NICU infants who require a feeding gastrostomy for discharge.

Autor: Chapman A; Division of Neonatology, Department of Pediatrics, MUSC Shawn Jenkins Children's Hospital, 10 McClennan Banks Drive, MSC 915, Charleston, SC 29425-9150, USA.. Electronic address: chapmaal@musc.edu., George K; Division of Neonatology, Department of Pediatrics, MUSC Shawn Jenkins Children's Hospital, 10 McClennan Banks Drive, MSC 915, Charleston, SC 29425-9150, USA., Selassie A; Department of Public Health Sciences, 135 Cannon Street, Room 303K, Charleston, SC 29425, USA., Lesher AP; Division of Pediatric Surgery, Department of Surgery, MUSC Shawn Jenkins Children's Hospital, 10 McClennan Banks Drive, Charleston, SC 29425, USA., Ryan RM; Division of Neonatology, Department of Pediatrics, MUSC Shawn Jenkins Children's Hospital, 10 McClennan Banks Drive, MSC 915, Charleston, SC 29425-9150, USA.
Jazyk: angličtina
Zdroj: Journal of pediatric surgery [J Pediatr Surg] 2021 Mar; Vol. 56 (3), pp. 449-453. Date of Electronic Publication: 2020 Jul 29.
DOI: 10.1016/j.jpedsurg.2020.07.018
Abstrakt: Objective: To determine population data for infants receiving a gastrostomy tube (GT) in our Neonatal Intensive Care Unit (NICU) to better understand the premature infant population at risk for GT prior to discharge.
Study Design: We identified all NICU infants born 2015-2016 who received a GT and determined the birth gestational age below which GTs were placed due to oral feeding failure secondary to prematurity-related comorbidities, rather than anomalies or other reasons. Aggregate data were used to compare infants born <30 weeks (w) gestation who received a GT with those who did not.
Results: GTs were placed in 117 infants. More than half of the NICU patients who receive GTs were actually >32 weeks gestation; a cut-off of <30w was a good identifier for those who failed achieving full oral feeds due to prematurity-related problems. Infants born <30w (n = 282) not receiving GTs were discharged at a significantly lower postmenstrual age (36w) and lower weight (2.3 kg) compared with infants who received a GT (49w, 5 kg).
Conclusions: The population of premature infants born <30w gestation constitute the population of infants at risk for a GT based solely on prematurity.
Levels of Evidence: III.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: