Safety and efficacy of a home nasogastric monitoring program for premature infants.
J Neonatal Perinatal Med
; 15(1): 165-170, 2022.
Article
en En
| MEDLINE
| ID: mdl-34459419
ABSTRACT
BACKGROUND:
A novel home monitoring program, in which premature infants are cared for at home with a nasogastric tube in place prior to achievement of full oral feeding, was evaluated. The program combines a digital, fully EMR-integrated, virtual daily rounding platform with direct provider video and telephone contact.METHODS:
A case-control study was performed evaluating infantsâ<â34 weeks' gestation who were followed in our program. A historical control group, was created by matching 2ââ1 based on gestational age±6 days, retroactively.RESULT:
15 patients discharged in the program were compared with 30 controls. The home cohort gained an average of 30âg/day compared with the in-hospital group at 27g/day (pâ=â0.325). The home group required a mean of 5.9±2.9 days to full oral feeding once discharged, not different from the control group at 5.4±3.7 days (pâ=â0.606). The percentage of oral feeds for the home cohort, however, increased at a rate of 12.2%before discharge compared to rising 57%at home (pâ<â0.001). The control group spent an additional 8.1±3.9 days in the hospital after reaching criteria. There were no reported adverse events or readmissions.CONCLUSION:
Premature infants can safely advance oral feeds using a home monitoring program. While at home, infants gained weight similarly to their inpatient controls, yet gained full oral skills at a significantly faster rate compared to when they were in the hospital.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Nutrición Enteral
/
Enfermedades del Prematuro
Tipo de estudio:
Observational_studies
Límite:
Child
/
Humans
/
Infant
/
Newborn
Idioma:
En
Revista:
J Neonatal Perinatal Med
Año:
2022
Tipo del documento:
Article
País de afiliación:
Estados Unidos