Faculty Collaboration Database

Outcomes of Infants With Home Tube Feeding: Comparing Nasogastric vs Gastrostomy Tubes. JPEN J Parenter Enteral Nutr 2017 Nov;41(8):1380-1385

Date

09/21/2016

Pubmed ID

27647478

Pubmed Central ID

PMC5727911

DOI

10.1177/0148607116670621

Scopus ID

2-s2.0-85035026794 (requires institutional sign-in at Scopus site)   46 Citations

Abstract

BACKGROUND: The aim of this study was to determine the tube-related complications and feeding outcomes of infants discharged home from the neonatal intensive care unit (NICU) with nasogastric (NG) tube feeding or gastrostomy (G-tube) feeding.

MATERIALS AND METHODS: We performed a chart review of 335 infants discharged from our NICU with home NG tube or G-tube feeding between January 2009 and December 2013. The primary outcome was the incidence of feeding tube-related complications requiring emergency department (ED) visits, hospitalizations, or deaths. Secondary outcome was feeding status at 6 months postdischarge. Univariate and multivariate analyses were conducted.

RESULTS: There were 322 infants discharged with home enteral tube feeding (NG tube, n = 84; G-tube, n = 238), with available outpatient data for the 6-month postdischarge period. A total of 115 ED visits, 28 hospitalizations, and 2 deaths were due to a tube-related complication. The incidence of tube-related complications requiring an ED visit was significantly higher in the G-tube group compared with the NG tube group (33.6% vs 9.5%, P < .001). Two patients died due to a G-tube-related complication. By 6 months postdischarge, full oral feeding was achieved in 71.4% of infants in the NG tube group compared with 19.3% in the G-tube group ( P < .001). Type of feeding tube and percentage of oral feeding at discharge were significantly associated with continued tube feeding at 6 months postdischarge.

CONCLUSION: Home NG tube feeding is associated with fewer ED visits for tube-related complications compared with home G-tube feeding. Some infants could benefit from a trial home NG tube feeding.

Author List

Khalil ST, Uhing MR, Duesing L, Visotcky A, Tarima S, Nghiem-Rao TH

Authors

Lori A. Duesing CPNP, PAC APP Inpatient 2 in the Surgery department at Medical College of Wisconsin
T Hang Nghiem-Rao MD Associate Professor in the Pediatrics department at Medical College of Wisconsin
Sergey S. Tarima PhD Associate Professor in the Institute for Health and Equity department at Medical College of Wisconsin
Michael R. Uhing MD Professor in the Pediatrics department at Medical College of Wisconsin
Alexis M. Visotcky Biostatistician III in the Institute for Health and Equity department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Enteral Nutrition
Female
Follow-Up Studies
Gastrostomy
Home Care Services
Hospitalization
Humans
Infant
Intensive Care Units, Neonatal
Intubation, Gastrointestinal
Male
Patient Discharge
Retrospective Studies
Risk Factors
Treatment Outcome