Accuracy of Mansoura Early Feeding Skills Assessment score (MEFSA) in identification of oral feeding readiness in preterm infants

Abstract

Abstract Background Oral feeding readiness is a complex concept. More evidence is needed to approach the initiation of oral feedings in preterm infants. Recognition and support of oral feeding readiness may decrease hospital stays and reduce healthcare costs. Purpose To assess the accuracy of the pre-feeding section of the Mansoura Early Feeding Skills Assessment (MEFSA) score on the initiation of oral feeding in preterm infants and identify a cutoff point for oral feeding readiness concerning the oral feeding skill (OFS) level. Furthermore, to confirm the concordance between the MEFSA and the OFS level. Methods Transversal and analytical study of 41 preterm infants. Infants were assessed before the first oral feeding by the pre-feeding section. Furthermore, the first oral feeding act is evaluated by the during-feeding section of MEFSA and OFS level. The cutoff point was estimated based on the OFS level and success using a receiver operating characteristic (ROC) curve. Pearson correlations were obtained between the pre-feeding and during-feeding sections, as well as the association between the during-feeding section and OFS score. Results MEFSA’s overall diagnostic accuracy was 82.5%. Cutoff points for oral feeding readiness were determined to be greater than 77 and greater than 77.5, concerning OFS level and oral feeding success, respectively. A moderate positive correlation coefficient existed between the pre-feeding and during-feeding sections of MEFSA. Conclusion The pre-feeding section of MEFSA is a straightforward, quick instrument that can be used in clinical practice. It has a moderate to high accuracy in pinpointing the ideal time for readiness for oral feeding. However, more research is needed. We suggest combining the pre-feeding and during-feeding sections in clinical practice.