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Partial Enteral Discharge Programs for High-risk Infants

Anna Ermarth1, Con Yee Ling1

  • 1Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT.

Neoreviews
|December 31, 2021
PubMed

Insights

Infants with feeding difficulties can be safely discharged from the NICU with nasogastric tube (NGT) support and outpatient care. This approach improves outcomes and caregiver satisfaction, challenging historical discharge criteria.

Area of Science:

  • Neonatal Medicine
  • Pediatric Gastroenterology
  • Clinical Nutrition

Background:

  • Premature infants and those with complex conditions often experience delayed oral feeding.
  • Nasogastric tube (NGT) feeding is a common intervention during neonatal intensive care unit (NICU) hospitalization.
  • Traditional NICU discharge required full oral feeding or gastrostomy tube placement.

Purpose of the Study:

  • To review the literature on discharging infants with NGT support.
  • To provide evidence-based practices for safe NGT use during NICU stays and outpatient care.
  • To assess the efficacy and caregiver satisfaction with this discharge approach.

Main Methods:

  • Literature review of studies on NGT-dependent infant discharge.
  • Analysis of outcomes and safety data for infants discharged with NGTs.
  • Examination of predischarge education and outpatient support strategies.

Main Results:

  • Successful hospital discharge is achievable with partial NGT or gastrostomy tube feedings.
  • Targeted education and outpatient support facilitate this transition.
  • Caregiver satisfaction with this approach is reported as satisfactory or higher.

Conclusions:

  • Discharging infants with NGT support is a viable and safe alternative to traditional methods.
  • This approach requires robust predischarge planning and ongoing outpatient care.
  • Further research can refine best practices for NGT-assisted discharge and feeding rehabilitation.

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