• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Gastroenterology

Health care use stable after feeding tube placement in children with neurologic impairment

byMatthew Lin, MDandCordelia Ross
January 24, 2019
in Gastroenterology, Neurology, Pediatrics
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

The 5-year survival rate in neurologically impaired children after feeding tube placement was 75.8%. There were no significant differences in unplanned hospital days 2 years prior to feeding tube placement compared to 2 years after feeding tube placement.

Study Rundown: Feeding tube placement is a relatively common procedure in children with neurologic impairment (NI). However, less is known at population-level about the long-term mortality and health care use patterns in these patients after feeding tube placement. The researchers in this study aimed to described survival and health care use in children with NI who underwent feeding tube placement between 1993 and 2015 in Ontario, Canada. The 1-year, 2-year, and 5-year survival rates were 91.3%, 87.4%, and 75.8%, respectively. In terms of health care use, there were no significant differences in unplanned hospital days in the 2-year period prior to tube placement compared to the 2-year period after. However, when comparing unplanned hospital days in the 2 year pre-placement versus post-placement period after adjusting for survivor bias, the relative risk (RR) was lower, suggesting that children who died within 1 month of tube placement used more health care than did the other survivors. Secondary outcomes, including reflux-related admissions, emergency department (ED) and outpatient visits, were similar in the pre-placement and post-placement period. Limitations of this study included not stratifying for severity of NI, the use of self-matching design, and the use of coding data that may not adequately portray changes in baseline health status. For pediatricians, this study demonstrates that the rate of mortality is high after tube placement, though it is not necessarily related to the tube placement itself. Unplanned hospital days did not significantly change before and after tube placement in this cohort, which may be helpful information for families with NI children preparing to undergo tube placement.

Click to read the study, published today in Pediatrics

Relevant Reading: Patterns and costs of health care use of children with medical complexity

In-Depth [population-based exposure-crossover]: In a cohort of 1445 children with neurologic impairment who underwent feeding tube placement between 1993 and 2015, 948 were included in the final analysis. For the exposure-crossover, the 2-year period prior to tube placement was considered the baseline interval, while the 2-year period following tube placement was the subsequent interval. The 1-year, 2-year and 5-year survival rates were 91.3% (95%CI = 89.3%-92.9%), 87.4% (95%CI=85.2%-89.4%), and 75.8% (95%CI = 72.8%-78.4%). For the primary outcome of unplanned hospital days, the median number of admissions during the baseline interval was 2 (IQR = 0-3) with a median length of stay (LOS) of 4 days (IQR = 2-9), while the median number of admissions during the subsequent interval was 1 (IQR = 0-3) with a median LOS of 4 days. The adjusted RR for unplanned hospital days was 0.92 (95%CI = 0.57-1.48). In sensitivity analyses adjusting for survivor bias (i.e. exclusion of the 17 patients that died 1 month after tube placement), the RR for unplanned hospital stays was 0.64 (95%CI = 0.44-0.94). For secondary outcomes, there were 526 (22%) of reflux-related admissions with a median LOS of 4 days (IQR = 2-8) in the baseline interval, and 649 with a median LOS of 5 days (IQR = 2-9) in the subsequent interval. In the baseline interval, there were 2375 ED visits without admission and 13 923 outpatient visits compared to 2063 ED visits without admission and 13 727 outpatient visits in the subsequent interval.

Image: PD

©2018 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

RELATED REPORTS

#VisualAbstract: Telehealth treatment is effective in managing behavior problems in children with developmental delay

Telehealth treatment is effective in managing behavior problems in children with developmental delay

Timing of developmental milestones varies greatly in children with autism

Tags: developmental delaydevelopmental pediatricsfeedingfeeding tubeg-tubegeneral pediatricsneurological impairmentpediatric GI
Previous Post

Hematopoietic stem cell transplantation reduces transcranial doppler velocities in children with sickle cell anemia

Next Post

Quick Take: Association of a Schizophrenia-Risk Nonsynonymous Variant With Putamen Volume in Adolescents A Voxelwise and Genome-Wide Association Study

RelatedReports

#VisualAbstract: Telehealth treatment is effective in managing behavior problems in children with developmental delay
StudyGraphics

#VisualAbstract: Telehealth treatment is effective in managing behavior problems in children with developmental delay

January 26, 2023
AAP recommends telemedicine to improve access to care
Neurology

Telehealth treatment is effective in managing behavior problems in children with developmental delay

January 19, 2023
Quick Take: Association of Prenatal Exposure to Air Pollution with Autism Spectrum Disorder
Chronic Disease

Timing of developmental milestones varies greatly in children with autism

August 17, 2022
Parents desensitized with increasing exposure to movie violence/sex
Pediatrics

Limits to screen use associated with increased non-sedentary behavior in children

June 3, 2022
Next Post
Quick Take: Association of a Schizophrenia-Risk Nonsynonymous Variant With Putamen Volume in Adolescents A Voxelwise and Genome-Wide Association Study

Quick Take: Association of a Schizophrenia-Risk Nonsynonymous Variant With Putamen Volume in Adolescents A Voxelwise and Genome-Wide Association Study

Smoking during pregnancy associated with aerobic fitness of children

Quick Take: Association of Rates of Smoking During Pregnancy With Corporate Tobacco Sales Poicies

The LEAP trial: levodopa not associated with a disease-modifying effect in Parkinson’s disease

The LEAP trial: levodopa not associated with a disease-modifying effect in Parkinson’s disease

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Chronic obstructive pulmonary disease associated with worse postoperative outcomes
  • Empagliflozin use is associated with slower progression of chronic kidney disease
  • Diagnostic tool may help identify cerebral palsy regardless of encephalopathy features
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options