Remote monitoring for neonates requiring continued nasogastric tube feeding: implementation, patient characteristics, and early outcomes

Fisher, Christina; Haag, Meredith B.; Douglas, Angela; Kayhani, Arnette; Warren, Jamie B.

doi:10.1038/s41372-023-01732-2

Cited by 3 publications

(2 citation statements)

References 24 publications

(43 reference statements)

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“…Programs in the United States more typically utilize follow-up in ambulatory settings [10][11][12][13][14][15] . More recently, remote patient monitoring (RPM) has been described as a facilitator of discharge to home with NGT feeds [16][17][18][19][20][21][22][23] . RPM is a form of telemedicine that uses digital health technologies in the home to allow patients to collect and transmit data to their health care team, typically supplemented with phone or video communication 24 .…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…G@H has been described in detail 23 ; briefly, infants are eligible for discharge on G@H if they have achieved the following: (1) post-menstrual age ≥ 35 weeks, (2) weight ≥ 2 kg, (3) ability to take a minimum of 30% of daily feeds by mouth, (4) consistent weight gain on a stable feeding regimen, (5) >5 days of cardiorespiratory stability without apnea or bradycardia requiring stimulation for recovery, and (6) thermoregulation. Families are provided with education and equipment needed to provide NGT feeds in the home, including access to a mobile application on which they can document daily weight and feeding details.…”

Section: Growing @ Homementioning

confidence: 99%

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Influences of a Remote Monitoring Program of Home Nasogastric Tube Feeds on Transition from NICU to Home

Quinn,

Banta-Wright,

Warren

2024

Am J Perinatol

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Objective: The transition from the neonatal intensive care unit (NICU) to the home is complex and multifaceted for families and infants, particularly those with ongoing medical needs. Our hospital utilizes a remote monitoring program called Growing @ Home (G@H) to support discharge from the NICU with continued nasogastric tube feeds. We aim to describe the experience of the transition from NICU to home for families enrolled in G@H. Study Design: Using a semi-structured interviewing technique, parents of infants discharged on G@H were interviewed at NICU discharge, at 1-month, and at 6-months after NICU discharge. Interviews were recorded and transcribed into data analysis software. Conventional content analysis was used to analyze qualitative data. Codes were assigned to describe key elements of the interviews and used to identify major themes. Results: Parents (n=11) identified three major themes when discussing the effect of G@H on the transition to home. The program provided a means of escape from the NICU, allowing families to stop living split lives between their homes and the NICU. It acted as a middle ground between the restrictive yet supportive NICU environment, and the normal yet isolated home environment. G@H served as a safety net for families, providing the continued connection to the NICU for their still fragile infants. Conclusion: G@H utilizes telehealth to positively support the complex transition from NICU to home for families and infants discharged with nasogastric tube feeds.

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Section: Accepted Manuscriptmentioning

confidence: 99%

Section: Growing @ Homementioning

confidence: 99%

Influences of a Remote Monitoring Program of Home Nasogastric Tube Feeds on Transition from NICU to Home

Quinn,

Banta-Wright,

Warren

2024

Am J Perinatol

View full text Add to dashboard Cite

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Method of home tube feeding and 2–3-year neurodevelopmental outcome

Fisher,

Ermarth,

Ling

et al. 2024

J Perinatol

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Objective: To describe the Bayley Scales of Infant Development 3rd Edition (Bayley-III) of infants discharged home receiving tube feeds Study Design: Retrospective review of infants discharged with nasogastric or gastrostomy tube feeds and completed a Bayley-III assessment at 2-3-years of age through a neonatal follow-up program. Results were reported using descriptive statistics.Results: Of infants discharged with nasogastric feeds, median Bayley-III scores were in the low-average to average range and full oral feeds were achieved in 75%. Of infants discharged with gastrostomy tube feeds, median Bayley-III scores were in the extremely low range and full oral feeds were achieved in 36%.Our data set did not demonstrate a distinct patient demographic that correlated to the type of feeding tube at discharge. Conclusion: Neurodevelopmental outcome at 2-3 years does not appear to be negatively impacted by the decision to discharge an infant from the NICU with home NG feedings.

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Cutting into the NICU: Improvements in Outcomes for Neonates with Surgical Conditions

Bourque,

Murthy,

Grover

et al. 2024

NeoReviews

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The Children’s Hospitals Neonatal Consortium (CHNC), established in 2010, seeks to improve care for infants with medically and surgically complex conditions who are cared for in level IV regional children’s hospital NICUs across North America. Through patient-level individual data collection, comparative benchmarking, and multicenter quality improvement work, CHNC has contributed to knowledge and improved outcomes, leveraging novel collaborations between and across institutions. Focusing on antenatal and inpatient care for infants with surgical conditions including congenital diaphragmatic hernia, gastroschisis, and necrotizing enterocolitis, we summarize the progress made in these infants′ care. We highlight the ways in which CHNC has enabled multidisciplinary and multicenter collaborations through the facilitation of diagnosis-specific focus groups, which enable comparative observations of outcomes through quality improvement and research initiatives. Finally, we review the importance of postbirth hospitalization needs of these infants and the application of telemedicine in this population.

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Remote monitoring for neonates requiring continued nasogastric tube feeding: implementation, patient characteristics, and early outcomes

Cited by 3 publications

References 24 publications

Influences of a Remote Monitoring Program of Home Nasogastric Tube Feeds on Transition from NICU to Home

Influences of a Remote Monitoring Program of Home Nasogastric Tube Feeds on Transition from NICU to Home

Method of home tube feeding and 2–3-year neurodevelopmental outcome

Cutting into the NICU: Improvements in Outcomes for Neonates with Surgical Conditions

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