新生儿远程监测：持续鼻饲管喂养的实施、患者特征和早期结果。
Remote monitoring for neonates requiring continued nasogastric tube feeding: implementation, patient characteristics, and early outcomes.
机构信息
Department of Pediatrics, Oregon Health & Science University School of Medicine, Doernbecher Children's Hospital, Portland, OR, USA.
Department of Pediatrics, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, CO, USA.
出版信息
J Perinatol. 2023 Sep;43(9):1125-1130. doi: 10.1038/s41372-023-01732-2. Epub 2023 Jul 19.
OBJECTIVE
Our neonatal intensive care unit utilizes remote patient monitoring to facilitate hospital discharge with nasogastric tube (NGT) feeds. Program implementation, patient characteristics, and initial outcomes are described.
STUDY DESIGN
Data was collected prospectively in this implementation study. Descriptive statistics define weight gain, number of NGT feed days, number of days on monitoring, and physician time spent. Patient characteristics, readmissions, and implementation details are described.
RESULTS
One-hundred and four babies consented to and completed data collection. Average weight gain on monitoring was 31.4 g/day (SD 10.2). Eighty-nine babies (85.6%) achieved full oral feeds while on the program, requiring a median 5 NGT feed days (IQR 2-13) and a median 15 days on monitoring (IQR 11-27). Average physician time spent was 9.1 min per day (SD 3.7). Six babies (5.8%) had unscheduled readmissions while on the program.
CONCLUSION
Remote monitoring programs can facilitate discharge for babies with continued NGT needs.
目的
我们的新生儿重症监护病房利用远程患者监测来促进带有鼻胃管（NGT）喂养的出院。描述了项目实施、患者特征和初步结果。
研究设计
在这项实施研究中前瞻性地收集数据。描述性统计数据定义了体重增加、NGT 喂养天数、监测天数和医生花费的时间。描述了患者特征、再入院和实施细节。
结果
104 名婴儿同意并完成了数据收集。监测期间平均体重增加为 31.4g/天（SD 10.2）。89 名婴儿（85.6%）在该方案中实现了完全口服喂养，需要中位数 5 天的 NGT 喂养（IQR 2-13）和中位数 15 天的监测（IQR 11-27）。平均医生花费时间为每天 9.1 分钟（SD 3.7）。6 名婴儿（5.8%）在该方案期间出现计划外再入院。
结论
远程监测方案可以促进有持续 NGT 需要的婴儿出院。
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