婴儿气管切开术后的长期喂养结果。
Long-term feeding outcomes after infant tracheostomy.
作者信息
Stekolchik Elena, Hossain Md Jobayer, Northam J Heather, Rani Seema, Strang Abigail, Chidekel Aaron
机构信息
Division of Pulmonology, Nemours Children's Health, Wilmington, DE, USA.
Department of Biomedical Research, Nemours Children's Health, Wilmington, DE, USA.
出版信息
J Perinatol. 2025 Jan 17. doi: 10.1038/s41372-024-02205-w.
OBJECTIVE
To characterize long-term feeding outcomes in infants who underwent tracheostomy prior to their first birthday.
STUDY DESIGN
Retrospective review of feeding outcomes at initial hospital discharge and age 5 in a cohort of infants who underwent tracheostomy at a children's hospital over a 16-year period.
RESULTS
145 infants met inclusion criteria. In this cohort, 117 were feeding tube dependent at time of initial hospital discharge and 71 were feeding tube dependent age 5. Cardiovascular comorbidities (p = 0.009), long-term tracheostomy dependence (p < 0.001), higher birth weight (p = 0.011), older age at tracheostomy decannulation (p < 0.001) and older gestational age (p = 0.007) were factors associated with feeding tube dependence at age 5.
CONCLUSION
The long-term feeding outcomes of infants who require tracheostomy demonstrate high levels of feeding impairment at age 5.
目的
描述1岁前接受气管切开术的婴儿的长期喂养结局。
研究设计
回顾性分析一家儿童医院16年间接受气管切开术的一组婴儿在初次出院时及5岁时的喂养结局。
结果
145名婴儿符合纳入标准。在该队列中，117名婴儿在初次出院时依赖喂养管，71名婴儿在5岁时依赖喂养管。心血管合并症（p = 0.009）、长期气管切开术依赖（p < 0.001）、较高出生体重（p = 0.011）、气管切开术拔管时年龄较大（p < 0.001）和孕周较大（p = 0.007）是与5岁时喂养管依赖相关的因素。
结论
需要气管切开术的婴儿的长期喂养结局显示，5岁时存在高度的喂养障碍。
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