Gastrostomy tube feeding in children with cerebral palsy: a prospective, longitudinal study

Title

Gastrostomy tube feeding in children with cerebral palsy: a prospective, longitudinal study

Creator

Sullivan P; Juszczak E; Bachlet AM; Lambert B; Vernon-Roberts A; Grant HW; Eltumi M; McLean L; Alder N; Thomas AG

Publisher

Developmental Medicine And Child Neurology

Date

2005

Subject

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

Description

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

Rights

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

Journal Article

Citation List Month

Backlog

Pages

77-85

Issue

2

Volume

47

Citation

Sullivan P; Juszczak E; Bachlet AM; Lambert B; Vernon-Roberts A; Grant HW; Eltumi M; McLean L; Alder N; Thomas AG, “Gastrostomy tube feeding in children with cerebral palsy: a prospective, longitudinal study,” Pediatric Palliative Care Library, accessed September 22, 2021, https://pedpalascnetlibrary.omeka.net/items/show/13452.

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