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Nutrición Hospitalaria

On-line version ISSN 1699-5198Print version ISSN 0212-1611

Abstract

ANGULO, Daniela; BUSTOS, Edson; SANCHEZ, Andrés  and  BARJA, Salesa. Oral feeding rehabilitation in children with chronic respiratory diseases and long-term enteral nutrition. Nutr. Hosp. [online]. 2016, vol.33, n.4, pp.766-770. ISSN 1699-5198.  http://dx.doi.org/10.20960/nh.368.

Introduction: The rehabilitation of the oral feeding (ROF) is complex in patients who have received prolonged enteral nutrition (EN). Objective: To describe this process in children with chronic respiratory diseases and nasoenteral tube (NET) or gastrostomy (GT). Patients and methods: Retrospective review of clinical records from children with EN at least for two months, admitted between 2005 and 2014 at the Josefina Martínez Hospital. Results: 116 patients were included, with median age 10 months (range: 3 to 101), 56% male. Diagnosis: 34.5% Post-infectious chronic lung disease, 29,3% respiratory failure secondary to neuromuscular diseases, 19% bronchopulmonary dysplasia and 17,2% airway diseases, 82.8% of them had tracheostomy. Access: 89.7% gastrostomy and 10.3% NET, installed at median age of 6 months (0 a 74), due to low intake (11.3%) or swallow disorders (88.7%). From the total group, 36.2% (42/116) had ROF indication, whose EN length was 12.2 months (2 to 41). Fifty% (21/42) of them achieved total oral feeding (91% SNE and 35.4% GT, Chi2 p = 0.023), 14% partially and 36% failed. The time to achieve total oral feeding was 9.75 months (0.5 to 47), with no difference by age, sex, feeding route, EN duration or presence of neurological disease. Conclusion: In patients with chronic respiratory diseases and long-term enteral nutrition, ROF is possible but slow: 64% achieved it total or partially.

Keywords : Enteral nutrition; Feeding tube; Gastrostomy; Rehabilitation; Swallow disorders.

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