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Backman, E., Karlsson, A.-K. & Sjögreen, L. (2018). Gastrostomy tube feeding in children with developmental or acquired disorders: A longitudinal comparison on health care provision, and eating outcomes four years after gastrostomy. Nutrition in clinical practice, 33(4), 576-583
Öppna denna publikation i ny flik eller fönster >>Gastrostomy tube feeding in children with developmental or acquired disorders: A longitudinal comparison on health care provision, and eating outcomes four years after gastrostomy
2018 (Engelska)Ingår i: Nutrition in clinical practice, ISSN 0884-5336, Vol. 33, nr 4, s. 576-583Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Studies on long‐term feeding and eating outcomes in children requiring gastrostomy tube feeding (GT) are scarce. The aim of this study was to describe children with developmental or acquired disorders receiving GT and to compare longitudinal eating and feeding outcomes. A secondary aim was to explore healthcare provision related to eating and feeding.

Methods: This retrospective cohort study reviewed medical records of children in 1 administrative region of Sweden with GT placement between 2005 and 2012. Patient demographics, primary diagnoses, age at GT placement, and professional healthcare contacts prior to and after GT placement were recorded and compared. Feeding and eating outcomes were assessed 4 years after GT placement.

Results: The medical records of 51 children, 28 boys and 23 girls, were analyzed and grouped according to “acquired” (n = 13) or “developmental” (n = 38) primary diagnoses. At 4 years after GT placement, 67% were still using GT. Only 6 of 37 (16%) children with developmental disorders transferred to eating all orally, as opposed to 10 of 11 (91%) children with acquired disorders. Children with developmental disorders were younger at the time of GT placement and displayed a longer duration of GT activity when compared with children with acquired disorders.

Conclusions: This study demonstrates a clear difference between children with developmental or acquired disorders in duration of GT activity and age at GT placement. The study further shows that healthcare provided to children with GT is in some cases multidisciplinary, but primarily focuses on feeding rather than eating.

Ort, förlag, år, upplaga, sidor
Thousand Oaks: Sage Publications, 2018
Nyckelord
nutrition, child, blenderized foods, enteral feeding, formulated food, multidisciplinary, pediatric
Nationell ämneskategori
Annan hälsovetenskap Näringslära
Identifikatorer
urn:nbn:se:hh:diva-35977 (URN)10.1002/ncp.10056 (DOI)000438513200015 ()29603398 (PubMedID)2-s2.0-85049792417 (Scopus ID)
Tillgänglig från: 2017-12-27 Skapad: 2017-12-27 Senast uppdaterad: 2020-02-03Bibliografiskt granskad
Backman, E., Karlsson, A.-K. & Sjögreen, L. (2017). The use of gastrostomy in Swedish children – indications, and trends between 2005 and 2015. In: : . Paper presented at The 23rd Conference of the Nordic Association for Disability and Oral Health (NFH) & the 5th Nordic Conference on Children with Feeding Disorders, Reykjavik, Iceland, August 17-18, 2017.
Öppna denna publikation i ny flik eller fönster >>The use of gastrostomy in Swedish children – indications, and trends between 2005 and 2015
2017 (Engelska)Konferensbidrag, Enbart muntlig presentation (Refereegranskat)
Abstract [en]

Children with complex medical needs requiring nutritional support are growing in number. This presentation will add new knowledge regarding gastrostomy in children by reporting primary diagnosis, and indications for the use of gastrostomy. Furthermore, the presentation will discuss and analyse data evolution trends from 2005 to 2015 in Sweden.

Methods: The first part of the study used national statistics to provide a broad picture of gastrostomy use in Swedish children. The second part applied a retrospective observational study design, reviewing medical charts in order to obtain an in-depth picture of the children in need for gastrostomy, and its use in a five-year perspective.

Results: The number of gastrostomy cases recorded in the national database was 3 946, 53% male, and 47% female. The distribution of age groups was: 0-4 years: 61% , 5-9 years: 17%, 10-14 years: 12%, and 15-19: years 10%.  When observing trends on a national level, the number of children receiving gastrostomy increased in average by 13% per year. Changes in the separate age groups were analysed. An increase was noted for children aged 0-4 years and for children aged 5-9 years. In the age groups 10-14 years and 15-19 years, there was no progressive increase. The results from the national statistics database will be discussed in relation to the medical chart-analyses of 75 children receiving gastrostomy in one Swedish administrative region between 2005 and 2015. 

Conclusions: As in many parts of Europe, the number of children in need for gastrostomy is also growing in Sweden, with the youngest children seeming to be the group increasing most.

Clinical implications: Nutritional support in Sweden is publicly financed, therefore these findings may be useful when planning both monetary and human resources in meeting the future challenges of paediatric health care.

Nyckelord
children, nutritional support, feeding disorders, percutaneous endoscopic gastrostomy, home enteral nutrition, long term follow up
Nationell ämneskategori
Pediatrik
Identifikatorer
urn:nbn:se:hh:diva-34845 (URN)
Konferens
The 23rd Conference of the Nordic Association for Disability and Oral Health (NFH) & the 5th Nordic Conference on Children with Feeding Disorders, Reykjavik, Iceland, August 17-18, 2017
Tillgänglig från: 2017-08-31 Skapad: 2017-08-31 Senast uppdaterad: 2018-03-23Bibliografiskt granskad
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0001-9551-8686

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