Journal article
Patient selection for pediatric gastrostomy tubes: Are we placing tubes that are not being used?
Journal of pediatric surgery, v 57(3), pp 532-537
Mar 2022
PMID: 34229875
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Identifying pediatric patients who may benefit from gastrostomy tube (GT) placement can be challenging. We hypothesized that many GTs would no longer be in use after 6 months.
Inpatient GT placements in patients < 18 years old at a tertiary children's hospital from 9/2014 to 2/2020 were included. The primary outcome was GT use <6 months (short-term). Secondary outcomes included age at placement, indication for GT, and operations for GT-related issues.
Fifteen percent (22/142) of GTs were used for <6 months post-operatively. The median duration of short-term GT use was 1.6 months (IQR 0.9-3.4 months). Short-term GTs were more likely to be placed in patients with traumatic brain injury (TBI) (18.2% vs. 4.2%, p = 0.03) and adolescents (≥12 years old, 22.7% vs. 4.0%, p = 0.005). Gastrocutaneous fistula closure was required in 33.3% of short-term patients who had their GTs removed (n = 6/18), with median total hospital charges of $29,989 per patient.
Fifteen percent of pediatric GTs placed as inpatients were used for <6 months, more commonly among adolescents and in TBI patients. One-third of patients with short-term GTs required gastrocutaneous fistula closure. Adolescents and TBI patients may benefit from consideration of short-term nasogastric tube (NGT) feeds rather than surgical GT placement.
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Details
- Title
- Patient selection for pediatric gastrostomy tubes: Are we placing tubes that are not being used?
- Creators
- Jordan E Jackson - University of California, DavisChristina M Theodorou - University of California, DavisOlivia Vukcevich - University of California, DavisErin G Brown - University of California, DavisAlana L Beres - University of California, Davis
- Publication Details
- Journal of pediatric surgery, v 57(3), pp 532-537
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000791037000037
- Scopus ID
- 2-s2.0-85109068791
- Other Identifier
- 991021969588604721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Pediatrics
- Surgery