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Transition from tube feeding to oral feeding: experience in a tertiary care paediatric cardiology unit

Anne Marie Shine1, Daragh Gerard Finn2, Noeleen Allen3

  • 1Clinical Nutrition and Dietetics, Our Lady's Children's Hospital, Crumlin, Dublin, 12, Ireland. annemarie.shine@olchc.ie.

Irish Journal of Medical Science
|May 3, 2018
PubMed

Insights

Weaning infants and children with congenital heart disease (CHD) from home enteral tube feeding (HETF) is achievable in outpatient settings. Early and frequent dietetic support is key for successful tube weaning (TW).

Area of Science:

  • Pediatric Cardiology
  • Clinical Nutrition
  • Dietetics

Background:

  • Home enteral tube feeding (HETF) is crucial for infants and children with congenital heart disease (CHD).
  • Limited literature exists on tube weaning (TW) practices and success rates in this population.
  • Assessing TW in CHD patients requires understanding HETF duration and interventions.

Purpose of the Study:

  • To evaluate the process of weaning HETF in pediatric CHD patients at a tertiary referral center.
  • To determine the duration of HETF and TW.
  • To identify the interventions used during TW.

Main Methods:

  • Retrospective review of medical and dietetic records.
  • Inclusion of all successfully weaned HETF patients over a 12-month period (January 2015 - December 2015).
  • Analysis of patient demographics, diagnoses, HETF duration, TW duration, and dietetic interventions.

Main Results:

  • 30 children (9 male, 21 female) were included.
  • Median age at HETF initiation was 45 days; median TW duration was 52 days.
  • Successful TW required a median of 5 dietetic consults, influenced by patient age and HETF duration. Interventions included feed adjustments.

Conclusions:

  • Tube weaning (TW) from HETF is feasible in an outpatient setting for children with CHD.
  • Early and frequent dietetic intervention is recommended for efficient HETF discontinuation.
  • Further research into optimized TW protocols for CHD patients is warranted.
Abstract

Keywords:
Congenital heart diseaseHome enteral tube feedingTube dependencyTube dependentTube feedingTube weaning

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