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Feeding Outcomes for Infants with Bronchopulmonary Dysplasia Discharged on Nasogastric Feeds.
Matharu, Preet; Cristea, A Ioana; Slaven, James E; Becker, Samantha; Niehaus, Jason Z.
Afiliación
  • Matharu P; Department of Pediatrics, Riley Hospital for Children, Indiana University, Indianapolis, Indiana.
  • Cristea AI; Department of Pediatrics, Riley Hospital for Children, Indiana University, Indianapolis, Indiana.
  • Slaven JE; Department of Biostatistics, Indiana University School of Medicine, Indianapolis, Indiana.
  • Becker S; Department of Pediatrics, Riley Hospital for Children, Indiana University, Indianapolis, Indiana.
  • Niehaus JZ; Department of Pediatrics, Riley Hospital for Children, Indiana University, Indianapolis, Indiana.
Am J Perinatol ; 38(9): 897-900, 2021 07.
Article en En | MEDLINE | ID: mdl-31887745
OBJECTIVE: While previous studies regarding neonatal home feeding regimens have demonstrated a more favorable prognosis for nasogastric (NG) versus gastrostomy tubes (GT), institutional practices of discharge on NG feeds are varied, particularly for infants with bronchopulmonary dysplasia (BPD). Little is known regarding the risk factors for patients treated with GT postdischarge in premature infants with BPD. Our objective was to identify frequency and risk factors for treating premature infants with BPD discharged on NG feeds with GT. STUDY DESIGN: In this retrospective study, we included infants born at 30 weeks' gestational age with BPD transitioning from a tertiary care center to home on NG feeds from 2010 to 2016. RESULTS: Of the 86 infants included in this study, 25 (29%) underwent GT placement at a median age of 264 days postdischarge. Fourteen (56%) were able to remove the GT at a median age of 979.5 days. Infants not requiring GT placement postdischarge were found to have a significantly higher ccipitofrontal circumference (p = 0.0089) and length (p = 0.0166) at discharge compared with infants with GT. CONCLUSION: NG feeding for infants with BPD appears to be a viable treatment with fewer patients (29%) requiring GT placement. Gestational age and abnormal magnetic resonance imaging results were found to have a significant association with GT placement postdischarge.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Displasia Broncopulmonar / Recien Nacido Prematuro / Nutrición Enteral / Intubación Gastrointestinal Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Infant / Male / Newborn Idioma: En Revista: Am J Perinatol Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Alta del Paciente / Displasia Broncopulmonar / Recien Nacido Prematuro / Nutrición Enteral / Intubación Gastrointestinal Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Female / Humans / Infant / Male / Newborn Idioma: En Revista: Am J Perinatol Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos