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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...
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| Published in: | JPEN. Journal of parenteral and enteral nutrition 2020-02, Vol.44 (2), p.355-360 |
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| container_issue | 2 |
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| container_title | JPEN. Journal of parenteral and enteral nutrition |
| container_volume | 44 |
| creator | Puia‐Dumitrescu, Mihai Benjamin, Daniel K. Smith, P. Brian Greenberg, Rachel G. Abuzaid, Nada Andrews, Winsome Chellani, Kris Gupta, Anjali Price, Douglas Williams, Ciara Malcolm, William F. Clark, Reese H. Zimmerman, Kanecia O. |
| description | 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 |
| doi_str_mv | 10.1002/jpen.1539 |
| format | article |
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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.</description><identifier>ISSN: 0148-6071</identifier><identifier>ISSN: 1941-2444</identifier><identifier>EISSN: 1941-2444</identifier><identifier>DOI: 10.1002/jpen.1539</identifier><identifier>PMID: 30908714</identifier><language>eng</language><publisher>United States</publisher><subject>Cesarean Section ; Enteral Nutrition ; Female ; Gastrostomy ; gastrostomy tube ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Male ; Pregnancy ; premature infants ; Weight Gain</subject><ispartof>JPEN. Journal of parenteral and enteral nutrition, 2020-02, Vol.44 (2), p.355-360</ispartof><rights>2019 American Society for Parenteral and Enteral Nutrition</rights><rights>2019 American Society for Parenteral and Enteral Nutrition.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4159-6c877405406970e338f8f20528433b3a69e2a12176e3748c397490981f874be93</citedby><cites>FETCH-LOGICAL-c4159-6c877405406970e338f8f20528433b3a69e2a12176e3748c397490981f874be93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30908714$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Puia‐Dumitrescu, Mihai</creatorcontrib><creatorcontrib>Benjamin, Daniel K.</creatorcontrib><creatorcontrib>Smith, P. Brian</creatorcontrib><creatorcontrib>Greenberg, Rachel G.</creatorcontrib><creatorcontrib>Abuzaid, Nada</creatorcontrib><creatorcontrib>Andrews, Winsome</creatorcontrib><creatorcontrib>Chellani, Kris</creatorcontrib><creatorcontrib>Gupta, Anjali</creatorcontrib><creatorcontrib>Price, Douglas</creatorcontrib><creatorcontrib>Williams, Ciara</creatorcontrib><creatorcontrib>Malcolm, William F.</creatorcontrib><creatorcontrib>Clark, Reese H.</creatorcontrib><creatorcontrib>Zimmerman, Kanecia O.</creatorcontrib><title>Impact of Gastrostomy Tube Placement on Short‐Term Weight Gain in Hospitalized Premature Infants</title><title>JPEN. Journal of parenteral and enteral nutrition</title><addtitle>JPEN J Parenter Enteral Nutr</addtitle><description>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.</description><subject>Cesarean Section</subject><subject>Enteral Nutrition</subject><subject>Female</subject><subject>Gastrostomy</subject><subject>gastrostomy tube</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Male</subject><subject>Pregnancy</subject><subject>premature infants</subject><subject>Weight Gain</subject><issn>0148-6071</issn><issn>1941-2444</issn><issn>1941-2444</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp1kc9u1DAQhy1ERZfCgRdAPtJD2vGfxPYFCVWlXVTBSiziaDnppOsqiYPtgJYTj8Az8iRku6WCA5KlOcw3n0fzI-QFgxMGwE9vRxxOWCnMI7JgRrKCSykfkwUwqYsKFDskT1O6BQBRATwhhwIMaMXkgtTLfnRNpqGlFy7lGFIO_ZaupxrpqnMN9jjM3YF-3ISYf_34ucbY08_obzZ5nvADnd9lSKPPrvPf8ZquIvYuTxHpcmjdkNMzctC6LuHz-3pEPr09X59dFlcfLpZnb66KRrLSFFWjlZJQSqiMAhRCt7rlUHIthaiFqwxyxzhTFQoldSOMkgaMZq1WskYjjsjrvXec6h6vm3nx6Do7Rt-7uLXBeftvZ_AbexO-WsVNCXwneHUviOHLhCnb3qcGu84NGKZkOTNKa815OaPHe7SZL5Yitg_fMLC7TOwuE7vLZGZf_r3XA_knhBk43QPffIfb_5vsu9X5-zvlbwHDl10</recordid><startdate>202002</startdate><enddate>202002</enddate><creator>Puia‐Dumitrescu, Mihai</creator><creator>Benjamin, Daniel K.