Parent-Reported Feeding Difficulties among Children Born with Esophageal Atresia: Prevalence and Early Risk Factors

被引:10
作者
Ax, Sofie Orno [1 ]
Abrahamsson, Kate [1 ]
Gatzinsky, Vladimir [1 ]
Jonsson, Linus [1 ]
Dellenmark-Blom, Michaela [2 ]
机构
[1] Queen Silvia Childrens & Youth Hosp, Dept Pediat Surg, Rondvagen 10, S-41650 Gothenburg, Vastra Gotaland, Sweden
[2] Univ Gothenburg, Queen Silvia Childrens Hosp, Dept Pediat, Inst Clin Sci, Gothenburg, Sweden
关键词
feeding difficulties; esophageal atresia; morbidity; QUALITY-OF-LIFE; ADOLESCENTS BORN; REPAIR; EXPERIENCES; ADULTS;
D O I
10.1055/s-0040-1716880
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Introduction We aimed to describe the prevalence of observable feeding difficulties during mealtimes among children with repaired esophageal atresia (EA) and to determine their early predictors. Materials and Methods A survey, based on parents' reports and concerning difficulties in EA children's nutritional intake, was performed with the help of 114 families of 2 to 17-year-old EA patients. Neonatal and clinical/surgical data were collected from medical records. Comparisons were made of the prevalence n (%) of feeding difficulties between children in three age groups (2 to 7 years, 8 to 12 years, or 13 to 17 years of age) using the Mantel-Haenszel chi-square test. Logistic regression identified outcome predictors (odds ratio: 95% confidence interval). Predictors with p <= 0.1 in the univariable analysis were included in multiple regression analysis ( p <0.05). Results Seventy-five percent of the young children aged 2 to 7, (median number of feeding difficulties: 2), 61% of school-aged children aged 8 to 12 (median number of feeding difficulties: 1), and 60% patients in the teenage group, aged 13 to 17, (median number of feeding difficulties: 1), reported feeding difficulties. Surgical complications after EA repair independently predicted children having a gastrostomy ( p <less than or equal to> 0.01), using a food infusion pump ( p <= 0.01), taking small portions to facilitate eating ( p =0.01), and needing >30minutes to finish a main meal ( p =0.02). Congenital independent predictors were VACTERL, low birth weight, and preterm birth. Conclusion Parentally observed feeding difficulties were commonly reported during early childhood, although prevalence decreases in older age groups. Several congenital and surgical factors were identified as independent predictors of complicated nutritional intake patterns.
引用
收藏
页码:69 / 75
页数:7
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