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Prevalence and side effects of pediatric home tube feeding

Hilde Krom1, Suzanne M C van Zundert2, Marie-Anne G M Otten3

  • 1Department of Pediatric Gastroenterology, Emma Children's Hospital, Box 22666, 1100 DD, Amsterdam, The Netherlands.

Clinical Nutrition (Edinburgh, Scotland)
|February 19, 2018
PubMed

Insights

Pediatric home tube feeding affects 83-92 per 100,000 children in the Netherlands, with frequent side effects like vomiting reported by parents. Further research is needed to reduce these adverse events.

Area of Science:

  • Pediatric Gastroenterology
  • Public Health
  • Clinical Nutrition

Background:

  • Home tube feeding is crucial for pediatric growth but can negatively impact health and psychosocial well-being.
  • Associated health costs are a significant concern for families and healthcare systems.
  • Understanding the scope and impact of pediatric home tube feeding is essential for improving care.

Purpose of the Study:

  • To determine the prevalence of pediatric home tube feeding in the Netherlands.
  • To assess the clinical characteristics of children requiring home tube feeding.
  • To identify and evaluate the side effects associated with pediatric home tube feeding.

Main Methods:

  • Prevalence data (2010-2014) were obtained from national health and statistics registries.
  • A cross-sectional online parental questionnaire gathered data on clinical characteristics and side effects.
  • Inclusion criteria: children aged ≤17 years receiving tube feeding for ≥2 weeks.

Main Results:

  • The prevalence of pediatric home tube feeding was 83-92 per 100,000 children annually.
  • Most tube-fed children (88%) had underlying medical diagnoses, including congenital abnormalities, perinatal issues, and neurological diseases.
  • Parents reported frequent side effects (74%), with vomiting, lack of appetite, and gagging being most common; nasogastric tube placement led to negative experiences in 94% of cases.

Conclusions:

  • Pediatric home tube feeding prevalence in the Netherlands is estimated at 83-92 per 100,000 children.
  • Children on home tube feeding often have complex medical conditions.
  • Frequent side effects necessitate further research into methods for their reduction.
Abstract

Keywords:
Enteral feedingEnteral nutritionPediatricSide effectsTube feeding

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