Feeding outcomes in tracheostomy-dependent infants - can we predict future gastrostomy tube use?
Int J Pediatr Otorhinolaryngol
; 177: 111877, 2024 Feb.
Article
em En
| MEDLINE
| ID: mdl-38295685
ABSTRACT
OBJECTIVES:
To identify characteristics of infants with tracheostomy that require gastrostomy tube insertion versus those likely to orally feed to predict which patients may benefit from insertion of gastrostomy at the time of tracheostomy placement.METHODS:
Retrospective review of infants undergoing tracheostomy from birth to 18 months of age. The primary outcome was to identify pre-operative factors predictive of future gastrostomy tube use. Univariate and multivariate analyses evaluated association between pre-operative patient characteristics and feeding outcomes.RESULTS:
Of 103 patients identified, 73 met inclusion criteria. Upper airway anomaly was the indication for tracheostomy in 70.4 %. Gastrostomy tube was required in 52 patients (75.4 %), with 7 (13.5 %) placed concurrently with tracheostomy. Infants with birth complications, a neurologic diagnosis, multiple co-morbidities, or identified with aspiration risk were more likely to require a gastrostomy tube (p < 0.05).CONCLUSIONS:
Most infants who require tracheostomy placement from birth until 18 months of age will require nutritional support. Tracheostomy and gastrostomy are uncommonly placed concurrently. Coordination of placement would theoretically minimize the risk of general anesthetic exposure while potentially reducing hospital length of stay and healthcare related costs.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Traqueostomia
/
Gastrostomia
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
/
Infant
Idioma:
En
Revista:
Int J Pediatr Otorhinolaryngol
/
Int. j. pediatr. otorhinolaryngol
/
International journal of pediatric otorhinolaryngology
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Canadá