Factors associated with success and failure ...
Type de document :
Article dans une revue scientifique: Article original
PMID :
URL permanente :
Titre :
Factors associated with success and failure of weaning children from prolonged enteral nutrition: a retrospective cohort study
Auteur(s) :
Dipasquale, Valeria [Auteur]
Hôpital Jeanne de Flandre [Lille]
Lecoeur, Katia [Auteur]
Hôpital Jeanne de Flandre [Lille]
Aumar, Madeleine [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Guimber, Dominique [Auteur]
Hôpital Jeanne de Flandre [Lille]
Coopman, Stephanie [Auteur]
Hôpital Jeanne de Flandres
Nicolas, Audrey [Auteur]
Hôpital Jeanne de Flandres
Turck, Dominique [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
gottrand, Fréderic [Auteur]
Institute for Translational Research in Inflammation - U 1286 [INFINITE (Ex-Liric)]
Ley, Delphine [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Hôpital Jeanne de Flandre [Lille]
Lecoeur, Katia [Auteur]
Hôpital Jeanne de Flandre [Lille]
Aumar, Madeleine [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Guimber, Dominique [Auteur]
Hôpital Jeanne de Flandre [Lille]
Coopman, Stephanie [Auteur]
Hôpital Jeanne de Flandres
Nicolas, Audrey [Auteur]
Hôpital Jeanne de Flandres
Turck, Dominique [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
gottrand, Fréderic [Auteur]
Institute for Translational Research in Inflammation - U 1286 [INFINITE (Ex-Liric)]
Ley, Delphine [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Titre de la revue :
Journal of pediatric gastroenterology and nutrition
Nom court de la revue :
J. Pediatr. Gastroenterol. Nutr.
Numéro :
72
Pagination :
135-140
Éditeur :
Wolters Kluwer
Date de publication :
2020-08-17
ISSN :
1536-4801
Mot(s)-clé(s) :
outcome
outpatient
pediatrics
tube feeding
weaning
outpatient
pediatrics
tube feeding
weaning
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
The aims of the present study were to assess the efficacy of a tube weaning program, and to identify factors associated with success and failure.
This was a retrospective cohort study including all pediatric patients on ...
Lire la suite >The aims of the present study were to assess the efficacy of a tube weaning program, and to identify factors associated with success and failure. This was a retrospective cohort study including all pediatric patients on enteral nutrition (EN) for ≥6 months for whom at least 1 attempt of weaning was performed in a single tertiary referral center from 2012 to 2017, with a minimum follow-up of 6 months after EN discontinuation. Weaning program was individualized to each child. Weaning success was defined a priori. Factors associated with success were investigated using multivariate analysis. Ninety-four patients were enrolled, in whom a total of 114 attempts of weaning were performed at a median age of 51 ± 40 months. Success was achieved in 80 attempts (success rate of 70%). One hundred three (92%) weaning attempts were performed at home with a follow-up in the outpatient clinic, mostly (74%) by a progressive (>1 month) reduction of tube feeding. Patients who required psychological support during weaning had more failures than patients who did not (odds ratio = 5.7, 95% confidence interval [1.2-27.0], P = 0.03). The presence of impaired oral feeding skills at the time of EN discontinuation was also predictive of failure (odds ratio = 6.2, 95% confidence interval [0.05-0.5], P = 0.005). Our progressive, mostly outpatient-based, patient-tailored program of weaning from EN is effective for tube-dependent children. Children who need psychological support during weaning and those who present impaired oral feeding skills represent a subgroup of at-risk patients for whom alternative weaning strategies may need to be considered.Lire moins >
Lire la suite >The aims of the present study were to assess the efficacy of a tube weaning program, and to identify factors associated with success and failure. This was a retrospective cohort study including all pediatric patients on enteral nutrition (EN) for ≥6 months for whom at least 1 attempt of weaning was performed in a single tertiary referral center from 2012 to 2017, with a minimum follow-up of 6 months after EN discontinuation. Weaning program was individualized to each child. Weaning success was defined a priori. Factors associated with success were investigated using multivariate analysis. Ninety-four patients were enrolled, in whom a total of 114 attempts of weaning were performed at a median age of 51 ± 40 months. Success was achieved in 80 attempts (success rate of 70%). One hundred three (92%) weaning attempts were performed at home with a follow-up in the outpatient clinic, mostly (74%) by a progressive (>1 month) reduction of tube feeding. Patients who required psychological support during weaning had more failures than patients who did not (odds ratio = 5.7, 95% confidence interval [1.2-27.0], P = 0.03). The presence of impaired oral feeding skills at the time of EN discontinuation was also predictive of failure (odds ratio = 6.2, 95% confidence interval [0.05-0.5], P = 0.005). Our progressive, mostly outpatient-based, patient-tailored program of weaning from EN is effective for tube-dependent children. Children who need psychological support during weaning and those who present impaired oral feeding skills represent a subgroup of at-risk patients for whom alternative weaning strategies may need to be considered.Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
CHU Lille
Inserm
Université de Lille
Inserm
Université de Lille
Date de dépôt :
2021-07-06T12:48:58Z
2023-03-22T10:10:34Z
2023-03-22T10:10:34Z
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