{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T04:51:30Z","timestamp":1785905490100,"version":"3.56.0"},"reference-count":25,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2027,6,12]],"date-time":"2027-06-12T00:00:00Z","timestamp":1812758400000},"content-version":"am","delay-in-days":315,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100006823","name":"Boston Children&apos;s Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006823","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014899","name":"American Neurogastroenterology and Motility Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014899","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpeds.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Pediatrics"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.jpeds.2026.115161","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T23:10:29Z","timestamp":1779750629000},"page":"115161","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Trends in Inpatient Health Care Utilization for Children with Feeding Difficulties"],"prefix":"10.1016","volume":"295","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5656-6220","authenticated-orcid":false,"given":"Suzanna","family":"Hirsch","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enju","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Rosen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpeds.2026.115161_bib1","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1097\/MPG.0000000000002188","article-title":"Pediatric feeding disorder: consensus definition and conceptual framework","volume":"68","author":"Goday","year":"2019","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"10.1016\/j.jpeds.2026.115161_bib2","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1111\/jan.13140","article-title":"Feeding problems in infancy and early childhood: evolutionary concept analysis","volume":"73","author":"Estrem","year":"2017","journal-title":"J Adv Nurs"},{"key":"10.1016\/j.jpeds.2026.115161_bib3","first-page":"75","article-title":"The complexity of feeding problems in 700 infants and young children presenting to a tertiary care institution","volume":"37","author":"Rommel","year":"2003","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"10.1016\/j.jpeds.2026.115161_bib4","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.jpeds.2020.07.047","article-title":"Pediatric feeding disorder: a nationwide prevalence study","volume":"228","author":"Kovacic","year":"2020","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2026.115161_bib5","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1007\/s00455-018-9884-9","article-title":"Temporal trends of pediatric Dysphagia in hospitalized patients","volume":"33","author":"Horton","year":"2018","journal-title":"Dysphagia"},{"key":"10.1016\/j.jpeds.2026.115161_bib6","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1097\/MOP.0000000000001275","article-title":"Nutritional and feeding challenges in aerodigestive patients","volume":"35","author":"Chen","year":"2023","journal-title":"Curr Opin Pediatr"},{"key":"10.1016\/j.jpeds.2026.115161_bib7","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1186\/s12887-022-03566-x","article-title":"Financial impacts and community resources utilization of children with feeding difficulties","volume":"22","author":"Okada","year":"2022","journal-title":"BMC Pediatr"},{"key":"10.1016\/j.jpeds.2026.115161_bib9","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1007\/s00455-022-10455-z","article-title":"Examining health conditions, impairments, and quality of life for pediatric feeding disorders","volume":"38","author":"Simione","year":"2023","journal-title":"Dysphagia"},{"key":"10.1016\/j.jpeds.2026.115161_bib10","doi-asserted-by":"crossref","first-page":"1316","DOI":"10.1002\/eat.23789","article-title":"A retrospective cohort study examining health care utilization patterns in individuals diagnosed with an eating disorder in childhood and\/or adolescence","volume":"55","author":"Couturier","year":"2022","journal-title":"Intl J Eat Disord"},{"key":"10.1016\/j.jpeds.2026.115161_bib11","doi-asserted-by":"crossref","first-page":"1919","DOI":"10.1002\/eat.24024","article-title":"A diagnostic subgroup comparison of health care utilization patterns in individuals with eating disorders diagnosed in childhood and\/or adolescence","volume":"56","author":"Couturier","year":"2023","journal-title":"Intl J Eat Disord"},{"key":"10.1016\/j.jpeds.2026.115161_bib12","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1542\/hpeds.2024-007874","article-title":"Pediatric hospital utilization during medical stabilization for patients with eating disorders","volume":"14","author":"Milliren","year":"2024","journal-title":"Hosp Pediatr"},{"key":"10.1016\/j.jpeds.2026.115161_bib13","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpeds.2023.113593","article-title":"Quantifying the healthcare burden of pediatric feeding disorder after congenital heart surgery","volume":"261","author":"Mohiuddin","year":"2023","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2026.115161_bib14","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1186\/1471-2431-14-199","article-title":"Pediatric