Factors Impacting Long-Term Gastrostomy Tube Dependence in Infants with Congenital Heart Disease

•Overall, 84% of infants with congenital heart disease continued to use a gastrostomy tube for enteral nutrition at one-year.•Infants tolerating minimal oral nutrition before gastrostomy placement, those with prolonged hospitalization after placement, and those demonstrating difficulty with oral feeds at discharge were more likely to use their gastrostomy tube at one-year.•The majority of infants experienced clinic or emergency room visits for gastrostomy tube complications, regardless of use at one-year Infants with congenital heart disease (CHD) often experience oral feeding intolerance requiring gastrostomy (GT). Complications related to GT use are common. The study aim was to identify factors associated with continued GT use at one-year. A retrospective cohort study was performed at a tertiary children's hospital using the Society of Thoracic Surgeons database and patients’ electronic medical record. Infants