Trial reportThe Journal of pediatrics2014
Variation in feeding practices following the Norwood procedure.
Trial report in The Journal of pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Risk Factors for Tube Feeding at Discharge in Infants Undergoing Neonatal Surgery for Congenital Heart Disease: A Systematic Review.Pediatric cardiology · 2023Pooled it
- Variation in care for infants undergoing the Stage II palliation for hypoplastic left heart syndrome.Cardiology in the young · 2018Trial
- Passive range of motion exercise to enhance growth in infants following the Norwood procedure: a safety and feasibility trial.Cardiology in the young · 2017Trial
- A randomized trial of an exclusive human milk diet in neonates with single-ventricle physiology: 3 and 6 months follow-up outcomes.Pediatric research · 2026Article
- Childhood Opportunity and Acute Interstage Outcomes: A National Pediatric Cardiology Quality Improvement Collaborative Analysis.Circulation · 2024Article
- Enteral access and reflux management in neonates with severe univentricular congenital heart disease: literature review and proposed algorithm.European journal of pediatrics · 2023Review
- Relationship Between Human Milk Feeding Patterns and Growth in the First Year of Life in Infants with Congenital Heart Defects.Pediatric cardiology · 2023Article
- Cardiovascular intensive care unit variables inform need for feeding tube utilization in infants with hypoplastic left heart syndrome.The Journal of thoracic and cardiovascular surgery · 2023Article
- Assessing the Association Between Pre-operative Feeding and the Development of Oral Feeding Skills in Infants with Single Ventricle Heart Disease: An Analysis of the NPC-QIC Dataset.Pediatric cardiology · 2022Article
- Feeding infants with complex congenital heart disease: a modified Delphi survey to examine potential research and practice gaps.Cardiology in the young · 2021Article
- Enteral Nutrition in Term Infants with Congenital Heart Disease: Knowledge Gaps and Future Directions to Improve Clinical Practice.Nutrients · 2021Review
- A Quality Improvement Initiative to Reduce Gastrostomy Tube Placement in Aspirating Patients.Pediatrics · 2020Article
- Longitudinal growth in patients with single ventricle cardiac disease receiving tube-assisted feeds.Congenital heart disease · 2019Article
- Variation in Gastrostomy Tube Placement in Premature Infants in the United States.American journal of perinatology · 2019Article
- Factors Associated with Delayed Transition to Oral Feeding in Infants with Single Ventricle Physiology.The Journal of pediatrics · 2019Article
- Impact of Perioperative Brain Injury and Development on Feeding Modality in Infants With Single Ventricle Heart Disease.Journal of the American Heart Association · 2019Article
- Feeding methods for infants with single ventricle physiology are associated with length of stay during stage 2 surgery hospitalization.Congenital heart disease · 2019Observational
- Preoperative malnutrition is associated with increased mortality and adverse outcomes after paediatric cardiac surgery.Cardiology in the young · 2017Article
- Dysphagia in infants with single ventricle anatomy following stage 1 palliation: Physiologic correlates and response to treatment.Congenital heart disease · 2017Article
- Oral Feeding Reduces Hospitalizations Compared with Gastrostomy Feeding in Infants and Children Who Aspirate.The Journal of pediatrics · 2016Article
Corrections and comments
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Authors and funding
20 authors.
Funding
Abstract
objectivesTo assess variation in feeding practice at hospital discharge after the Norwood procedure, factors associated with tube feeding, and associations among site, feeding mode, and growth before stage II. STUDY
designFrom May 2005 to July 2008, 555 subjects from 15 centers were enrolled in the Pediatric Heart Network Single Ventricle Reconstruction Trial; 432 survivors with feeding data at hospital discharge after the Norwood procedure were analyzed.
resultsDemographic and clinical variables were compared among 4 feeding modes: oral only (n = 140), oral/tube (n = 195), nasogastric tube (N-tube) only (n = 40), and gastrostomy tube (G-tube) only (n = 57). There was significant variation in feeding mode among sites (oral only 0%-81% and G-tube only 0%-56%, P < .01). After adjusting for site, multivariable modeling showed G-tube feeding at discharge was associated with longer hospitalization, and N-tube feeding was associated with greater number of discharge medications (R(2) = 0.65, P < .01). After adjusting for site, mean pre-stage II weight-for-age z-score was significantly higher in the oral-only group (-1.4) vs the N-tube-only (-2.2) and G-tube-only (-2.1) groups (P = .04 and .02, respectively).
conclusionsFeeding mode at hospital discharge after the Norwood procedure varied among sites. Prolonged hospitalization and greater number of medications at the time of discharge were associated with tube feeding. Infants exclusively fed orally had a higher weight-for-age z score pre-stage II than those fed exclusively by tube. Exploring strategies to prevent morbidities and promote oral feeding in this highest risk population is warranted.
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Registered trials
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