Long-term efficacy of clinical hunger provocation to wean feeding tube dependent children
| Autor: | Marc A. Benninga, Tim G. J. de Meij, Hilde Krom, Liesbeth van der Sluijs Veer, Suzanne M.C. van Zundert, Michelle Engels, Elisabeth M. van Dijk-Lokkart, Riëtte Zilverberg, Marie Anne G.M. Otten, C. M. Frank Kneepkens, Anita M. Stok-Akerboom, A. Kindermann, Liesbeth Kuiper-Cramer |
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| Přispěvatelé: | Pediatric surgery, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam Reproduction & Development (AR&D), Medical psychology, Internal medicine, Neurology, Graduate School, AGEM - Digestive immunity, AGEM - Re-generation and cancer of the digestive system, Paediatric Gastroenterology, Paediatric Psychosocial Care, APH - Mental Health |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
0301 basic medicine Pediatrics medicine.medical_specialty Time Factors Hunger Provocation test 030209 endocrinology & metabolism Weaning Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Humans Medicine Infant Nutritional Physiological Phenomena Child Intubation Gastrointestinal Feeding tube Netherlands Gastrostomy Avoidant Restrictive Food Intake Disorder 030109 nutrition & dietetics Nutrition and Dietetics Tube dependency business.industry Incidence (epidemiology) Body Weight Infant Newborn Infant Retrospective cohort study Feeding Behavior medicine.disease Body Height Infant Nutrition Disorders Feeding and eating disorders Malnutrition Treatment Outcome Parenteral nutrition Female business Enteral nutrition |
| Zdroj: | Krom, H, de Meij, T G J, Benninga, M A, van Dijk-Lokkart, E M, Engels, M, Kneepkens, C M F, Kuiper-Cramer, L, Otten, M A G M, van der Sluijs Veer, L, Stok-Akerboom, A M, Zilverberg, R, van Zundert, S M C & Kindermann, A 2020, ' Long-term efficacy of clinical hunger provocation to wean feeding tube dependent children ', Clinical Nutrition, vol. 39, no. 9, pp. 2863-2871 . https://doi.org/10.1016/j.clnu.2019.12.021 Clinical Nutrition, 39(9), 2863-2871. Churchill Livingstone Clinical nutrition (Edinburgh, Scotland), 39(9), 2863-2871. Churchill Livingstone |
| ISSN: | 0261-5614 |
| Popis: | Background & aims: The incidence of tube feeding dependency seems to increase worldwide, and these children may remain on prolonged tube feeding for many months to years. The multidisciplinary clinical hunger provocation (CHP) program is an intensive inpatient intervention of usually 2–3 weeks, aimed at weaning children from tube feeding. CHP has been proven highly effective on the short term (80–86%), particularly when applied before the age of two years but long-term data are lacking. The aims of our study were to determine the long-term efficacy of the CHP program and factors associated with success or failure and to assess anthropometrics, feeding behavior, and medical outcomes at long-term follow-up. Methods: All tube-dependent children who underwent CHP at a tertiary hospital in Amsterdam, the Netherlands, between 2001 and 2014, and had a minimum follow-up of 12-months in 2015, were eligible to participate in this retrospective cohort study. During the CHP program, tube feeding is ceased stepwise to create appetite, according to a strict protocol. The program was defined successful if patients achieved oral intake and could be fully weaned from tube feeding following the CHP program. Acute malnourishment was defined as weight for height 1 SD within 3 months, chronic malnourishment as height for age |
| Databáze: | OpenAIRE |
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