Impact of Gastrostomy Tube Placement on Short‐Term Weight Gain in Hospitalized Premature Infants
Background Gastrostomy tube (G‐tube) placement is a long‐term alternative to oral or nasogastric feeding for premature infants who cannot safely feed orally or need supplemental nutrition for adequate growth. Methods We compared daily weight changes for G‐tube infants 14 and 30 days preplacement and...
Saved in:
| Published in: | JPEN. Journal of parenteral and enteral nutrition Vol. 44; no. 2; pp. 355 - 360 |
|---|---|
| Main Authors: | , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
01-02-2020
|
| Subjects: | |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Background
Gastrostomy tube (G‐tube) placement is a long‐term alternative to oral or nasogastric feeding for premature infants who cannot safely feed orally or need supplemental nutrition for adequate growth.
Methods
We compared daily weight changes for G‐tube infants 14 and 30 days preplacement and postplacement, excluding the first 7 days post–G‐tube insertion. Infants <37 weeks of gestation without major congenital anomalies and discharged from 327 United States neonatal intensive care units (2004–2013) were included. Incidence of in‐hospital outcomes including hypoxic ischemic encephalopathy, intraventricular hemorrhage grade 3 or 4, necrotizing enterocolitis, and patent ductus arteriosus ligation was examined. Additionally, we estimated a treatment effect model in which infants with a G‐tube were matched 1:1 to untreated controls based on propensity scores; main outcome was the average treatment effect (weight gain) for treated infants during the 7, 14, or 30 days immediately prior to discharge.
Results
Of 329,254 infants, 1393 (0.4%) received a G‐tube, increasing from 0.2% in 2004 to 0.6% in 2013. Daily weight gain was significantly less during days 8–14 postplacement compared with 14 days preplacement but was similar between 30 days preplacement and 8–30 days postplacement. After matching, G‐tube infant weight gain during the 7 days predischarge was less than among controls, but there was no difference in weight gain between treated and control patients for 14 days and 30 days predischarge.
Conclusions
The prevalence of G‐tube placement has increased. G‐tube use in infants was not associated with improved short‐term daily weight gain. |
|---|---|
| Bibliography: | High school student affiliated with the Duke Clinical Research Institute R25 Summer Program. Financial disclosure: Dr. Puia‐Dumitrescu received salary support from the National Institutes of Health (T32 HD 43029‐13 and T32 HD 43029‐14, PI: Benjamin). This work was funded under National Institute of Child Health and Human Development contract HHSN275201000003I for the Pediatric Trials Network (PI: Benjamin). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. Conflicts of interest: None declared. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 High school student affiliated with the Duke Clinical Research Institute R25 Summer Program |
| ISSN: | 0148-6071 1941-2444 1941-2444 |
| DOI: | 10.1002/jpen.1539 |