Your browser doesn't support javascript.
loading
Oral Feeding Outcome in Infants with a Tracheostomy.
Joseph, Rachel A; Evitts, Paul; Bayley, Elizabeth W; Tulenko, Christy.
Afiliación
  • Joseph RA; West Chester University of Pennsylvania, West Chester, PA, United States; Christiana Care Health Systems, Newark, DE, United States. Electronic address: rjoseph@wcupa.edu.
  • Evitts P; Towson University, Towson, MD, United States.
  • Bayley EW; Nemours/A. I. duPont Hospital for Children, Wilmington, DE, United States.
  • Tulenko C; Nemours/A. I. duPont Hospital for Children, Wilmington, DE, United States.
J Pediatr Nurs ; 33: 70-75, 2017.
Article en En | MEDLINE | ID: mdl-27989396
PURPOSE: Currently, there is a lack of evidence-based guidelines on the proper protocol for feeding infants with a tracheostomy in the neonatal intensive care unit (NICU). The purpose of this study was to provide preliminary insight into the outcomes of these infants in one mid-Atlantic pediatric hospital. DESIGN AND METHODS: Retrospective and descriptive. The study team reviewed 114 patient records, 42 of which met the inclusion criteria. Data were organized based on: 1) general demographics and history; b) feeding-related variables at multiple points; c) speech-related variables, including assessments and swallowing studies; d) respiratory variables at multiple points; and, e) discharge data. Other variables included birth-related information, ventilation settings and feeding modifications. RESULTS: Infants were placed into three groups at discharge based on feeding outcomes. Forty-three percent were discharged on full oral feeds, 38% on combined oral and gavage, and 19% of infants were discharged on full gavage feeds. Informal analysis showed that all three categories of infants gained weight during hospitalization, different PEEP pressures and different lengths of hospitalization were observed among the groups, and infant characteristics (e.g., APGAR, gestational ages) were similar across groups. CONCLUSIONS: Overall results provide insight into factors that may be predictive of feeding status at discharge for infants with a tracheostomy in an NICU. PRACTICAL IMPLICATIONS: Results of this study can provide important insight into the feeding outcomes of infants in a NICU with a tracheostomy and can hopefully lead to additional research to help determine the most efficacious procedures for feeding this patient population.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Recien Nacido Prematuro / Traqueostomía / Desarrollo Infantil / Nutrición Enteral Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Infant / Male / Newborn Idioma: En Revista: J Pediatr Nurs Asunto de la revista: ENFERMAGEM / PEDIATRIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Recien Nacido Prematuro / Traqueostomía / Desarrollo Infantil / Nutrición Enteral Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Infant / Male / Newborn Idioma: En Revista: J Pediatr Nurs Asunto de la revista: ENFERMAGEM / PEDIATRIA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos