Intensive Multidisciplinary Intervention for Young Children with Feeding Tube Dependence and Chronic Food Refusal: An Electronic Health Record Review

The Journal of Pediatrics
William G SharpLawrence Scahill

Abstract

To assess characteristics and outcomes of young children receiving intensive multidisciplinary intervention for chronic food refusal and feeding tube dependence. We conducted a retrospective study of consecutive patients (birth to age 21 years) admitted to an intensive multidisciplinary intervention program over a 5-year period (June 2014-June 2019). Inclusion criteria required dependence on enteral feeding, inadequate oral intake, and medical stability to permit tube weaning. Treatment combined behavioral intervention and parent training with nutrition therapy, oral-motor therapy, and medical oversight. Data extraction followed a systematic protocol; outcomes included anthropometric measures, changes in oral intake, and percentage of patients fully weaned from tube feeding. Of 229 patients admitted during the 5-year period, 83 met the entry criteria; 81 completed intervention (98%) and provided outcome data (46 males, 35 females; age range, 10-230 months). All patients had complex medical, behavioral, and/or developmental histories with longstanding feeding problems (median duration, 33 months). At discharge, oral intake improved by 70.5%, and 27 patients (33%) completely weaned from tube feeding. Weight gain (mean, 0.39 ± 1 k...Continue Reading

References

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Aug 27, 2014·PLoS Medicine·UNKNOWN PLOS Medicine Editors
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Aug 15, 2019·Journal of Speech, Language, and Hearing Research : JSLHR·Valerie M VolkertLeah Bryan

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Citations

Dec 6, 2020·Journal of Paediatrics and Child Health·Nick HopwoodChris Elliot
Aug 24, 2021·International Journal of Language & Communication Disorders·Erin WilsonLydia Polley
Sep 1, 2021·European Journal of Clinical Nutrition·Haude ClouzeauFrédéric Gottrand

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