Indications medical conditions and services related to gastrostomy placements in infants and children at a tertiary hospital in South Africa

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dc.contributor.authorNorman, V
dc.contributor.authorSingh, S A
dc.contributor.authorHittler, T
dc.contributor.authorJones, N
dc.contributor.authorKenny, N
dc.contributor.authorMann, R
dc.contributor.authorMcFarlane, S
dc.contributor.authorMoeng, A
dc.date.accessioned2016-04-29T07:54:45Z
dc.date.available2016-04-29T07:54:45Z
dc.date.issued2011
dc.date.updated2016-04-29T07:50:57Z
dc.description.abstractObjectives: To describe South African infants and children requiring gastrostomies in a tertiary hospital, including the indications, medical conditions and health services, during a 5-year period (2005 - 2009). Design. The research design was a retrospective descriptive survey of medical records. Setting: A tertiary paediatric state hospital in South Africa. Subjects. One hundred and forty-two patients between the ages of 0 and 17 years. Results: Dysphagia (N=80, 56%), aspiration (N=70, 49%) and need for nutritional support (N=63, 44%) were the most common indicators for gastrostomy placement. Most participants (N=85, 75% of the subset of 114 with feeding and swallowing difficulties) presented with multiple medical conditions, and neurological impairment (N=94, 82%) and gastro-intestinal problems (N=96, 84%) were the most prominent. Services were required from a variety of health care professionals for a period ranging from 6 to 103 months (mean 18 months). The speech-language therapist was consulted most frequently before gastrostomy placement (85%), while the stoma sister (97%) and dietician (97%) were consulted after placement. Conclusions: South African infants and children requiring gastrostomies frequently present with multiple medical conditions and dysphagia. These children are likely to benefit from extended services provided by a specialised team of health care professionals.en_ZA
dc.identifier.apacitationNorman, V., Singh, S. A., Hittler, T., Jones, N., Kenny, N., Mann, R., ... Moeng, A. (2011). Indications medical conditions and services related to gastrostomy placements in infants and children at a tertiary hospital in South Africa. <i>South African Journal of Child Health</i>, http://hdl.handle.net/11427/19313en_ZA
dc.identifier.chicagocitationNorman, V, S A Singh, T Hittler, N Jones, N Kenny, R Mann, S McFarlane, and A Moeng "Indications medical conditions and services related to gastrostomy placements in infants and children at a tertiary hospital in South Africa." <i>South African Journal of Child Health</i> (2011) http://hdl.handle.net/11427/19313en_ZA
dc.identifier.citationNorman, V., Singh, S. A., Hittler, T., Jones, N., Kenny, N., Mann, R., ... & Moeng, A. (2011). Indications, medical conditions, and services related to gastrostomy placement in infants and children at a tertiary hospital in South Africa. South African Journal of Child Health, 5(3), 86-89.en_ZA
dc.identifier.issn1994-3032en_ZA
dc.identifier.ris TY - Journal Article AU - Norman, V AU - Singh, S A AU - Hittler, T AU - Jones, N AU - Kenny, N AU - Mann, R AU - McFarlane, S AU - Moeng, A AB - Objectives: To describe South African infants and children requiring gastrostomies in a tertiary hospital, including the indications, medical conditions and health services, during a 5-year period (2005 - 2009). Design. The research design was a retrospective descriptive survey of medical records. Setting: A tertiary paediatric state hospital in South Africa. Subjects. One hundred and forty-two patients between the ages of 0 and 17 years. Results: Dysphagia (N=80, 56%), aspiration (N=70, 49%) and need for nutritional support (N=63, 44%) were the most common indicators for gastrostomy placement. Most participants (N=85, 75% of the subset of 114 with feeding and swallowing difficulties) presented with multiple medical conditions, and neurological impairment (N=94, 82%) and gastro-intestinal problems (N=96, 84%) were the most prominent. Services were required from a variety of health care professionals for a period ranging from 6 to 103 months (mean 18 months). The speech-language therapist was consulted most frequently before gastrostomy placement (85%), while the stoma sister (97%) and dietician (97%) were consulted after placement. Conclusions: South African infants and children requiring gastrostomies frequently present with multiple medical conditions and dysphagia. These children are likely to benefit from extended services provided by a specialised team of health care professionals. DA - 2011 DB - OpenUCT DP - University of Cape Town J1 - South African Journal of Child Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2011 SM - 1994-3032 T1 - Indications medical conditions and services related to gastrostomy placements in infants and children at a tertiary hospital in South Africa TI - Indications medical conditions and services related to gastrostomy placements in infants and children at a tertiary hospital in South Africa UR - http://hdl.handle.net/11427/19313 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/19313
dc.identifier.urihttp://sajch.org.za/index.php/SAJCH/article/view/350
dc.identifier.vancouvercitationNorman V, Singh SA, Hittler T, Jones N, Kenny N, Mann R, et al. Indications medical conditions and services related to gastrostomy placements in infants and children at a tertiary hospital in South Africa. South African Journal of Child Health. 2011; http://hdl.handle.net/11427/19313.en_ZA
dc.languageengen_ZA
dc.publisherHealth and Medical Publishing Groupen_ZA
dc.publisher.departmentDivision of Communication Sciences and Disordersen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsCreative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en_ZA
dc.sourceSouth African Journal of Child Healthen_ZA
dc.source.urihttp://www.sajch.org.za/index.php/SAJCH
dc.subject.othergastrostomy
dc.subject.otherdysphagia
dc.subject.otherfeeding and swallowing
dc.subject.otherindications
dc.subject.othermedical conditions
dc.titleIndications medical conditions and services related to gastrostomy placements in infants and children at a tertiary hospital in South Africaen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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