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The goal of this Retrospective Cohort Study is to compare the patients from before and after the implementation of the pre-convention for infants with feeding difficulties needing tube feeding or having received tube feeding in the past, but able to develop normal feeding behavior.
The main objectives it aims to compare are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Infants who consulted between January 1st 2000 and December 31st 2009 (this is before the implementation of the pre-convention). Inclusion criteria:
Infants will be excluded from this study if they:
| ||
| Group 2 | Infants who consulted after the implementation of the pre-convention, who consulted between January 1st 2010 and December 31st 2021. Inclusion criteria:
Infants will be excluded from this study if they:
|
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Structured multi-disciplinary approach | Combination Product | Since 2010, a structured multidisciplinary team was formed to evaluate the child medically, support its nutrition, teach, treat and educate the children and parents and guide them through the process to obtain a normal and independent feeding behavior. The multidisciplinary team must have special expertise regarding digestive and nutritional as well as sensory and oral motor problems in children requiring artificial nutrition. The team must at least consist of a pediatrician, a dietician with experience in artificial nutrition in children, a speech therapist and/or physical therapist and a psychologist or orthopedagogue. The team should also be able to rely on a nurse with experience in artificial nutrition, a social assistant and a secretary. |
| Measure | Description | Time Frame |
|---|---|---|
| Growth (weight-for-height Z-scores) | at 3, 6, 12, 18 months and 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Comparing the mean of the 2 groups of total number of days tube fed | At 3, 6, 12, 18 months and 2 years | |
| Comparing the mean of the 2 groups of the percentage of intake through tube feeding | At 3, 6, 12, 18 months and 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Compare how many infants completed full oral intake after two years before and after the implementation of the pre-convention for feeding difficulties. | 2 years | |
| Compare the percentage of tube feeding that remains in the group that was unable to achieve full oral intake after one year, before and after the implementation of the pre-convention for feeding difficulties. |
Inclusion Criteria:
The infants have a pediatric feeding disorder that prevent them from feeding normally by oral means.
Exclusion Criteria:
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Infants with feeding difficulties needing tube feeding or having received tube feeding in the past, capable of developing normal feeding behavior.
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| Name | Affiliation | Role |
|---|---|---|
| Elisabeth De Greef, MD, PhD | Universitair Ziekenhuis Brussel | Principal Investigator |
| Koen Huysentruyt, MD, PhD | Universitair Ziekenhuis Brussel | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universitair Ziekenhuis Brussel | Jette | Brussels Capital | 1090 | Belgium |
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|
| 1 year |
| ID | Term |
|---|---|
| D006963 | Hyperphagia |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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