PMID- 37017937
OWN - NLM
STAT- MEDLINE
DCOM- 20230919
LR  - 20230919
IS  - 1941-2452 (Electronic)
IS  - 0884-5336 (Linking)
VI  - 38
IP  - 5
DP  - 2023 Oct
TI  - Characteristics and health service utilization of children most at risk for 
      prolonged temporary tube feeding.
PG  - 1154-1166
LID - 10.1002/ncp.10981 [doi]
AB  - BACKGROUND: This study aimed to describe children at risk of prolonged temporary 
      tube feeding and evaluate associations between tube feeding duration and child 
      and health service variables. METHODS: A prospective medical hospital records 
      audit was conducted between November 1, 2018, and November 30, 2019. Children at 
      risk of prolonged temporary tube feeding were identified as having a tube feeding 
      duration of >5 days. Information was collected on patient characteristics (eg, 
      age) and service delivery provision (eg, tube exit plans). Data were collected 
      from the pretube decision-making phase until tube removal (if applicable) or 
      until 4 months after tube insertion. RESULTS: Descriptively, 211 at-risk children 
      (median, 3.7 years; interquartile range [IQR], 0.4-7.7) differed from 283 
      not-at-risk children (median age, 0.9 years; IQR, 0.4-1.8) in terms of age, 
      geographical location of residence, and tube exit planning. Medical diagnoses of 
      neoplasms, congenital abnormalities, perinatal problems, and digestive system 
      diseases in the at-risk group were individually associated with longer than 
      average tube feeding duration, as were the primary reasons for tube feeding of 
      nonorganic growth faltering and inadequate oral intake related to neoplasms. Yet, 
      variables independently associated with greater odds of lengthier tube feeding 
      durations were consultations with a dietitian, speech pathologist, or 
      interdisciplinary feeding team. CONCLUSION: Children at risk of prolonged 
      temporary tube feeding access interdisciplinary management because of their 
      complexity. Identified descriptive differences between at-risk and not-at-risk 
      children may be useful when selecting patients for tube exit planning and 
      developing tube feeding management education programs for health professionals.
CI  - (c) 2023 American Society for Parenteral and Enteral Nutrition.
FAU - Syrmis, Maryanne
AU  - Syrmis M
AUID- ORCID: 0000-0002-7036-6134
AD  - Department of Speech Pathology, Queensland Children's Hospital, South Brisbane, 
      Queensland, Australia.
FAU - Reilly, Claire
AU  - Reilly C
AUID- ORCID: 0000-0001-9892-492X
AD  - Department of Dietetics and Food Services, Queensland Children's Hospital, South 
      Brisbane, Queensland, Australia.
AD  - Faculty of Health and Behavioural Sciences, The University of Queensland, South 
      Brisbane, Queensland, Australia.
FAU - Frederiksen, Nadine
AU  - Frederiksen N
AUID- ORCID: 0000-0002-6414-6549
AD  - Department of Occupational Therapy, Queensland Children's Hospital, South 
      Brisbane, Queensland, Australia.
FAU - Bell, Kristie L
AU  - Bell KL
AUID- ORCID: 0000-0002-4795-1079
AD  - Department of Dietetics and Food Services, Queensland Children's Hospital, South 
      Brisbane, Queensland, Australia.
AD  - Centre for Child Health Research, The University of Queensland, South Brisbane, 
      Queensland, Australia.
LA  - eng
GR  - 50234/This project was supported via a Woolworths Nutrition-Related Health 
      Services Research Grant via the Children's Hospital Foundation/
PT  - Journal Article
DEP - 20230405
PL  - United States
TA  - Nutr Clin Pract
JT  - Nutrition in clinical practice : official publication of the American Society for 
      Parenteral and Enteral Nutrition
JID - 8606733
SB  - IM
MH  - Humans
MH  - Child
MH  - Infant
MH  - *Enteral Nutrition
MH  - Prospective Studies
MH  - Health Services
MH  - Health Personnel
MH  - *Neoplasms
OTO - NOTNLM
OT  - children
OT  - enteral nutrition
OT  - integrated delivery of health care
OT  - patient care planning
OT  - pediatrics
OT  - tube feeding
EDAT- 2023/04/06 06:00
MHDA- 2023/09/19 06:42
CRDT- 2023/04/05 11:23
PHST- 2023/02/21 00:00 [revised]
PHST- 2022/08/12 00:00 [received]
PHST- 2023/02/26 00:00 [accepted]
PHST- 2023/09/19 06:42 [medline]
PHST- 2023/04/06 06:00 [pubmed]
PHST- 2023/04/05 11:23 [entrez]
AID - 10.1002/ncp.10981 [doi]
PST - ppublish
SO  - Nutr Clin Pract. 2023 Oct;38(5):1154-1166. doi: 10.1002/ncp.10981. Epub 2023 Apr 
      5.