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Factors Associated with Delayed Transition to Oral Feeding in Infants with Single Ventricle Physiology

Joshua D Kurtz1, Shahryar M Chowdhury1, Francis K Woodard1

  • 1Department of Pediatrics, Division of Pediatric Cardiology, Medical University of South Carolina, Charleston, SC.

The Journal of Pediatrics
|April 7, 2019
PubMed

Insights

Infants with single ventricle physiology often require prolonged gastrostomy tube dependence. Preoperative oral feeding is a key factor in achieving earlier transition to exclusive oral feeding, potentially reducing dependence.

Area of Science:

  • Pediatric Cardiology
  • Neonatology
  • Gastroenterology

Background:

  • Infants with single ventricle physiology present unique feeding challenges.
  • Prolonged gastrostomy tube dependence impacts infant development and family well-being.

Purpose of the Study:

  • To determine the time to exclusive oral feeding in infants with single ventricle physiology.
  • To identify risk factors for extended gastrostomy tube use in this population.

Main Methods:

  • Retrospective analysis of 78 infants with single ventricle physiology.
  • Categorization of oral feeding transition into early, mid, and late groups.
  • Statistical analysis to identify factors associated with feeding transition.

Main Results:

  • 59% of infants were discharged with a gastrostomy tube.
  • 50% achieved early transition to oral feeding.
  • Preoperative oral feeding, higher weight-for-age z-scores, and shorter intensive care unit/hospital stays were associated with early transition.

Conclusions:

  • Preoperative oral feeding is a significant factor in achieving timely oral feeding transition.
  • Early identification of feeding difficulties and interventions may improve outcomes.
Abstract

Keywords:
congenitalenteral nutritiongastrostomyheart defects

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