A multidisciplinary program to wean infants and toddlers from long‐term tube feeding: Lessons learned from a retrospective study

JPGN reports Pub Date : 2024-07-04 DOI:10.1002/jpr3.12104
M. Beeri, Tal Dror, Patrice L. Weiss, Judith N. Blinder
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Abstract

Children maintain growth and development by ingesting adequate calories and nutrients, typically achieved via oral intake of food and liquids. When unable to eat and drink orally, they need temporary or permanent enteral nutritional support via nasogastric, nasoduodenal, gastrostomy, or jejunostomy tubes. The objectives of this retrospective study are to describe lessons learned from operating a weaning program at ALYN Hospital for over a decade, the characteristics of the patient population (gender, age, medical condition, and type of tube feeding and hospitalization), and which of these characteristics correlate with successful weaning.Data were obtained from the hospital's secure database of 82 infants and toddlers, 37 boys (45.4%) and 45 girls (54.9%) aged 3 months to 10.8 years who took part in a tube feeding intervention from 2011 to 2020. Descriptive and correlational analyses were performed to characterize the participants and their responses to the program.Fifty‐one children (62.2%) were less than 2 years, 26 children (31.7%) were 2–4.11 years, and only 5 children were aged 5 years (6.1%) and older. Fifty‐six children were successfully weaned from tube feeding, 9 children were eventually successful, but the process took longer than anticipated, 11 children were partially weaned and 6 were not successfully weaned.These results are discussed within the context of a successful weaning program related to participant characteristics (medical condition, age, gender, and weight), and subsequent recommendations are offered related to the intervention setting, duration, and intensity; redefining success in weaning and the need for long‐term follow‐up.
婴幼儿长期管饲断奶的多学科计划:从一项回顾性研究中汲取的经验教训
儿童通过摄入足够的热量和营养来维持生长和发育,这通常是通过口服食物和液体来实现的。当无法经口进食和饮水时,他们需要通过鼻胃管、鼻十二指肠管、胃造口管或空肠造口管获得临时或永久性的肠内营养支持。这项回顾性研究的目的是描述 ALYN 医院十多年来实施断奶计划的经验教训、患者群体的特征(性别、年龄、病情、管饲和住院类型),以及这些特征中哪些与成功断奶相关。数据来自医院的安全数据库,其中有 82 名婴幼儿,37 名男孩(45.4%)和 45 名女孩(54.9%),年龄在 3 个月至 10.8 岁之间,他们在 2011 年至 2020 年期间参加了管饲干预。51名儿童(62.2%)的年龄小于2岁,26名儿童(31.7%)的年龄为2-4.11岁,只有5名儿童的年龄在5岁(6.1%)及以上。56名儿童成功断掉了管饲,9名儿童最终成功断奶,但断奶时间比预期的要长,11名儿童部分断奶,6名儿童没有成功断奶。这些结果将在与参与者特征(病情、年龄、性别和体重)相关的成功断奶计划的背景下进行讨论,并就干预环境、持续时间和强度;重新定义断奶成功与否以及长期跟踪的必要性等方面提出后续建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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