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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.

DOI:10.3389/fped.2025.1499482
PMID:40342897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12058822/
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/1238/12058822/69a5a13245c8/fped-13-1499482-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1238/12058822/6b0dd1027812/fped-13-1499482-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1238/12058822/23281c494962/fped-13-1499482-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1238/12058822/69a5a13245c8/fped-13-1499482-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1238/12058822/6b0dd1027812/fped-13-1499482-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1238/12058822/23281c494962/fped-13-1499482-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1238/12058822/69a5a13245c8/fped-13-1499482-g003.jpg

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Standards for Levels of Neonatal Care: II, III, and IV.新生儿护理级别标准:II级、III级和IV级。
Pediatrics. 2023 Jun 1;151(6). doi: 10.1542/peds.2023-061957.
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Actual and Potential Impact of a Home Nasogastric Tube Feeding Program for Infants Whose Neonatal Intensive Care Unit Discharge Is Affected by Delayed Oral Feedings.家庭鼻胃管喂养方案对因延迟经口喂养而影响新生儿重症监护病房出院的婴儿的实际和潜在影响。
J Pediatr. 2021 Jul;234:38-45.e2. doi: 10.1016/j.jpeds.2021.03.046. Epub 2021 Mar 28.
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Discharging Medically Complex Infants with Supplemental Nasogastric Tube Feeds: Impact on Neonatal Intensive Care Unit Length of Stay and Prevention of Gastrostomy Tubes.为有医疗复杂性的婴儿提供补充鼻胃管喂养并出院:对新生儿重症监护病房住院时间和预防胃造口管的影响。
Am J Perinatol. 2021 Aug;38(S 01):e207-e214. doi: 10.1055/s-0040-1709497. Epub 2020 Jun 4.
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Creation of a Standard Model for Tube Feeding at Neonatal Intensive Care Unit Discharge.创建新生儿重症监护病房出院时管饲喂养标准模型。
JPEN J Parenter Enteral Nutr. 2020 Mar;44(3):491-499. doi: 10.1002/jpen.1718. Epub 2019 Sep 24.
7
Early discharge of premature infants < 37 weeks gestational age with nasogastric tube feeding: the new standard of care?早产儿(胎龄<37 周)行鼻饲管喂养的早期出院:新标准的护理?
Eur J Pediatr. 2019 Apr;178(4):497-503. doi: 10.1007/s00431-018-03313-4. Epub 2019 Jan 22.
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Outcomes of Infants With Home Tube Feeding: Comparing Nasogastric vs Gastrostomy Tubes.家庭管饲婴儿的结局:鼻胃管与胃造口管的比较。
JPEN J Parenter Enteral Nutr. 2017 Nov;41(8):1380-1385. doi: 10.1177/0148607116670621. Epub 2016 Sep 19.
9
Early discharge with home support of gavage feeding for stable preterm infants who have not established full oral feeds.对于尚未完全建立经口喂养的稳定早产儿,在家庭支持下进行管饲喂养并早期出院。
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