Factors Impacting Long-Term Gastrostomy Tube Dependence in Infants with Congenital Heart Disease

Mahdi, Elaa; Tran, Nhu; Ourshalimian, Shadassa; Sanborn, Stephanie; Alquiros, Maria Theresa; Squillaro, Anthony I.; Lascano, Danny; Herrington, Cynthia; Kelley-Quon, Lorraine I.

doi:10.1016/j.jss.2021.09.023

Cited by 3 publications

(2 citation statements)

References 28 publications

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“…Feeding postoperatively is an essential variable for evaluating LOS and is often the final clinical goal of discharge planning. There is an association with longer intensive care LOS in children who receive enteral feedings compared to children who are fed orally (Azhar & Aljefri, 2018; Mahdi et al, 2022). Exclusive oral feedings were defined as all neonatal nutrition was successfully taken in by mouth with no use of enteral nutrition after hospital discharge via gastrostomy, NG, or nasojejunal tubes.…”

Section: Methodsmentioning

confidence: 99%

“…Significant short- and long-term implications remain for the neonate and the family’s quality of life when enteral nutrition is required (Jones et al, 2021). In a recent single-site cohort study reviewing neonates who had a gastrostomy tube (g-tube) placed after cardiac surgery, only 19.1% (22/137) progressed and went on to not needing an enteral tube at one year of age (Mahdi et al, 2022). Additionally, neonates with g-tubes have higher risks of infections, emergency room utilization, and hospital readmissions in the first year of life (Khalil et al, 2017).…”

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confidence: 99%

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Determinants of Length of Stay after Neonatal Cardiac Surgery Using Path Analysis

et al. 2022

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After neonatal cardiac surgery, families, and the health care team strive for exclusive oral feedings before hospital discharge. With the hypothesis that exclusive oral feedings would reduce the length of stay (LOS), a multidimensional path analysis was used to examine a cross-section of 280 neonates from 2009 to 2013. Buttigieg, Abela, and Pace’s theoretical framework of structural and process-related determinants of LOS was modeled with hypothesis-driven correlation and directionality. The recursive path model had a good global and local fit with outcome variances of 26% for exclusive oral feeding and LOS. In the full cohort and model groups (single and biventricular), when controlling for covariances: sepsis, birth distance, necrotizing enterocolitis, genetic differences, specialty consults, the age at which neonatal cardiac surgery occurred (β = .23, p ≤ .001) and the duration of postoperative intubation (β = .47, p ≤ .001) more significantly influenced the LOS than intermediate mediation of exclusive oral feedings at discharge.

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Section: Methodsmentioning

confidence: 99%

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confidence: 99%