title: Home Nasogastric Feeds: Feeding Status and Growth Outcomes in a Pediatric Population.
abstract: BACKGROUND
  Home enteral nutrition (HEN) is a safe method for providing nutrition to children with chronic diseases. Advantages of HEN include shorter hospitalizations, lower cost, and decreased risk of malnutrition-associated complications. Follow-up after hospital discharge on HEN is limited. The purpose of this study was to look at children discharged on nasogastric (NG) feeds to assess follow-up feeding status and impact on growth.
  
  
  METHODS
  A retrospective chart review was conducted of pediatric patients discharged from Mount Sinai Medical Center on NG feeds between January 2010 and March 2013.
  
  
  RESULTS
  A total of 87 patients were included. Average age was 1.2 years. The most common diagnoses were congenital heart disease (47%), metabolic disease (17%), neurologic impairment (10%), liver disease (9%), prematurity (8%), and inflammatory bowel disease (6%). At most recent follow-up, 44 (50.6%) were on full oral feeds, 8 (9.2%) were still on NG feeds, 9 (10.3%) had a gastrostomy tube placed, 9 (10.3%) were deceased, and 17 (19.5%) had transferred care or were lost to follow-up. Average time to discontinuation of NG feeds was 4.8 months. Change in body mass index from hospital discharge to follow-up visit 6 to 12 weeks after discharge was statistically significant, from a mean (SD) of 13.78 (2.82) to 14.58 (2.1) (P = .02). Change in weight z score was significant for neurologic impairment (-1.35 to -0.04; P = .03). Height z score change was significant for prematurity (-3.84 to -3.34; P = .02). There was no significant change in height or weight z scores for the other diagnoses.
  
  
  CONCLUSIONS
  NG feeds can help to improve short-term growth after hospital discharge in children with chronic illnesses.
authors.affiliation: Department of Pediatric Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY danya.rosen@mssm.edu.
authors.forename: Danya
authors.initials: D
authors.lastname: Rosen
authors.affiliation: Department of Pediatric Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Rachael
authors.initials: R
authors.lastname: Schneider
authors.affiliation: Department of Pediatric Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Ruijun
authors.initials: R
authors.lastname: Bao
authors.affiliation: Department of Pediatric Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Patrice
authors.initials: P
authors.lastname: Burke
authors.affiliation: Department of Pediatric Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Clare
authors.initials: C
authors.lastname: Ceballos
authors.affiliation: Department of Pediatric Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Kathy
authors.initials: K
authors.lastname: Hoffstadter-Thal
authors.affiliation: Department of Pediatric Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY.
authors.forename: Keith
authors.initials: K
authors.lastname: Benkov
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D001835:Body Weight; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D004750:Enteral Nutrition / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000628:therapy; D006801:Humans; D007223:Infant; D007234:Infant, Premature / Q000254:growth & development; D015212:Inflammatory Bowel Diseases / Q000628:therapy; D007441:Intubation, Gastrointestinal; D008107:Liver Diseases / Q000628:therapy; D008297:Male; D008659:Metabolic Diseases / Q000628:therapy; D009422:Nervous System Diseases / Q000628:therapy; D010351:Patient Discharge; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: enteral nutrition; home nutrition support; pediatrics