{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T20:45:30Z","timestamp":1775594730941,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T00:00:00Z","timestamp":1595462400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We aimed to describe feeding dysfunction in a group of children with tracheostomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Single\u2010center, retrospective chart review of all children with a tracheostomy who were evaluated by our interdisciplinary feeding program. Demographic and diagnostic data, nutrition variables, acceptance of food consistencies, as well as 2 validated psychometric instruments for assessment of feeding dysfunction were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirteen tracheostomy\u2010dependent children (5\/13; 38% ventilator dependent) were evaluated at a median age of 51 months (interquartile range [IQR], 26\u201369). The majority of children (8\/13; 62%) underwent evaluation after decannulation. Four children (30%) had a history of a cuffed tracheostomy tube. Eleven children (85%) used a speaking valve prior to decannulation, only 2 of whom started before initial discharge with a tracheostomy. Children with a tracheostomy had low\u2010median weight\u2010 and height\u2010for\u2010age <jats:italic>z<\/jats:italic>\u2010scores (\u22121.27 and \u22121.73, respectively), with normal\u2010median body mass index (BMI)\u2013for\u2010age <jats:italic>z<\/jats:italic>\u2010score (0.175). Children received 75% of feedings via tube feeding (IQR, 13%\u201397%). Compared with other children with feeding disorders, children with tracheostomy had delays in initial acceptance of most food textures and general diet, and the Mealtime Behavior Questionnaire showed significantly worse overall scores (<jats:italic>P<\/jats:italic> = .01), and the About Your Child's Eating survey showed significantly higher parental perception of resistance to eating (<jats:italic>P<\/jats:italic> = .0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Requirement of enteral nutrition, poor oral\u2010feeding skills, chronic malnutrition, and worse mealtime behaviors are associated with tracheostomy. A history of ventilator dependence, cuffed tracheostomy, and inpatient speaking valve\u2013use were infrequently associated with interdisciplinary feeding\u2010program evaluation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ncp.10551","type":"journal-article","created":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T04:15:18Z","timestamp":1595477718000},"page":"689-695","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Feeding Disorders in Children With Tracheostomy Tubes"],"prefix":"10.1002","volume":"36","author":[{"given":"Jennifer","family":"Henningfeld","sequence":"first","affiliation":[{"name":"Medical College of Wisconsin Division of Pediatric Pulmonology and Sleep Medicine  Milwaukee Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecilia","family":"Lang","sequence":"additional","affiliation":[{"name":"Children's Hospital of Wisconsin Department of Respiratory Care Services  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