Titre du document

Inpatient tube weaning in children with long‐term feeding tube dependency: A retrospective analysis

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Nom du corpus

Ortho

Auteur(s)
  • Thomas Trabi 1,2
  • Marguerite Dunitz‐Scheer 1
  • Elisabeth Kratky 1
  • Hannes Beckenbach 1
  • Peter J. Scheer 1
Affiliation(s)
  • Medical University of Graz, University Hospital for Children, Graz, Austria
  • Correspondence address: Medical University of Graz, University Hospital for Children, Graz, Austria.
Langue(s) du document
Anglais
Revue

Infant Mental Health Journal

Éditeur
Wiley
Année de publication
2010
Type de publication
Journal
Type de document
Article
Résumé

This study investigates the outcome of an intervention program to establish oral feeding after prolonged tube feeding in children. The intervention is based on supervised reduction of enteral formula within a few days supported by a 3‐week program of speech therapy, occupational therapy, psychoanalytically based eating therapy, physical therapy, psychodynamic coaching, and nutritional counseling of the infant and his or her parents. Two hundred twenty‐one cases were included in this study. All patients had been severely ill or were handicapped and had been exclusively fed by tube for most of their lives. The major outcome variable was complete discontinuation of tube feeding with sufficient oral feeding after treatment, defined as the child's ability to sustain stable body weight by self‐motivated oral feeding. Two hundred three patients (92%) were completely fed orally after treatment. Tube feeding was discontinued completely within 8 days in mean, and mean in‐patient treatment time was 21.6 days. The current method can be used by a trained and experienced team to wean tube‐dependent children from prolonged tube feeding. Tube weaning should be addressed from the beginning of tube feeding in all children who are expected to restore oral feeding after the phase of nutritional stabilization. Since successful programs are rare, we were motivated to present our results of this elaborate program in this article.

Catégories WoS
  • 1 - social science ; 2 - psychology, developmental
Catégories Science-Metrix
  • 1 - health sciences ; 2 - psychology & cognitive sciences ; 3 - developmental & child psychology
Catégories Scopus
  • 1 - Health Sciences ; 2 - Medicine ; 3 - Psychiatry and Mental health
  • 1 - Social Sciences ; 2 - Psychology ; 3 - Developmental and Educational Psychology
  • 1 - Health Sciences ; 2 - Medicine ; 3 - Pediatrics, Perinatology, and Child Health
Catégories INIST
  • 1 - sciences appliquees, technologies et medecines ; 2 - sciences biologiques et medicales ; 3 - sciences medicales
Score qualité du texte
9.604
Version PDF
1.2
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Nom du fichier dans la ressource
ortho-ang_0313
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