Point Prevalence of Gastrostomy in a Paediatric Population
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The aim of the study was to determine the prevalence of gastrostomy in a paediatric population.

Paediatric gastrostomy was studied in a population-based cross-sectional point prevalence analysis. The patients ranged in age from 0 to 19. Patients with a gastrostomy in situ were classified using Home Enteral Nutrition (HEN) and community nursing databases. The use of a gastrostomy was confirmed by reviewing electronic medical records. The point prevalence of gastrostomy in the paediatric population (gastrostomies/100,000 children), primary diagnosis, underlying indication for gastrostomy insertion, and age at insertion were the key outcome indicators.

Results:
--The total population studied was 946,709, of whom 213,920 were of age 0 to 19 years.

--Of these, 179 had a gastrostomy in situ giving a point prevalence for gastrostomy in the paediatric population of 83.7/100,000 children. This varied between age groups: 0 to 4 years: 79.6/100,000, 5 to 9 years: 116.3/100,000, 10 to 14: years 87.9/100,000 and 15 to 19: years 41.4/100,000.

--The most common primary diagnosis were neurological disorders (57.1%), and structural abnormalities (16.2%).

--Unsafe swallow was the most common indication (61%), followed by nutritional or fluid supplementation (28.6%), and behavioural reasons (8.7%). The majority (85.1%) of gastrostomies were inserted under the age of 2 years.

Finally, this is the first population-based study of paediatric gastrostomy, with a prevalence rate of 84/100,000 children. Children aged 5 to 9 years have the highest prevalence. It is rare to place a gastrostomy after a child reaches school age.

Source: https://journals.lww.com/jpgn/Abstract/2021/04000/Point_Prevalence_of_Gastrostomy_in_a_Paediatric.8.aspx
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