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Assessment for oral feeding in preterm infants

机译：早产儿口服喂养评估

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Purpose To assess the accuracy of the Preterm Oral Feeding Readiness Scale (POFRAS) on the beginning of oral feeding in preterm infants and to verify the concordance between this tool and the Oral Feeding Skill Level. Methods 82 preterm infants were assessed by POFRAS regarding their readiness to initiate oral feeding and by the oral feeding skill level evaluation during the first oral feeding. POFRAS's accuracy was estimated regarding proficiency by a Receiver Operating Characteristics (ROC) curve. The concordance between the tools was obtained by analysis of the Kappa coefficient. Results POFRAS's global accuracy was of 71.29%. The cut-off value of 29 was the one that presented most optimization of the sensitivity based on specificity. The Kappa coefficient has shown a weak concordance between the instruments to identify infants able and unable to oral feeding (k=0.281). Conclusion POFRAS's accuracy to initiate oral feeding considering the proficiency was similar to that obtained with the technique of translactation. We observed a weak concordance between the instruments. We suggest that, in clinical practice, both instruments should be used in a complementary manner, since both present important aspects of the preterm feeding behavior that together will better guide the necessary conduct to provide an effective and quick transition to full oral feeding in this population.
机译：目的评估早产儿口服喂养开始时的早产口服喂养准备量表（POFRAS）的准确性，并验证该工具与口服喂养技能水平之间的一致性。方法通过POFRAS对82例早产儿进行口服喂养的准备情况进行评估，并通过首次口服喂养期间的口服喂养技能水平评估。 POFRAS的准确性是根据接收者工作特征（ROC）曲线评估的。工具之间的一致性是通过分析Kappa系数获得的。结果POFRAS的整体准确性为71.29％。临界值为29，这是基于特异性最优化的灵敏度值。卡伯系数已经显示出在识别能够和不能口服喂养的婴儿的工具之间的一致性较弱（k = 0.281）。结论考虑到熟练程度，POFRAS进行口服喂养的准确性与通过转译技术获得的准确性相似。我们发现这些工具之间的协调性很弱。我们建议在临床实践中，两种工具应以互补的方式使用，因为这两种方法都代表了早产行为的重要方面，它们将共同更好地指导必要的行为，从而为该人群提供有效和快速的过渡为全面口服喂养。

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