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Gastrostomy tube insertion in children with developmental or acquired disorders: a register-based study
Högskolan i Halmstad, Centrum för forskning om välfärd, hälsa och idrott (CVHI).ORCID iD: 0000-0001-5499-7246
Orofacial Resource Centre for Rare Diseases, Public Dental Service, Mun-H-Center, Gothenburg, Sweden; Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Gothenburg, Sweden.ORCID iD: 0000-0001-9551-8686
2020 (English)In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 62, no 10, p. 1191-1197Article in journal (Refereed) Published
Abstract [en]

AIM To describe trends in gastrostomy tube insertion in children with developmental or acquired disorders in Sweden and assess their demographic characteristics.

METHOD Children aged 0 to 18 years with gastrostomy tube insertions recorded between 1998 and 2014 were identified in the Swedish National Patient Register. Associations between disorder type and year of surgery, as well as age at surgery, were analysed using linear regression analyses. The association between disorder type and mortality 2 years from gastrostomy tube insertion was also analysed using logistic regression analysis.

RESULTS The data for 4112 children (2182 males, 1930 females), with a median age of 2 years (interquartile range=1–8y), were analysed. Children who presented with developmental disorders were the largest group (n=3501, 85%). The most common diagnosis in children with developmental disorders was cerebral palsy (n=165, 4%). In children with acquired disorders, acute lymphoblastic leukaemia (n=117, 3%) was the most common diagnosis. Gastrostomy tube insertions increased from 1998 to 2014, with the greatest increase in children with developmental disorders, who were younger than children with acquired disorders when the gastrostomy tube was first inserted. Age at tube insertion decreased inboth groups during the study period. Mortality was higher in children with acquired disorders, suggesting that gastrostomy tube insertion should be part of a palliative care approach.

INTERPRETATION Child characteristics differed depending on whether the underlying disorder was developmental or acquired, suggesting a need for clinical health care guidelines related to the specific goals of gastrostomy tube insertion.

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell , 2020. Vol. 62, no 10, p. 1191-1197
National Category
Gastroenterology and Hepatology
Identifiers
URN: urn:nbn:se:esh:diva-10416DOI: 10.1111/dmcn.14634ISI: 000550852900001PubMedID: 32697341Scopus ID: 2-s2.0-85088295196OAI: oai:DiVA.org:esh-10416DiVA, id: diva2:1796940
Note

Funding sponsor: Region Halland

Available from: 2020-09-15 Created: 2023-09-13Bibliographically approved

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Backman, Ellen

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