feeding in Preterm Infants: A Meta-Analytical Study
title_sort efficacy and safety of enteral human recombinant insulin to reduce the time to full enteral feeding in preterm infants a meta analytical study
topic enteral insulin
preterm infants
enteral feeding
meta-analysis
url https://www.mdpi.com/2036-7503/15/2/33
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