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Enteral tube feeding selection at NICU discharge and resource utilization

Abstract

Objective

To evaluate resource utilization in infants discharged with different forms of feeding access.

Study design

Retrospective chart review of neonates discharged from 2012 to 2018. Data were collected from the medical record and relevant outcomes were compared.

Results

300 patients were sampled. 196 (65%) were discharged on NG feeds, 95 (32%) via GT, and 9 gastrojejunal (GJ 3%). NG-fed infants discharged sooner (mean DOL: NG = 85.4 vs GT = 122.8, p < 0.001). More GT/GJ patients required emergency department (ED) visits for tube complications (GT = 61 vs GJ = 7 vs NG = 42, p < 0.001) and more frequently (mean visits: GT = 1.63 ± 2.33 vs GJ = 4.22 ± 4.44 vs NG = 0.48 ± 1.40, p < 0.001). However, 44 (24%) of the patients discharged on NG later had a GT placed.

Conclusions

Many patients discharged from the NICU can be supported with NG feeds. This may shorten hospital stays and decrease ED visits but select patients will later merit surgical tube placement.

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Fig. 1

Data availability

The datasets generated during and/or analyzed during the current study are not publicly available due to the data being a dataset that is proprietarily owned by a single institution, as well as being stored in a secure server owned by the institution and not deidentified. However, the data are available from the corresponding author on reasonable request.

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Author information

Authors and Affiliations

Authors

Contributions

AAH: Drafting and revision of the manuscript. Performed analysis and interpretation of data. JLS: Performed acquisition and analysis of data. MAP: Conceptualized the design of the study. Critical manuscript revisions. BC: Performed acquisition and analysis of data. SDK: Conceptualized the design of the study. Supervised data acquisition, analysis, and interpretation. Critical manuscript revisions. All authors reviewed and approved the final manuscript.

Corresponding author

Correspondence to Amy A. Howk.

Ethics declarations

Competing interests

The authors declare no competing interests.

Study approval

This study protocol was reviewed and approved by the Children’s Healthcare of Atlanta Institutional Review Board, approval number STUDY00001324.

Consent to participate

The institutional review board determined that written informed consent was not required for this study.

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Howk, A.A., Sternthal, J.L., Pakvasa, M.A. et al. Enteral tube feeding selection at NICU discharge and resource utilization. J Perinatol (2022). https://doi.org/10.1038/s41372-022-01566-4

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