complex chronic conditions classification system version 2: updated for ICD-10 and complex medical technology dependence and transplantation","volume":"14","author":"Feudtner","year":"2014","journal-title":"BMC Pediatr"},{"key":"10.1016\/j.jpeds.2026.115161_bib15","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1542\/hpeds.2021-006496","article-title":"Decreasing time to full enteral feeds in hospitalized children with medical complexity experiencing feeding intolerance","volume":"12","author":"Musial","year":"2022","journal-title":"Hosp Pediatr"},{"key":"10.1016\/j.jpeds.2026.115161_bib16","doi-asserted-by":"crossref","first-page":"4108","DOI":"10.1007\/s10620-024-08654-9","article-title":"Comparative analysis of early versus late feeding post-percutaneous endoscopic gastrostomy tube placement: a systematic review and meta-analysis","volume":"69","author":"Gajendran","year":"2024","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.jpeds.2026.115161_bib17","doi-asserted-by":"crossref","first-page":"2600","DOI":"10.1177\/00031348241248789","article-title":"A standardized post-gastrostomy feeding protocol for pediatric patients reduces time to postoperative goal feeding volume","volume":"90","author":"O'Guinn","year":"2024","journal-title":"Am Surg"},{"key":"10.1016\/j.jpeds.2026.115161_bib18","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.ajem.2024.03.007","article-title":"Oral enteral nutrition in the emergency department for children with bronchiolitis hospitalized on high flow nasal cannula","volume":"80","author":"DeLaroche","year":"2024","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jpeds.2026.115161_bib19","doi-asserted-by":"crossref","first-page":"4015","DOI":"10.1007\/s00431-023-05085-y","article-title":"Association of enteral feeds in critically ill bronchiolitis patients supported by high-flow nasal cannula with adverse events and outcomes","volume":"182","author":"Sarkis","year":"2023","journal-title":"Eur J Pediatr"},{"key":"10.1016\/j.jpeds.2026.115161_bib20","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.clnesp.2021.12.028","article-title":"Mapping the gaps: a scoping review of research on pediatric feeding disorder","volume":"48","author":"Estrem","year":"2022","journal-title":"Clin Nutr ESPEN"},{"key":"10.1016\/j.jpeds.2026.115161_bib21","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1097\/MPG.0000000000003474","article-title":"A study of postoperative complications occurring at home with pediatric gastrostomy feeding tubes","volume":"75","author":"Aedla","year":"2022","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"10.1016\/j.jpeds.2026.115161_bib22","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.jpeds.2015.11.028","article-title":"Oral feeding reduces hospitalizations compared with gastrostomy feeding in infants and children who aspirate","volume":"170","author":"McSweeney","year":"2016","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2026.115161_bib23","doi-asserted-by":"crossref","first-page":"1380","DOI":"10.1177\/0148607116670621","article-title":"Outcomes of infants with home tube feeding: comparing nasogastric vs gastrostomy tubes","volume":"41","author":"Khalil","year":"2017","journal-title":"J Parenter Enteral Nutr"},{"key":"10.1016\/j.jpeds.2026.115161_bib24","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2019-0325","article-title":"A quality improvement initiative to reduce gastrostomy tube placement in aspirating patients","volume":"145","author":"McSweeney","year":"2020","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpeds.2026.115161_bib25","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1097\/MPG.0000000000000468","article-title":"National trends and outcomes of pediatric gastrostomy tube placement","volume":"59","author":"Fox","year":"2014","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"10.1016\/j.jpeds.2026.115161_bib26","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.jpeds.2022.03.012","article-title":"Rates and determinants of home nasogastric tube feeding in infants born very preterm","volume":"246","author":"Alshaikh","year":"2022","journal-title":"The J Pediatr"}],"container-title":["The Journal of Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022347626001897?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022347626001897?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T04:39:20Z","timestamp":1785904760000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022347626001897"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":25,"alternative-id":["S0022347626001897"],"URL":"https:\/\/doi.org\/10.1016\/j.jpeds.2026.115161","relation":{},"ISSN":["0022-3476"],"issn-type":[{"value":"0022-3476","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Trends in Inpatient Health Care Utilization for Children with Feeding Difficulties","name":"articletitle","label":"Article Title"},{"value":"The Journal of Pediatrics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpeds.2026.115161","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"115161"}}