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Objective <p>To evaluate the safety and feasibility of banana puree thickener in neonatal intensive care unit (NICU) patients with dysphagia.</p> Study design <p>This is a single-center, retrospective study of 43 infants (median gestational age 30 weeks (w), 1320 g birthweight) who received banana puree for dysphagia between 2015 and 2023. Results were analyzed using summary statistics and Wilcoxon signed-rank tests.</p> Results <p>Banana intervention (BI) was introduced at median postmenstrual age 42w after inability to attain full oral feedings. Oral intake percentage improved from a median of 50% (IQR 17, 100) to 100% (45, 100, <i>p</i> = 0.0002) seven days after BI started. Bananas successfully thickened breast milk; 23 (53%) infants were discharged with BI; of those not using BI at discharge, 15 gained short-term benefit and no longer required BI. No patients stopped BI due to adverse effects.</p> Conclusion <p>This study demonstrated that banana puree for dysphagia is safe, feasible, and improved oral feeding.</p>

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We’re going bananas! The effectiveness and safety of banana puree as an intervention for improving oral feeding in a level IV NICU

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月7日

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  • Cara Beth Carr,
  • Sheri E. Ricciardi,
  • Saya Bery,
  • Rebecca Levin,
  • Deanne Wilson-Costello,
  • Gulgun Yalcinkaya,
  • Rita M. Ryan

摘要

Objective

To evaluate the safety and feasibility of banana puree thickener in neonatal intensive care unit (NICU) patients with dysphagia.

Study design

This is a single-center, retrospective study of 43 infants (median gestational age 30 weeks (w), 1320 g birthweight) who received banana puree for dysphagia between 2015 and 2023. Results were analyzed using summary statistics and Wilcoxon signed-rank tests.

Results

Banana intervention (BI) was introduced at median postmenstrual age 42w after inability to attain full oral feedings. Oral intake percentage improved from a median of 50% (IQR 17, 100) to 100% (45, 100, p = 0.0002) seven days after BI started. Bananas successfully thickened breast milk; 23 (53%) infants were discharged with BI; of those not using BI at discharge, 15 gained short-term benefit and no longer required BI. No patients stopped BI due to adverse effects.

Conclusion

This study demonstrated that banana puree for dysphagia is safe, feasible, and improved oral feeding.