ArticleAmerican journal of perinatology2019
Variation in Gastrostomy Tube Placement in Premature Infants in the United States.
Article in American journal of perinatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Impact of Feeding Strategies With Acid Suppression on Esophageal Reflexes in Human Neonates With Gastroesophageal Reflux Disease: A Single-Blinded Randomized Clinical Trial.Clinical and translational gastroenterology · 2020Trial
- Comparison of Feeding, Nutritional, and Procedural Outcomes in Infants with Ductal-Dependent Pulmonary Blood Flow Undergoing Surgical Systemic-to-Pulmonary Artery Shunt Versus Ductal Stenting.Pediatric cardiology · 2026Article
- One-year outcomes of infants discharged with a nasogastric feeding tube.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Feeding outcomes of preterm infants discharged with feeding tubes.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Improved outcomes of pediatric patients with swallowing disorders through a multidisciplinary dysphagia clinic in a tertiary care children's hospital in Colombia.Pediatric discovery · 2024Article
- Enteral tube feeding selection at NICU discharge and resource utilization.Journal of perinatology : official journal of the California Perinatal Association · 2023Article
- Factors That Impact the Timing and Removal of Gastrostomy Placement/Nissen Fundoplication in Children with Bronchopulmonary Dysplasia.American journal of perinatology · 2023Article
- A pilot study to determine the incidence, type, and severity of non-routine events in neonates undergoing gastrostomy tube placement.Journal of pediatric surgery · 2022Article
- Article
- Actual and Potential Impact of a Home Nasogastric Tube Feeding Program for Infants Whose Neonatal Intensive Care Unit Discharge Is Affected by Delayed Oral Feedings.The Journal of pediatrics · 2021Article
- Association of gastrostomy placement on hospital readmission in premature infants.Journal of perinatology : official journal of the California Perinatal Association · 2019Article
- Tube feeding outcomes of infants in a Level IV NICU.Journal of perinatology : official journal of the California Perinatal Association · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo describe the variation in surgical gastrostomy tube (SGT) placement in premature infants among neonatal intensive care units (NICUs) in the United States. STUDY
designWe identified 8,781 premature infants discharged from 114 NICUs in the Pediatrix Medical Group from 2010 to 2012. The outcome of interest was SGT placement prior to discharge home from an NICU. Unadjusted proportions and adjusted risk estimates were calculated to quantify variation observed among individual NICUs.
resultsSGT placement occurred in 360 of 8,781 (4.1%) of infants. Across NICUs, any gastrostomy tube placement ranged from none in 45 NICUs up to 19.6%. Adjusted risk estimates for factors associated with SGT placement included gestational age at birth (odds ratio [OR]: 0.7/week, 95% confidence interval[CI]: [0.65, 0.75]), small for gestational age status (OR: 2.78 [2.09, 3.71]), administration of antenatal steroids (OR: 0.69 [0.52, 0.92]), Hispanic ethnicity (OR: 0.54 [0.37, 0.78]), and higher 5-minute Apgar scores (7-10, OR: 0.54 [0.37, 0.79]).
conclusionIndividual NICU center has a strong clinical effect on the probability of SGT placement relative to other medical factors. Future work is needed to understand the cause of this variation and the degree to which it represents over or under use of gastrostomy tubes.
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