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Tube dependency as a result of prematurity
Karoline Pahsini1, Sabine Marinschek1, Zahra Khan1
1Medical University of Graz, Department of Pediatric and Adolescent Medicine, Division of General Pediatrics, Austria.
Journal of Neonatal-Perinatal Medicine
|July 17, 2018
Summary
Prematurity, particularly extreme prematurity, significantly increases the risk of tube dependency in children. Early intervention and preventive strategies are crucial for these vulnerable infants to facilitate oral feeding transitions.
Area of Science:
- Neonatal care
- Pediatric gastroenterology
- Developmental pediatrics
Background:
- Enteral nutrition support (ENS) is standard in NICUs, but can lead to long-term tube dependency.
- Tube dependency hinders transition to oral feeding and may cause oral aversion.
- This study investigates the prevalence of prematurity in tube-dependent children.
Purpose of the Study:
- To evaluate the prevalence of prematurity in a large cohort of tube-dependent children.
- To identify risk factors associated with prolonged tube feeding.
- To inform targeted interventions for preventing tube dependency.
Main Methods:
- Quantitative analysis of prospectively collected data.
- Study cohort included tube-dependent children from a tube weaning program (2009-2015).
- Utilized the "Graz Model of tube weaning" protocol.
Main Results:
- 711 tube-dependent children were analyzed; 53.2% were born prematurely.
- 103 were extremely preterm infants (<29 weeks), 275 were preterm infants (29-36+6 weeks).
- No significant differences in tube weaning outcomes between preterm and full-term infants were observed.
Conclusions:
- Prematurity, especially extreme prematurity, is linked to a higher risk of developing tube dependency.
- Children born extremely preterm often require tube feeding from birth.
- Preventive measures should be considered for preterm infants at risk of tube dependency.
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