Alison Chapman1, Katherine George2, Anbesaw Selassie3, Aaron P Lesher4, Rita M Ryan2. 1. 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. 2. Division of Neonatology, Department of Pediatrics, MUSC Shawn Jenkins Children's Hospital, 10 McClennan Banks Drive, MSC 915, Charleston, SC 29425-9150, USA. 3. Department of Public Health Sciences, 135 Cannon Street, Room 303K, Charleston, SC 29425, USA. 4. Division of Pediatric Surgery, Department of Surgery, MUSC Shawn Jenkins Children's Hospital, 10 McClennan Banks Drive, Charleston, SC 29425, USA.
Abstract
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.
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.
Authors: Amanda S Mahoney; Molly O'Donnell; James L Coyle; Rose Turner; Katherine E White; Stacey A Skoretz Journal: Dysphagia Date: 2022-08-31 Impact factor: 2.733
Authors: Joanne M Lagatta; Michael Uhing; Krishna Acharya; Julie Lavoie; Erin Rholl; Kathryn Malin; Margaret Malnory; Jonathan Leuthner; David C Brousseau Journal: J Pediatr Date: 2021-03-28 Impact factor: 6.314