</creator><creator>Smith, P. Brian</creator><creator>Greenberg, Rachel G.</creator><creator>Abuzaid, Nada</creator><creator>Andrews, Winsome</creator><creator>Chellani, Kris</creator><creator>Gupta, Anjali</creator><creator>Price, Douglas</creator><creator>Williams, Ciara</creator><creator>Malcolm, William F.</creator><creator>Clark, Reese H.</creator><creator>Zimmerman, Kanecia O.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202002</creationdate><title>Impact of Gastrostomy Tube Placement on Short‐Term Weight Gain in Hospitalized Premature Infants</title><author>Puia‐Dumitrescu, Mihai ; Benjamin, Daniel K. ; Smith, P. Brian ; Greenberg, Rachel G. ; Abuzaid, Nada ; Andrews, Winsome ; Chellani, Kris ; Gupta, Anjali ; Price, Douglas ; Williams, Ciara ; Malcolm, William F. ; Clark, Reese H. ; Zimmerman, Kanecia O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4159-6c877405406970e338f8f20528433b3a69e2a12176e3748c397490981f874be93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cesarean Section</topic><topic>Enteral Nutrition</topic><topic>Female</topic><topic>Gastrostomy</topic><topic>gastrostomy tube</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Male</topic><topic>Pregnancy</topic><topic>premature infants</topic><topic>Weight Gain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Puia‐Dumitrescu, Mihai</creatorcontrib><creatorcontrib>Benjamin, Daniel K.</creatorcontrib><creatorcontrib>Smith, P. Brian</creatorcontrib><creatorcontrib>Greenberg, Rachel G.</creatorcontrib><creatorcontrib>Abuzaid, Nada</creatorcontrib><creatorcontrib>Andrews, Winsome</creatorcontrib><creatorcontrib>Chellani, Kris</creatorcontrib><creatorcontrib>Gupta, Anjali</creatorcontrib><creatorcontrib>Price, Douglas</creatorcontrib><creatorcontrib>Williams, Ciara</creatorcontrib><creatorcontrib>Malcolm, William F.</creatorcontrib><creatorcontrib>Clark, Reese H.</creatorcontrib><creatorcontrib>Zimmerman, Kanecia O.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>JPEN. Journal of parenteral and enteral nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Puia‐Dumitrescu, Mihai</au><au>Benjamin, Daniel K.</au><au>Smith, P. Brian</au><au>Greenberg, Rachel G.</au><au>Abuzaid, Nada</au><au>Andrews, Winsome</au><au>Chellani, Kris</au><au>Gupta, Anjali</au><au>Price, Douglas</au><au>Williams, Ciara</au><au>Malcolm, William F.</au><au>Clark, Reese H.</au><au>Zimmerman, Kanecia O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of Gastrostomy Tube Placement on Short‐Term Weight Gain in Hospitalized Premature Infants</atitle><jtitle>JPEN. Journal of parenteral and enteral nutrition</jtitle><addtitle>JPEN J Parenter Enteral Nutr</addtitle><date>2020-02</date><risdate>2020</risdate><volume>44</volume><issue>2</issue><spage>355</spage><epage>360</epage><pages>355-360</pages><issn>0148-6071</issn><issn>1941-2444</issn><eissn>1941-2444</eissn><abstract>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.</abstract><cop>United States</cop><pmid>30908714</pmid><doi>10.1002/jpen.1539</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0148-6071 |
| ispartof | JPEN. Journal of parenteral and enteral nutrition, 2020-02, Vol.44 (2), p.355-360 |
| issn | 0148-6071 1941-2444 1941-2444 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7295029 |
| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Cesarean Section Enteral Nutrition Female Gastrostomy gastrostomy tube Humans Infant Infant, Newborn Infant, Premature Male Pregnancy premature infants Weight Gain |
| title | Impact of Gastrostomy Tube Placement on Short‐Term Weight Gain in Hospitalized Premature Infants |
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