ArticleThe Journal of pediatrics2016
Oral Feeding Reduces Hospitalizations Compared with Gastrostomy Feeding in Infants and Children Who Aspirate.
Article in The Journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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.
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Who cites it
20 citing papers in PubMed, 45 citations in OpenAlex.
- Trends in Inpatient Health Care Utilization for Children with Feeding Difficulties.The Journal of pediatrics · 2026Article
- The Impact of Inhaled Corticosteroids on Lung Inflammation and Clinical Outcomes in Children with Oropharyngeal Dysphagia.The Journal of pediatrics · 2025Article
- The nutrition profile and utility of banana puree as a liquid thickener for medically complex infants with dysphagia.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025Article
- Thickening human milk: the effect of time, temperature, and thickener for infants with dysphagia.European journal of pediatrics · 2024Article
- Predictive Value of Laryngeal Penetration to Aspiration in a Cohort of Pediatric Patients.Dysphagia · 2024Article
- Process improvement of a paediatric feeding clinic.Heliyon · 2024Article
- Clinical outcomes before and after videofluoroscopic swallow study in children 24 months of age or younger.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2024Article
- A Prospective Study of Parental Experience with Thickening Feeds for Children with Oropharyngeal Dysphagia and Gastroesophageal Reflux.The Journal of pediatrics · 2023Article
- Gastrointestinal factors associated with risk of bronchiectasis in children.Pediatric pulmonology · 2023Article
- Factors Associated With Gastrostomy Tube Complications in Infants With Congenital Heart Disease.The Journal of surgical research · 2022Article
- Thickened Liquids Using Pureed Foods for Children with Dysphagia: IDDSI and Rheology Measurements.Dysphagia · 2022Article
- A Quality Improvement Initiative to Reduce Gastrostomy Tube Placement in Aspirating Patients.Pediatrics · 2020Article
- Clinical Aspects of Thickeners for Pediatric Gastroesophageal Reflux and Oropharyngeal Dysphagia.Current gastroenterology reports · 2019Review
- Oral Feeding Challenges in Children With Tracheostomy Can Improve Feeding Outcomes, Even With the Finding of Aspiration.Frontiers in pediatrics · 2019Article
- Psychometrics of the Functional Oral Intake Scale for Infants.Frontiers in pediatrics · 2019Article
- Association of Proton Pump Inhibitors With Hospitalization Risk in Children With Oropharyngeal Dysphagia.JAMA otolaryngology-- head & neck surgery · 2018Article
- Presenting Signs and Symptoms do not Predict Aspiration Risk in Children.The Journal of pediatrics · 2018Article
- Preoperative Evaluation Is Not Predictive of Transpyloric Feeding Conversion in Gastrostomy-dependent Pediatric Patients.Journal of pediatric gastroenterology and nutrition · 2018Article
- Oropharyngeal Dysphagia Is Strongly Correlated With Apparent Life-Threatening Events.Journal of pediatric gastroenterology and nutrition · 2017Article
- Brain Lesions among Orally Fed and Gastrostomy-Fed Dysphagic Preterm Infants: Can Routine Qualitative or Volumetric Quantitative Magnetic Resonance Imaging Predict Feeding Outcomes?Frontiers in pediatrics · 2017Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo compare the frequency of hospitalization rates between patients with aspiration treated with gastrostomy vs those fed oral thickened liquids. STUDY
designA retrospective review was performed of patients with an abnormal videofluoroscopic swallow study between February 2006 and August 2013; 114 patients at Boston Children's Hospital were included. Frequency, length, and type of hospitalizations within 1 year of abnormal swallow study or gastrostomy tube (g-tube) placement were analyzed using a negative binomial regression model.
resultsPatients fed by g-tube had a median of 2 (IQR 1, 3) admissions per year compared with patients fed orally who had a 1 (IQR 0, 1) admissions per year, P < .0001. Patients fed by gastrostomy were hospitalized for more days (median 24 [IQR 6, 53] days) vs patients fed orally (median 2 [IQR 1, 4] days, [P < .001]). Despite the potential risk of feeding patients orally, no differences in total pulmonary admissions (incidence rate ratio 1.65; 95% CI [0.70, 3.84]) between the 2 groups were found, except patients fed by g-tube had 2.58 times (95% CI [1.02, 6.49]) more urgent pulmonary admissions.
conclusionsPatients who underwent g-tube placement for the treatment of aspiration had 2 times as many admissions compared with patients with aspiration who were fed orally. We recommend a trial of oral feeding in all children cleared to take nectar or honey thickened liquids prior to g-tube placement.
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Registered trials
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