Abstract
Background
NICU patients are commonly discharged home with nasogastric (NG) or gastrostomy (G-tube) feeding, but wide practice variation exists. The objective of this study was to evaluate feeding and growth outcomes and complications in NICU patients discharged home with NG or G-tube feeding.
Study design
Retrospective cohort study of infants discharged from a Level IV NICU with an NG or G-tube who had follow up to 1 year. Clinical characteristics and outcomes were compared between groups.
Results
The study sample included 264 infants: 140 with NG and 124 with G-tube. More infants in the G-tube group (65%) still required tube feedings 12 months post-discharge than infants in the NG group (24%). Infants in the G-tube group had more tube-related ER visits than infants in the NG group. Growth outcomes did not differ.
Conclusion
Home NG feeding may be a safe alternative to a surgically placed G-tube in select NICU patients.
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References
Jadcherla S. Dysphagia in the high-risk infant: potential factors and mechanisms. Am J Clin Nutr. 2016;103:622S–8S.
da Costa SP, van den Engel-Hoek L, Bos AF. Sucking and swallowing in infants and diagnostic tools. J Perinatol. 2008;28:247–57.
Correa JA, Fallon SC, Murphy KM, Victorian VA, Bisset GS, Vasudevan SA, et al. Resource utilization after gastrostomy tube placement: defining areas of improvement for future quality improvement projects. J Pedia Surg. 2014;49:1598–601.
Crosby J, Duerksen D. A retrospective survey of tube-related complications in patients receiving long-term home enteral nutrition. Dig Dis Sci. 2005;50:1712–7.
Quandt D, Schraner T, Ulrich Bucher H, Arlettaz Mieth R. Malposition of feeding tubes in neonates: is it an issue? J Pedia Gastroenterol Nutr. 2009;48:608–11.
Parker LA, Withers JH, Talaga E. Comparison of neonatal nursing practices for determining feeding tube insertion length and verifying gastric placement with current best evidence. Adv Neonatal Care. 2018;18:307–17.
Hoogewerf M, Ter Horst HJ, Groen H, Nieuwenhuis T, Bos AF, van Dijk MWG. The prevalence of feeding problems in children formerly treated in a neonatal intensive care unit. J Perinatol 2017;37:578–84.
Greene NH, Greenberg RG, O’Brien SM, Kemper AR, Miranda ML, Clark RH, et al. Variation in gastrostomy tube placement in premature infants in the United States. Am J Perinatol. 2018. [Epub ahead of print]
González-Gil T. Early discharge with home support of gavage feeding for stable preterm infants who have not established full oral feeds. Int J Evid Based Healthc. 2016;14:34–5.
Rosen D, Schneider R, Bao R, Burke P, Ceballos C, Hoffstadter-Thal K, et al. Home nasogastric feeds: feeding status and growth outcomes in a pediatric population. J Parent Enter Nutr. 2016;40:350–4.
Khalil ST, Uhing MR, Duesing L, Visotcky A, Tarima S, Nghiem-Rao TH. Outcomes of infants with home tube feeding: comparing nasogastric vs gastrostomy tubes. J Parent Enter Nutr. 2017;41:1380–5.
Fox D, Campagna EJ, Friedlander J, Partrick DA, Rees DI, Kempe A. National trends and outcomes of pediatric gastrostomy tube placement. J Pedia Gastroenterol Nutr. 2014;59:582–8.
Landisch RM, Colwell RC, Densmore JC. Infant gastrostomy outcomes: the cost of complications. J Pedia Surg. 2016;51:1976–82.
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Williams, S.L., Popowics, N.M., Tadesse, D.G. et al. Tube feeding outcomes of infants in a Level IV NICU. J Perinatol 39, 1406–1410 (2019). https://doi.org/10.1038/s41372-019-0449-z
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DOI: https://doi.org/10.1038/s41372-019-0449-z
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