Aim: In our previous publication, we proposed an algorithm for safely discharging infants from the neonatal intensive care unit (NICU) on partial nasogastric feeds (NGF), thus avoiding gastrostomy tube placement (GTP) for infants who were unable to take full oral feeds. This follow up study post intervention, is to determine the number of patients discharged home on partial nasogastric (NG) feeds, the effectiveness of this intervention measured by reaching full oral feeds within 3 months of discharge and parent view on this intervention and outcome. We also investigated the success of this intervention based on the main discharge diagnosis. Study Design: Retrospective single-center study of infants discharged from the NICU from June 2019 to Dec 2020. Chart review was done to determine the rate of follow-up, time of achieve full oral feeds, and discontinuation of NG tube. We calculated NICU days saved by calculating the days from discharge to reaching full oral feeds at home. Results: Patient records were available for chart review regarding their outpatient follow-up in 96%. 82% of patients reached full feeds on an average of 35 days (range 1day to 10 weeks). 10% of patients required GTP due to the need for prolonged gavage feeding. 2 records were unavailable. Infants discharged home with NG tubes saved 587 NICU days. 88% of the parents contacted over phone responded positively in their choice of NG tube instead of GTP. Conclusion: Discharge from NICU on partial NG feeds for select infants is associated with reduced NICU stay without increased post-discharge complications or increased parent satisfaction.
| Published in | International Journal of Gastroenterology (Volume 8, Issue 1) |
| DOI | 10.11648/ijg.20240801.11 |
| Page(s) | 1-4 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Neonatal Intensive Care Unit, Home Nasogastric Feeds Gastrostomy Tube Placement, Oral Feeds
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APA Style
Kamal, S., Chandrasekar, I. (2024). Outcome of Infants Discharged Home from the Neonatal Unit with Partial Nasogastric Feeds. International Journal of Gastroenterology, 8(1), 1-4. https://doi.org/10.11648/ijg.20240801.11
ACS Style
Kamal, S.; Chandrasekar, I. Outcome of Infants Discharged Home from the Neonatal Unit with Partial Nasogastric Feeds. Int. J. Gastroenterol. 2024, 8(1), 1-4. doi: 10.11648/ijg.20240801.11
AMA Style
Kamal S, Chandrasekar I. Outcome of Infants Discharged Home from the Neonatal Unit with Partial Nasogastric Feeds. Int J Gastroenterol. 2024;8(1):1-4. doi: 10.11648/ijg.20240801.11
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Download@article{10.11648/ijg.20240801.11,
author = {Shivani Kamal and Indira Chandrasekar},
title = {Outcome of Infants Discharged Home from the Neonatal Unit with Partial Nasogastric Feeds},
journal = {International Journal of Gastroenterology},
volume = {8},
number = {1},
pages = {1-4},
doi = {10.11648/ijg.20240801.11},
url = {https://doi.org/10.11648/ijg.20240801.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.ijg.20240801.11},
abstract = {Aim: In our previous publication, we proposed an algorithm for safely discharging infants from the neonatal intensive care unit (NICU) on partial nasogastric feeds (NGF), thus avoiding gastrostomy tube placement (GTP) for infants who were unable to take full oral feeds. This follow up study post intervention, is to determine the number of patients discharged home on partial nasogastric (NG) feeds, the effectiveness of this intervention measured by reaching full oral feeds within 3 months of discharge and parent view on this intervention and outcome. We also investigated the success of this intervention based on the main discharge diagnosis. Study Design: Retrospective single-center study of infants discharged from the NICU from June 2019 to Dec 2020. Chart review was done to determine the rate of follow-up, time of achieve full oral feeds, and discontinuation of NG tube. We calculated NICU days saved by calculating the days from discharge to reaching full oral feeds at home. Results: Patient records were available for chart review regarding their outpatient follow-up in 96%. 82% of patients reached full feeds on an average of 35 days (range 1day to 10 weeks). 10% of patients required GTP due to the need for prolonged gavage feeding. 2 records were unavailable. Infants discharged home with NG tubes saved 587 NICU days. 88% of the parents contacted over phone responded positively in their choice of NG tube instead of GTP. Conclusion: Discharge from NICU on partial NG feeds for select infants is associated with reduced NICU stay without increased post-discharge complications or increased parent satisfaction.},
year = {2024}
}
TY - JOUR T1 - Outcome of Infants Discharged Home from the Neonatal Unit with Partial Nasogastric Feeds AU - Shivani Kamal AU - Indira Chandrasekar Y1 - 2024/02/05 PY - 2024 N1 - https://doi.org/10.11648/ijg.20240801.11 DO - 10.11648/ijg.20240801.11 T2 - International Journal of Gastroenterology JF - International Journal of Gastroenterology JO - International Journal of Gastroenterology SP - 1 EP - 4 PB - Science Publishing Group SN - 2640-169X UR - https://doi.org/10.11648/ijg.20240801.11 AB - Aim: In our previous publication, we proposed an algorithm for safely discharging infants from the neonatal intensive care unit (NICU) on partial nasogastric feeds (NGF), thus avoiding gastrostomy tube placement (GTP) for infants who were unable to take full oral feeds. This follow up study post intervention, is to determine the number of patients discharged home on partial nasogastric (NG) feeds, the effectiveness of this intervention measured by reaching full oral feeds within 3 months of discharge and parent view on this intervention and outcome. We also investigated the success of this intervention based on the main discharge diagnosis. Study Design: Retrospective single-center study of infants discharged from the NICU from June 2019 to Dec 2020. Chart review was done to determine the rate of follow-up, time of achieve full oral feeds, and discontinuation of NG tube. We calculated NICU days saved by calculating the days from discharge to reaching full oral feeds at home. Results: Patient records were available for chart review regarding their outpatient follow-up in 96%. 82% of patients reached full feeds on an average of 35 days (range 1day to 10 weeks). 10% of patients required GTP due to the need for prolonged gavage feeding. 2 records were unavailable. Infants discharged home with NG tubes saved 587 NICU days. 88% of the parents contacted over phone responded positively in their choice of NG tube instead of GTP. Conclusion: Discharge from NICU on partial NG feeds for select infants is associated with reduced NICU stay without increased post-discharge complications or increased parent satisfaction. VL - 8 IS - 1 ER -
Department of Neonatology, Valley Children’s Healthcare, Madera, US
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