使用喂食管出院早产儿的喂养效果。

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-09-18 DOI:10.1038/s41372-025-02422-x

Anisa Lakhani, Barbara McElhanon, Zhulin He, Nikhila Raol, William G Sharp, Heidi Karpen

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引用次数: 0

摘要

目的：评价饲管出院早产儿的喂养效果。研究设计：回顾性研究比较2012-2020年≤30孕周的婴儿使用鼻胃管（NGT）或手术放置饲管（spFT）出院。主要结果是12个月矫正年龄时的喂养状况，定义为完全口服喂养（FOF）或喂食管依赖（FTD），如果持续使用喂食管。结果：纳入217例患儿：出院时发生NGT的患儿130例（60%），发生spFT的患儿87例（40%）。NGT患儿FOF发生率较高（NGT = 76%, spFT=24%, p）。结论：本研究结果可指导患儿FTD风险的选择和优化随访。

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Feeding outcomes of preterm infants discharged with feeding tubes.

Objective: To evaluate feeding outcomes in preterm infants discharged with feeding tubes (FT).

Study design: Retrospective study comparing infants ≤30 weeks gestational age discharged with a nasogastric tube (NGT) or surgically placed feeding tube (spFT) from 2012-2020. The primary outcome was feeding status at 12 months corrected age, defined as full oral feeds (FOF) or feeding tube dependence (FTD) if ongoing FT use.

Results: 217 infants were included: 130 discharged with an NGT (60%), 87 with spFT (40%). More NGT infants achieved FOF (NGT = 76%, spFT=24%, p < 0.001). FTD was associated with small for gestational age (aOR= 2.75, p = 0.034), severe bronchopulmonary dysplasia (aOR= 2.36, p = 0.029), and continuous feeds (aOR= 4.06, p < 0.001). Increased oral intake at discharge decreased FTD odds (aOR=0.74, p = 0.010). Infants with spFT had higher healthcare utilization for FT complications (spFT=60%, NGT = 19%, p < 0.001).

Conclusions: These findings can guide FT selection and optimize follow-up for infants at risk of FTD.

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.