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住院多学科项目治疗的小儿喂养障碍儿童的长期结局。

Long-term Outcomes of Children With Pediatric Feeding Disorders Treated in an Inpatient Multidisciplinary Program.

机构信息

Cindy Kim, CHOC Children's Hospital of Orange County, CHOC Children's Feeding Program, Orange, CA.

出版信息

J Pediatr Gastroenterol Nutr. 2021 Mar 1;72(3):388-391. doi: 10.1097/MPG.0000000000002977.

Abstract

The purpose of this longitudinal observational study was to evaluate the effectiveness of a multidisciplinary inpatient treatment model for feeding disorders by analyzing long-term nutritional and health outcomes 12 months following discharge. Fifty patients completed the study. Average caloric intake by mouth as a percentage of goal for gastrostomy tube (GT)-dependent patients (n = 31) increased from pre-admit, week 1, and week 2 of the inpatient program (30%, 70%, and 84%, respectively), and was sustained from week 3 to 12-month follow-up (85% and 86%, respectively). Eighty-one percentage were discharged without GT support and 65% remained off GT support at 12 months. Oral supplement dependence for non-GT patients (n = 19) decreased from pre-admit, discharge, and 12-month follow-up (51%, 31%, and 19% of caloric intake, respectively). BMI z-scores improved during and after treatment. The present study demonstrated an effective approach for treatment of pediatric feeding disorders, including decreased reliance on oral supplementation and GT dependence.

摘要

本纵向观察研究旨在通过分析出院后 12 个月的长期营养和健康结果,评估多学科住院治疗模式治疗喂养障碍的效果。50 名患者完成了这项研究。依赖胃造口管(GT)的患者(n=31)经口摄入热量占 GT 目标的百分比从入院前、住院第 1 周和第 2 周(分别为 30%、70%和 84%)逐渐增加,并且在第 3 周到 12 个月随访期间保持稳定(分别为 85%和 86%)。81%的患者在出院时无需 GT 支持,65%的患者在 12 个月时仍无需 GT 支持。非 GT 患者(n=19)的口服补充依赖从入院前、出院时和 12 个月随访时(分别为 51%、31%和 19%的热量摄入)逐渐减少。BMI z 评分在治疗期间和治疗后得到改善。本研究表明了一种治疗儿科喂养障碍的有效方法,包括减少对口服补充和 GT 依赖的依赖。

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