AI Article Synopsis

  • The study evaluated the prevalence and outcomes of assisted home feeding (AHF) in complex neonatal intensive care unit (NICU) patients, finding that 33% of discharged infants were on AHF.
  • Infants on AHF were generally born earlier, had lower birth weights, spent longer in the hospital, and tended to have more health issues than those discharged on full oral feeding (PO).
  • The findings suggest that AHF is a common and safe option for feeding medically complex infants after discharge from the NICU.

Article Abstract

Objective: To describe the prevalence and outcome of assisted home feeding (AHF) in medically complex neonatal intensive care unit (NICU) patients, and to identify variables associated with AHF in this population.

Study Design: 1223 infants who survived to discharge from 2013 to 2015 were identified in our single-center, retrospective cohort study at a large tertiary referral NICU. Demographic and selected disease-specific variables were compared between infants discharged on full oral feeding (PO) versus AHF.

Result: 404 (33%) infants were discharged on AHF (NG = 201, GT = 186, NJ = 17). AHF neonates were born at an earlier gestational age, lower birth weight, had longer hospital admission, greater post-menstrual age at discharge, and had more associated co-morbidities compared to the PO group.

Conclusion: AHF was a frequently used and safe intervention in our large cohort of infants.

Level Of Evidence: Treatment Study Level III.

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Source
http://dx.doi.org/10.1016/j.jpedsurg.2018.05.020DOI Listing

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