A multidisciplinary program to wean infants and toddlers from long-term tube feeding: Lessons learned from a retrospective study.

Autor: Beeri M; ALYN Hospital Jerusalem Israel., Dror T; Department of Communications ALYN Hospital Jerusalem Israel., Weiss PL; Helmsley Pediatric and Adolescent Rehabilitation Research Center ALYN Hospital Jerusalem Israel.; University of Haifa Haifa Israel., Blinder JN; Department of Communications ALYN Hospital Jerusalem Israel.
Jazyk: angličtina
Zdroj: JPGN reports [JPGN Rep] 2024 Jul 04; Vol. 5 (3), pp. 334-341. Date of Electronic Publication: 2024 Jul 04 (Print Publication: 2024).
DOI: 10.1002/jpr3.12104
Abstrakt: Objectives: Children maintain growth and development by ingesting adequate calories and nutrients, typically achieved via oral intake of food and liquids. When unable to eat and drink orally, they need temporary or permanent enteral nutritional support via nasogastric, nasoduodenal, gastrostomy, or jejunostomy tubes. The objectives of this retrospective study are to describe lessons learned from operating a weaning program at ALYN Hospital for over a decade, the characteristics of the patient population (gender, age, medical condition, and type of tube feeding and hospitalization), and which of these characteristics correlate with successful weaning.
Methods: Data were obtained from the hospital's secure database of 82 infants and toddlers, 37 boys (45.4%) and 45 girls (54.9%) aged 3 months to 10.8 years who took part in a tube feeding intervention from 2011 to 2020. Descriptive and correlational analyses were performed to characterize the participants and their responses to the program.
Results: Fifty-one children (62.2%) were less than 2 years, 26 children (31.7%) were 2-4.11 years, and only 5 children were aged 5 years (6.1%) and older. Fifty-six children were successfully weaned from tube feeding, 9 children were eventually successful, but the process took longer than anticipated, 11 children were partially weaned and 6 were not successfully weaned.
Conclusions: These results are discussed within the context of a successful weaning program related to participant characteristics (medical condition, age, gender, and weight), and subsequent recommendations are offered related to the intervention setting, duration, and intensity; redefining success in weaning and the need for long-term follow-up.
Competing Interests: The authors declare no conflict of interest.
(© 2024 The Author(s). JPGN Reports published by Wiley Periodicals LLC on behalf of The European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.)
Databáze: MEDLINE
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