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Feeding Disorders in Children With Tracheostomy Tubes.

Jennifer Henningfeld1, Cecilia Lang2, Gina Erato3

  • 1Medical College of Wisconsin, Division of Pediatric Pulmonology and Sleep Medicine, Milwaukee, Wisconsin, USA.

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
|July 24, 2020
PubMed
Summary
This summary is machine-generated.

Children with tracheostomy often experience feeding dysfunction, including malnutrition and behavioral issues. Early intervention through interdisciplinary feeding programs is crucial for improving outcomes in these vulnerable patients.

Keywords:
childdeglutition disordersenteral nutritionfeeding and eating disorders of childhoodfeeding behaviorgrowth and developmentpediatricsswallowingtracheostomy

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Area of Science:

  • Pediatric Gastroenterology
  • Speech-Language Pathology
  • Pediatric Otolaryngology

Background:

  • Tracheostomy in children can lead to significant feeding dysfunction.
  • Understanding feeding challenges is vital for optimizing care.

Purpose of the Study:

  • To describe feeding dysfunction in children with tracheostomy.
  • To identify factors associated with feeding difficulties in this population.

Main Methods:

  • Retrospective chart review of children evaluated by an interdisciplinary feeding program.
  • Analysis of demographic, diagnostic, nutritional, and feeding data.
  • Utilized validated psychometric instruments for feeding dysfunction assessment.

Main Results:

  • Children with tracheostomy showed delayed food texture acceptance and poorer mealtime behaviors.
  • Low weight- and height-for-age z-scores were observed, with a high reliance on tube feeding.
  • Significantly worse scores on the Mealtime Behavior Questionnaire and the About Your Child's Eating survey were noted.

Conclusions:

  • Enteral nutrition, poor oral-feeding skills, malnutrition, and challenging mealtime behaviors are linked to tracheostomy.
  • Ventilator dependence, cuffed tracheostomy, and speaking valve use were less frequently associated with feeding program evaluation.