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Objectives <p>Investigate demographic and clinical factors and inter-center variability associated with home NGT versus GT in preterm infants.</p> Study design <p>Retrospective cohort study of preterm infants in the Children’s Hospitals Neonatal Database discharged home with a NGT or GT between 2015–2020. Multivariable logistic regression assessed the independent relationship between infant characteristics and feeding modality. Bivariate analysis evaluated inter-center variability.</p> Results <p>3521 preterm infants discharged with tube feedings (NGT 39%; GT 61%). Hispanic infants (AOR 1.57, 95% CI 1.15, 2.14) and SGA infants (AOR 1.27, 95% CI 1.02, 1.6) were more likely to receive GT feedings. Privately insured infants had decreased likelihood of receiving GT (AOR 0.57, 95% CI 0.45, 0.72). Infants discharged with NGT had shorter hospital stays (70[34,111] vs. 86 [39,138] days, <i>p</i> &lt; 0.01). Significant inter-center variability among sites exists.</p> Conclusions <p>Differences in tube feeding at discharge were noted by infant race and ethnicity, SGA status, and insurance type.</p>

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Demographic and clinical predictors and inter-center variability of tube feeding in preterm NICU patients

  • 期刊论文

  • 发表日期：

    2025年4月24日

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  • Pavika Varma,
  • Isabella Zaniletti,
  • Karna Murthy,
  • Theresa R. Grover,
  • Sunah S. Hwang,
  • Stephanie L. Bourque

摘要

Objectives

Investigate demographic and clinical factors and inter-center variability associated with home NGT versus GT in preterm infants.

Study design

Retrospective cohort study of preterm infants in the Children’s Hospitals Neonatal Database discharged home with a NGT or GT between 2015–2020. Multivariable logistic regression assessed the independent relationship between infant characteristics and feeding modality. Bivariate analysis evaluated inter-center variability.

Results

3521 preterm infants discharged with tube feedings (NGT 39%; GT 61%). Hispanic infants (AOR 1.57, 95% CI 1.15, 2.14) and SGA infants (AOR 1.27, 95% CI 1.02, 1.6) were more likely to receive GT feedings. Privately insured infants had decreased likelihood of receiving GT (AOR 0.57, 95% CI 0.45, 0.72). Infants discharged with NGT had shorter hospital stays (70[34,111] vs. 86 [39,138] days, p < 0.01). Significant inter-center variability among sites exists.

Conclusions

Differences in tube feeding at discharge were noted by infant race and ethnicity, SGA status, and insurance type.