Evidence map›Paper›PMID 33789159›Full record

ArticleThe Journal of pediatrics2021

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.

Joanne M Lagatta, Michael Uhing, Krishna Acharya, Julie Lavoie, Erin Rholl, Kathryn Malin, Margaret Malnory, Jonathan Leuthner, David C Brousseau

Open access · greenAbstract readComparative Study
In one paragraph

Article in The Journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. One-year outcomes of infants discharged with a nasogastric feeding tube.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  3. Article
  4. "It's just us": Families' experiences with temporary tube feeding.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Article
  5. Feeding outcomes of preterm infants discharged with feeding tubes.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  6. Article
  7. Article
  8. Variation in NICU utilization: a narrative review and path forward.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  9. Demographic and clinical predictors and inter-center variability of tube feeding in preterm NICU patients.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Enteral tube feeding selection at NICU discharge and resource utilization.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Joanne M LagattaDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI. Electronic address: jlagatta@mcw.edu.
Michael UhingDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Krishna AcharyaDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Julie LavoieChildren's Hospital of Wisconsin, Milwaukee, WI.
Erin RhollDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Kathryn MalinChildren's Hospital of Wisconsin, Milwaukee, WI.
Margaret MalnoryDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Jonathan LeuthnerDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
David C BrousseauDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Medical College of Wisconsin · USChildren's Hospital of Wisconsin · US

Funding

Home Oxygen Use for Infants with Bronchopulmonary Dysplasia: Balancing Infant, Family, and Health System OutcomesK23HL136525 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI LAGATTA, JOANNE M · 2018 to 2022
$809k
NHLBI NIH HHS K23 HL136525
6 · The paper itself

Abstract

objectiveTo compare healthcare use and parent health-related quality of life (HRQL) in 3 groups of infants whose neonatal intensive care unit (NICU) discharge was delayed by oral feedings. STUDY

designThis was a prospective, single-center cohort of infants in the NICU from September 2018 to March 2020. After enrollment, weekly chart review determined eligibility for home nasogastric (NG) feeds based on predetermined criteria. Actual discharge feeding decisions were at clinical discretion. At 3 months' postdischarge, we compared acute healthcare use and parental HRQL, measured by the PedsQL Family Impact Module, among infants who were NG eligible but discharged with all oral feeds, discharged with NG feeds, and discharged with gastrostomy (G) tubes. We calculated NICU days saved by home NG discharges.

resultsAmong 180 infants, 80 were orally fed, 35 used NG, and 65 used G tubes. Compared with infants who had NG-tube feedings, infants who had G-tube feedings had more gastrointestinal or tube-related readmissions and emergency encounters (unadjusted OR 3.97, 95% CI 1.3-12.7, P = .02), and orally-fed infants showed no difference in use (unadjusted OR 0.41, 95% CI 0.1-1.7, P = .225). Multivariable adjustment did not change these comparisons. Parent HRQL at 3 months did not differ between groups. Infants discharged home with NG tubes saved 1574 NICU days.

conclusionsNICU discharge with NG feeds is associated with reduced NICU stay without increased postdischarge healthcare use or decreased parent HRQL, whereas G-tube feeding was associated with increased postdischarge healthcare use.

Indexed as

Quality of LifeAftercareHumansInfantInfant, Extremely PrematureInfant, NewbornIntensive Care Units, NeonatalIntubation, GastrointestinalLength of StayParentsProspective StudiesSurveys and Questionnairesfeeding tubeshealth-related quality of lifeneonatal intensive care unitreadmission

Identifiers

PMID33789159
PMCPMC8238833
OpenAlexW3151097099

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.