Gastrostomy Tube Feeding in Children With Developmental or Acquired Disorders: A Longitudinal Comparison on Healthcare Provision and Eating Outcomes 4 Years After Gastrostomy
| Autor: | Ellen Backman, Lotta Sjögreen, Ann-Kristin Karlsson |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Developmental Disabilities Health Personnel Patient demographics medicine.medical_treatment Gastrostomy tube feeding Medicine (miscellaneous) GT activity Eating 03 medical and health sciences Enteral Nutrition 0302 clinical medicine Neoplasms 030225 pediatrics Health care medicine Craniocerebral Trauma Humans Longitudinal Studies Child Feeding and Eating Disorders of Childhood Intubation Gastrointestinal Retrospective Studies Gastrostomy Patient Care Team Nutrition and Dietetics business.industry Medical record Infant Retrospective cohort study Feeding Behavior Parenteral nutrition Child Preschool Female 030211 gastroenterology & hepatology Deglutition Disorders business Delivery of Health Care |
| Zdroj: | Nutrition in Clinical Practice. 33:576-583 |
| ISSN: | 0884-5336 |
| DOI: | 10.1002/ncp.10056 |
| Popis: | Background Studies on long-term feeding and eating outcomes in children requiring gastrostomy tube feeding (GT) are scarce. The aim of this study was to describe children with developmental or acquired disorders receiving GT and to compare longitudinal eating and feeding outcomes. A secondary aim was to explore healthcare provision related to eating and feeding. Methods This retrospective cohort study reviewed medical records of children in 1 administrative region of Sweden with GT placement between 2005 and 2012. Patient demographics, primary diagnoses, age at GT placement, and professional healthcare contacts prior to and after GT placement were recorded and compared. Feeding and eating outcomes were assessed 4 years after GT placement. Results The medical records of 51 children, 28 boys and 23 girls, were analyzed and grouped according to "acquired" (n = 13) or "developmental" (n = 38) primary diagnoses. At 4 years after GT placement, 67% were still using GT. Only 6 of 37 (16%) children with developmental disorders transferred to eating all orally, as opposed to 10 of 11 (91%) children with acquired disorders. Children with developmental disorders were younger at the time of GT placement and displayed a longer duration of GT activity when compared with children with acquired disorders. Conclusions This study demonstrates a clear difference between children with developmental or acquired disorders in duration of GT activity and age at GT placement. The study further shows that healthcare provided to children with GT is in some cases multidisciplinary, but primarily focuses on feeding rather than eating. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text