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Updated: Jun 1, 2025
04:43
Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
513
Long-term feeding outcomes after infant tracheostomy.
Elena Stekolchik1, Md Jobayer Hossain2, J Heather Northam3
1Division of Pulmonology, Nemours Children's Health, Wilmington, DE, USA. Elena.Stekolchik@nemours.org.
Summary
Infants needing a tracheostomy before age one often have long-term feeding tube dependence. Many still require feeding support by age five, highlighting significant feeding impairments.
Area of Science:
- Pediatric Gastroenterology
- Neonatology
- Pediatric Otolaryngology
Background:
- Infants requiring tracheostomy often experience feeding difficulties.
- Understanding long-term feeding outcomes is crucial for comprehensive care.
Purpose of the Study:
- To evaluate feeding outcomes in infants who underwent tracheostomy before their first birthday.
- To identify factors associated with persistent feeding tube dependence.
Main Methods:
- Retrospective review of feeding outcomes.
- Cohort of infants undergoing tracheostomy over a 16-year period.
- Assessment at initial hospital discharge and age 5.
Main Results:
- 145 infants included; 117 were feeding tube dependent at discharge, 71 at age 5.
- Factors associated with feeding tube dependence at age 5 included cardiovascular comorbidities, long-term tracheostomy dependence, higher birth weight, older age at decannulation, and older gestational age.
- Significant feeding impairment persists into early childhood.
Conclusions:
- Infants requiring tracheostomy demonstrate a high prevalence of feeding impairment at age 5.
- Early identification and management of feeding issues are critical for this population.
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