{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T21:45:33Z","timestamp":1791323133790,"version":"4.3.1"},"reference-count":16,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To characterise the feeding profile and care pathway for infants receiving prolonged high\u2010flow nasal cannula (HFNC) respiratory support for management of a chronic condition at one facility from January to December 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data regarding medical history, HFNC admission details (reason for HFNC, HFNC duration, flow rate), feeding outcomes and speech pathology care were collected from electronic records of HFNC\u2010dependent infants (requiring HFNC \u22652\u20133\u2009L\/kg for \u22655 consecutive days). Infants with acute respiratory conditions (e.g. bronchiolitis) were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This study included 24 participants (median corrected age at admission 5.3\u2009weeks, range \u22126 to 18.6). Of these, 15 (60%) had a condition\/s that affected more than one body system (e.g. congenital diaphragmatic hernia), requiring the care of multiple specialities. Median length of HFNC use was 37.5\u2009days (range 11\u2013188). Twenty (83.3%) infants were referred for speech pathology (SLP) input while on HFNC support. For those referred, frequency of SLP input was variable (0\u20133 sessions\/week), and HFNC support requirements were the most common barrier to SLP intervention (<jats:italic>n<\/jats:italic>\u2009=\u20099, 45%). Twelve (54.5%) infants demonstrated improvement in their primary feeding method by discharge; however, only two (9.1%) infants were discharged on full oral feeds.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study demonstrates variability in oral feeding management in infants with prolonged HFNC\u2010dependence at our centre. Respiratory support with HFNC was identified as a barrier to progressing oral feeding. Further research is required to determine if oral feeding can be safely undertaken in this cohort. This is imperative to ensure that long\u2010term feeding outcomes are not negatively impacted by current practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16679","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T10:24:19Z","timestamp":1727691859000},"page":"796-802","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Oral feeding practices in medically complex infants receiving prolonged high\u2010flow nasal cannula support: A retrospective cohort study"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7615-6751","authenticated-orcid":false,"given":"Emily","family":"Cox","sequence":"first","affiliation":[{"name":"School of Clinical Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5035-0744","authenticated-orcid":false,"given":"Jasneek","family":"Chawla","sequence":"additional","affiliation":[{"name":"Respiratory Department Queensland Children's Hospital and Health Service  Brisbane Queensland Australia"},{"name":"Child Health Research Centre The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madison","family":"Moore","sequence":"additional","affiliation":[{"name":"Speech Pathology Department Queensland Children's Hospital and Health Service  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Schilling","sequence":"additional","affiliation":[{"name":"Respiratory Department Queensland Children's Hospital and Health Service  Brisbane Queensland 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Pathology Department Queensland Children's Hospital and Health Service  Brisbane Queensland Australia"},{"name":"School of Health and Rehabilitation Sciences The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,30]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13613-014-0029-5"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-012-2743-5"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2016.03.001"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2016.229"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-020-0632-2"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.14799"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2016-0131"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2016-0194"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1044\/2021_PERSP-21-00152"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-019-10047-4"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-021-02531-4"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.7888\/juoeh.41.131"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2020.1735339"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nwh.2021.03.006"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0115426502017006373"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-021-02574-7"}],"container-title":["Journal 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