title: Oral Feeding Outcome in Infants with a Tracheostomy.
abstract: OBJECTIVE
  Currently, there is a lack of evidence-based guidelines on the proper protocol for feeding infants with a tracheostomy in the neonatal intensive care unit (NICU). The purpose of this study was to provide preliminary insight into the outcomes of these infants in one mid-Atlantic pediatric hospital.
  
  
  METHODS
  Retrospective and descriptive. The study team reviewed 114 patient records, 42 of which met the inclusion criteria. Data were organized based on: 1) general demographics and history; b) feeding-related variables at multiple points; c) speech-related variables, including assessments and swallowing studies; d) respiratory variables at multiple points; and, e) discharge data. Other variables included birth-related information, ventilation settings and feeding modifications.
  
  
  RESULTS
  Infants were placed into three groups at discharge based on feeding outcomes. Forty-three percent were discharged on full oral feeds, 38% on combined oral and gavage, and 19% of infants were discharged on full gavage feeds. Informal analysis showed that all three categories of infants gained weight during hospitalization, different PEEP pressures and different lengths of hospitalization were observed among the groups, and infant characteristics (e.g., APGAR, gestational ages) were similar across groups.
  
  
  CONCLUSIONS
  Overall results provide insight into factors that may be predictive of feeding status at discharge for infants with a tracheostomy in an NICU.
  
  
  CONCLUSIONS
  Results of this study can provide important insight into the feeding outcomes of infants in a NICU with a tracheostomy and can hopefully lead to additional research to help determine the most efficacious procedures for feeding this patient population.
authors.affiliation: West Chester University of Pennsylvania, West Chester, PA, United States; Christiana Care Health Systems, Newark, DE, United States. Electronic address: rjoseph@wcupa.edu.
authors.forename: Rachel A
authors.initials: RA
authors.lastname: Joseph
authors.affiliation: Towson University, Towson, MD, United States.
authors.forename: Paul
authors.initials: P
authors.lastname: Evitts
authors.affiliation: Nemours/A. I. duPont Hospital for Children, Wilmington, DE, United States.
authors.forename: Elizabeth W
authors.initials: EW
authors.lastname: Bayley
authors.affiliation: Nemours/A. I. duPont Hospital for Children, Wilmington, DE, United States.
authors.forename: Christy
authors.initials: C
authors.lastname: Tulenko
mesh_terms: D000284:Administration, Oral; D002657:Child Development; D016208:Databases, Factual; D004750:Enteral Nutrition / Q000379:methods*; D005247:Feeding Behavior; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D015278:Intensive Care Units, Pediatric; D007902:Length of Stay; D008297:Male; D010351:Patient Discharge; D012189:Retrospective Studies; D018570:Risk Assessment; D014139:Tracheostomy / Q000379:methods* / Q000706:statistics & numerical data
keywords: NICU; feeding outcomes; pediatric; tracheostomy