Tube feeding outcomes of infants in a Level IV NICU

BACKGROUND: NICU patients are commonly discharged home with nasogastric (NG) or gastrostomy (G-tube) feeding, but wide practice variation exists. The objective of this study was to evaluate feeding and growth outcomes and complications in NICU patients discharged home with NG or G-tube feeding. STUD...

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Detalles Bibliográficos
Autores principales: Williams, Sadie L., Popowics, Natalie M., Tadesse, Dawit G., Poindexter, Brenda B., Merhar, Stephanie L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2019
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761028/
https://www.ncbi.nlm.nih.gov/pubmed/31388118
http://dx.doi.org/10.1038/s41372-019-0449-z
Descripción
Sumario:BACKGROUND: NICU patients are commonly discharged home with nasogastric (NG) or gastrostomy (G-tube) feeding, but wide practice variation exists. The objective of this study was to evaluate feeding and growth outcomes and complications in NICU patients discharged home with NG or G-tube feeding. STUDY DESIGN: Retrospective cohort study of infants discharged from a Level IV NICU with an NG or G-tube who had follow up to 1 year. Clinical characteristics and outcomes were compared between groups. RESULTS: The study sample included 264 infants: 140 with NG and 124 with G-tube. More infants in the G-tube group (65%) still required tube feedings 12 months post-discharge than infants in the NG group (24%). Infants in the G-tube group had more tube-related ER visits than infants in the NG group. Growth outcomes did not differ. CONCLUSION: Home NG feeding may be a safe alternative to a surgically placed G-tube in select NICU patients.

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