Prevalence and outcomes for assisted home feeding in medically complex neonates
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · Jun 2018 · 1 min read
In brief
In brief
Retrospective study of 1,223 NICU survivors found 33% required assisted home feeding at discharge, primarily via nasogastric or gastrostomy tubes. Infants needing feeding support were more premature, had lower birth weights, longer hospitalizations, and more comorbidities, but the intervention proved safe and effective for this medically complex population.
Written by the GCMD Library team from the article.
Objective
To describe the prevalence and outcome of assisted home feeding (AHF) in medically complex neonatal intensive care unit (NICU) patients, and to identify variables associated with AHF in this population.
Study Design
1223 infants who survived to discharge from 2013 to 2015 were identified in our single-center, retrospective cohort study at a large tertiary referral NICU. Demographic and selected disease-specific variables were compared between infants discharged on full oral feeding (PO) versus AHF.
Result
404 (33%) infants were discharged on AHF (NG = 201, GT = 186, NJ = 17). AHF neonates were born at an earlier gestational age, lower birth weight, had longer hospital admission, greater post-menstrual age at discharge, and had more associated co-morbidities compared to the PO group.
Conclusion
AHF was a frequently used and safe intervention in our large cohort of infants.
Level of Evidence
Treatment Study Level III.