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Demographic and clinical predictors and inter-center variability of tube feeding in preterm NICU patients
Pavika Varma1, Isabella Zaniletti2, Karna Murthy2,3
1Section of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA. pavika.varma@childrenscolorado.org.
Objectives:
Investigate demographic and clinical factors and inter-center variability associated with home NGT versus GT in preterm infants.
Study Design:
Retrospective cohort study of preterm infants in the Children's Hospitals Neonatal Database discharged home with a NGT or GT between 2015-2020. Multivariable logistic regression assessed the independent relationship between infant characteristics and feeding modality. Bivariate analysis evaluated inter-center variability.
Results:
3521 preterm infants discharged with tube feedings (NGT 39%; GT 61%). Hispanic infants (AOR 1.57, 95% CI 1.15, 2.14) and SGA infants (AOR 1.27, 95% CI 1.02, 1.6) were more likely to receive GT feedings. Privately insured infants had decreased likelihood of receiving GT (AOR 0.57, 95% CI 0.45, 0.72). Infants discharged with NGT had shorter hospital stays (70[34,111] vs. 86 [39,138] days, p < 0.01). Significant inter-center variability among sites exists.
Conclusions:
Differences in tube feeding at discharge were noted by infant race and ethnicity, SGA status, and insurance type.
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