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Text
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<a href="http://doi.org/10.1111/j.1469-8749.2005.tb01095.x" target="_blank" rel="noreferrer">http://doi.org/10.1111/j.1469-8749.2005.tb01095.x</a>
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Title
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Gastrostomy tube feeding in children with cerebral palsy: a prospective, longitudinal study
Publisher
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Developmental Medicine And Child Neurology
Date
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2005
Subject
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Child; Female; Humans; infant; Male; Treatment Outcome; Longitudinal Studies; Time Factors; Demography; adolescent; Preschool; infant; Newborn; retrospective studies; Enteral Nutrition/methods; Anthropometry/methods; Body Height/physiology; Cerebral Palsy/classification/nursing/surgery; Child Development/physiology; Gastrostomy/methods; Head/growth & development; Nutritional Status/physiology; Weight Gain/physiology
Creator
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Sullivan P; Juszczak E; Bachlet AM; Lambert B; Vernon-Roberts A; Grant HW; Eltumi M; McLean L; Alder N; Thomas AG
Description
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We report a longitudinal, prospective, multicentre cohort study designed to measure the outcomes of gastrostomy tube feeding in children with cerebral palsy (CP). Fifty-seven children with CP (28 females, 29 males; median age 4y 4mo, range 5mo to 17y 3mo) were assessed before gastrostomy placement, and at 6 and 12 months afterwards. Three-quarters of the children enrolled (43 of 57) had spastic quadriplegia; other diagnoses included mixed CP (6 of 57), hemiplegia (3 of 57), undiagnosed severe neurological impairment (3 of 57), ataxia (1 of 57), and extrapyramidal disorder (1 of 57). Only 7 of 57 (12%) could sit independently, and only 3 of 57 (5%) could walk unaided. Outcome measures included growth/anthropometry, nutritional intake, general health, and complications of gastrostomy feeding. At baseline, half of the children were more than 38D below the average weight for their age and sex when compared with the standards for typically-developing children. Weight increased substantially over the study period; the median weight z score increased from -3 before gastrostomy placement to -2.2 at 6 months and -1.6 at 12 months. Almost all parents reported a significant improvement in their child's health after this intervention and a significant reduction in time spent feeding. Statistically significant and clinically important increases in weight gain and subcutaneous fat deposition were noted. Serious complications were rare, with no evidence of an increase in respiratory complications.
2005
Identifier
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<a href="http://doi.org/10.1111/j.1469-8749.2005.tb01095.x" target="_blank" rel="noreferrer">10.1111/j.1469-8749.2005.tb01095.x</a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2005
Adolescent
Alder N
Anthropometry/methods
Bachlet AM
Backlog
Body Height/physiology
Cerebral Palsy/classification/nursing/surgery
Child
Child Development/physiology
Demography
Developmental Medicine and Child Neurology
Eltumi M
Enteral Nutrition/methods
Female
Gastrostomy/methods
Grant HW
Head/growth & development
Humans
Infant
Journal Article
Juszczak E
Lambert B
Longitudinal Studies
Male
McLean L
Newborn
Nutritional Status/physiology
Preschool
Retrospective Studies
Sullivan P
Thomas AG
Time Factors
Treatment Outcome
Vernon-Roberts A
Weight Gain/physiology