Preterm infants Neonatal Diseases Other preterm infants
Conditions
Interventions
Discharge home with a feeding tube versus standard care, which is to remain in hospital until the feeding tube is no longer needed.
Sponsors
Newcastle upon Tyne Hospitals NHS Foundation Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Preterm infants <37 weeks gestation 2. Unable to fully orally feed 3. Able to take at least one reasonable volume/duration oral feed 4. Expected to fully orally feed within the next 2 - 4 weeks 5. No medical requirement for continuing hospitalisation 6. Signed parental consent
Exclusion criteria
Exclusion criteria: Infants with underlying problems such that tube feeding is not likely to be a temporary need (for example, brain injured infants or those with congenital abnormalities)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Infant outcome measures: 1. Growth (weight, head circumference and length) weekly until discharged from community care (or discharged home for standard care group) and then monthly to 3 months for all 2. Feeding method (exclusive breast, formula or mixed feeding) 3. Infection episodes (defined as treatment by a medical practitioner for suspected infection) 4. Re-admission rates (defined as number of episodes requiring re-hospitalisation as an in-patient) Parental measures Anxiety state/trait questionnaire administered twice ? once at the point of discharge home, and again at 3 months of corrected age. This will be measured using the Spielberger State-Trait Anxiety Inventory which is well validated and currently used in some of our other studies with parents of newborn babies. Economic data and analysis: Costings will be calculated for community nursing visits required, any additional input received from the primary care team, consumable costs (feeding tubes, syringes etc) and days of hospital care received. | — |
Secondary
| Measure | Time frame |
|---|---|
| No secondary outcome measures | — |
Countries
United Kingdom
Outcome results
None listed