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新生儿重症监护病房(NICU)婴儿家庭鼻饲管项目:七年回顾性结局分析

Home nasogastric tube program for NICU infants: a seven year retrospective outcome analysis.

作者信息

Weninger Alexa, Sabella Mikayla, Sahmoun Abe E, Mohamed Mohamed W, Forward Brennan, Brower-Breitwieser Carrie M

机构信息

Department of Pediatrics, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, United States.

Department of Internal Medicine, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, United States.

出版信息

Front Pediatr. 2025 Apr 24;13:1499482. doi: 10.3389/fped.2025.1499482. eCollection 2025.

Abstract

OBJECTIVES

The goal of this study was to assess the safety and effectiveness of a Home Nasogastric Program for infants admitted to a Neonatal Intensive Care Unit (NICU).

STUDY DESIGN

We performed a retrospective chart review of infants discharged from a Level III NICU to a Home Nasogastric (HNG) follow-up clinic from December 2014-February 2022. Data was recorded for two years post discharge from the NICU.

RESULTS

83 infants were included in this study. There were no emergency department visits related to feeding tube dysfunction or nasogastric (NG) tube equipment malfunctions. The number of days the NG tube was used median (IQR): 3 (2-10). Seventy-seven (93%) infants had no documented feeding problems at the end of the follow-up period. We estimate 556 hospitalization days avoided resulting in cost savings.

CONCLUSION

The Home NG program was safe and effective. This program decreased length of NICU stay and health care associated costs.

摘要

目的

本研究的目的是评估新生儿重症监护病房(NICU)收治的婴儿家庭鼻饲项目的安全性和有效性。

研究设计

我们对2014年12月至2022年2月从三级NICU出院至家庭鼻饲(HNG)随访诊所的婴儿进行了回顾性病历审查。记录了NICU出院后两年的数据。

结果

本研究纳入了83名婴儿。没有与喂食管功能障碍或鼻胃(NG)管设备故障相关的急诊科就诊情况。NG管使用天数的中位数(IQR):3天(2 - 10天)。77名(93%)婴儿在随访期结束时没有记录到喂养问题。我们估计避免了556个住院日,从而节省了成本。

结论

家庭鼻饲项目是安全有效的。该项目缩短了NICU住院时间并降低了医疗相关成本。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1238/12058822/6b0dd1027812/fped-13-1499482-g001.jpg

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