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The use of gastrostomy in Swedish children – indications, and trends between 2005 and 2015
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Region Halland, Halmstad, Sweden.ORCID iD: 0000-0001-5499-7246
Department of Research and Development, Region Halland, Halmstad, Sweden.
Mun-H-Center Orofacial Resource Center for Rare diseases, Gothenburg, Sweden.ORCID iD: 0000-0001-9551-8686
2017 (English)Conference paper, Presentation (Refereed)
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.

Place, publisher, year, edition, pages
2017.
Keyword [en]
children, nutritional support, feeding disorders, percutaneous endoscopic gastrostomy, home enteral nutrition, long term follow up
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:hh:diva-34845OAI: oai:DiVA.org:hh-34845DiVA: diva2:1137640
Conference
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
Available from: 2017-08-31 Created: 2017-08-31 Last updated: 2017-09-07Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • ieee
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  • de-DE
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