Developmental Disabilities, Feeding Disorder
Conditions
Brief summary
A retrospective chart review to assess feeding tolerance in children who had been switched from an intact protein formula to a Peptide based formula due to feeding intolerance in a pediatric facility for the developmentally delayed.
Detailed description
Medical records of pediatric patients with enteral feeding intolerance on standard polymeric formulas that were switched to a peptide based formula will be retrospectively analyzed. Data will be collected on caloric intake, ability to meet enteral nutrition goals, incidence of intolerance, and the use of medications to control gastrointestinal symptoms.
Interventions
None listed
Sponsors
Société des Produits Nestlé (SPN)
Study design
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
13 Months to 17 Years
Healthy volunteers
No
Inclusion criteria
* 13 months to \< 18 years of age on admission to facility * Required enteral nutrition to meet 90% or more of their energy needs prior to switch to a Peptide based formula * Received enteral nutrition with an intact protein formula for a minimum of two weeks prior to a switch to a Peptide based formula * Have documentation of intolerance to an intact protein formula, followed by a switch in formula received to a Peptide based formula * Have documentation of an assessment of feeding tolerance following the switch to a Peptide based formula * Formulas received must be indicated for use in children or adults (not infant formulas).
Exclusion criteria
* Recent abdominal surgery, change in tube position/placement (within past 30 days) * Cow's milk protein allergy * Any current infections including upper respiratory, viral, gastroenteritis, wound infection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feeding tolerance after switching to Peptide based formula | up to 30 days post formula switch | Categorized as no change, tolerance improved, tolerance worsened. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intake of target feeding volume | up to 30 days post formula switch | Documentation of feeding volume after switch as less than, about the same as, or more than feeding volume achieved before switch. |
| Feeding intolerance parameter(s) identified before switch to Peptide based formula and feeding tolerance parameter(s) improved by switch. | up to 30 days post formula switch | Intolerance Parameter's: Gagging/retching, vomiting, high residuals, abdominal distention/ gas, stool consistency issues (too hard, too loose). |
Countries
United States
Outcome results
None listed