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Impact of Gastrostomy Tube Placement on Short-Term Weight Gain in Hospitalized Premature Infants.

Publication ,  Journal Article
Puia-Dumitrescu, M; Benjamin, DK; Smith, PB; Greenberg, RG; Abuzaid, N; Andrews, W; Chellani, K; Gupta, A; Price, D; Williams, C; Malcolm, WF ...
Published in: Jpen J Parenter Enteral Nutr
February 2020

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.

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Published In

Jpen J Parenter Enteral Nutr

DOI

EISSN

1941-2444

Publication Date

February 2020

Volume

44

Issue

2

Start / End Page

355 / 360

Location

United States

Related Subject Headings

  • Weight Gain
  • Pregnancy
  • Nutrition & Dietetics
  • Male
  • Infant, Premature
  • Infant, Newborn
  • Infant
  • Humans
  • Gastrostomy
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Puia-Dumitrescu, M., Benjamin, D. K., Smith, P. B., Greenberg, R. G., Abuzaid, N., Andrews, W., … Zimmerman, K. O. (2020). Impact of Gastrostomy Tube Placement on Short-Term Weight Gain in Hospitalized Premature Infants. Jpen J Parenter Enteral Nutr, 44(2), 355–360. https://doi.org/10.1002/jpen.1539
Puia-Dumitrescu, Mihai, Daniel K. Benjamin, P Brian Smith, Rachel G. Greenberg, Nada Abuzaid, Winsome Andrews, Kris Chellani, et al. “Impact of Gastrostomy Tube Placement on Short-Term Weight Gain in Hospitalized Premature Infants.Jpen J Parenter Enteral Nutr 44, no. 2 (February 2020): 355–60. https://doi.org/10.1002/jpen.1539.
Puia-Dumitrescu M, Benjamin DK, Smith PB, Greenberg RG, Abuzaid N, Andrews W, et al. Impact of Gastrostomy Tube Placement on Short-Term Weight Gain in Hospitalized Premature Infants. Jpen J Parenter Enteral Nutr. 2020 Feb;44(2):355–60.
Puia-Dumitrescu, Mihai, et al. “Impact of Gastrostomy Tube Placement on Short-Term Weight Gain in Hospitalized Premature Infants.Jpen J Parenter Enteral Nutr, vol. 44, no. 2, Feb. 2020, pp. 355–60. Pubmed, doi:10.1002/jpen.1539.
Puia-Dumitrescu M, Benjamin DK, Smith PB, Greenberg RG, Abuzaid N, Andrews W, Chellani K, Gupta A, Price D, Williams C, Malcolm WF, Clark RH, Zimmerman KO. Impact of Gastrostomy Tube Placement on Short-Term Weight Gain in Hospitalized Premature Infants. Jpen J Parenter Enteral Nutr. 2020 Feb;44(2):355–360.
Journal cover image

Published In

Jpen J Parenter Enteral Nutr

DOI

EISSN

1941-2444

Publication Date

February 2020

Volume

44

Issue

2

Start / End Page

355 / 360

Location

United States

Related Subject Headings

  • Weight Gain
  • Pregnancy
  • Nutrition & Dietetics
  • Male
  • Infant, Premature
  • Infant, Newborn
  • Infant
  • Humans
  • Gastrostomy
  • Female