Evaluation of the growth percentiles of children with congenital heart disease

Silva, Viviane Martins da; Lopes, Marcos Venícios de Oliveira; Araújo, Thelma Leite de

doi:10.1590/s0104-11692007000200016

Cited by 10 publications

(7 citation statements)

References 8 publications

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“…Cyanosis is a clinical manifestation indicating a lack of blood saturation resulting from the mixing of venous and arterial blood (10) . Tetralogy of Fallot was the cyanotic heart disease most frequently presented; a similar profile regarding the most common cyanotic heart disease was found in the aforementioned study (8) . An international study describes the importance of the early detection of critical congenital heart diseases, so that the medical care of children with severe cyanotic heart disease is a priority and is appropriate, in terms of avoiding the worsening of the disease or even death (11) .…”

Section: Discussionsupporting

confidence: 83%

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Terms of nursing: human responses of children hospitalized with heart disease - a cross-sectional study

Silva¹,

Cavalcanti²,

Pereira³

et al. 2014

Online Brazilian Journal of Nursing

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Section: Discussionsupporting

confidence: 83%

“…A study of nursing diagnoses of hospitalized children with congenital heart disease at a hospital in northeastern Brazil, identified VSD as the most prevalent congenital heart disease, primarily affecting male children (8) .…”

Section: Discussionmentioning

confidence: 99%

Terms of nursing: human responses of children hospitalized with heart disease - a cross-sectional study

Silva¹,

Cavalcanti²,

Pereira³

et al. 2014

Online Brazilian Journal of Nursing

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“…In a previous study which evaluated the growth of hospitalized children below 12 months of age and with heart defects, 50% of the children had values below the 10 th percentile for the rates of length/age, weight/ length and weight/age, indicating that a high proportion of values are within the nutritional risk group, in view of the fact that the values considered 'at-risk' are found between the 3 rd and 10 th percentiles (11) . In a similar way, another study carried out with 89 hospitalized children in Turkey, aged between one and 45 months, all with cyanotic or acyanotic heart disease and with or without pulmonary hypertension, used the cut-off points of percentiles between 5 and 95, determining that 65.2%…”

Section: Discussionmentioning

confidence: 92%

Nutritional status of children with congenital heart disease

Monteiro¹,

Araújo

Lopes

et al. 2012

Rev. Latino-Am. Enfermagem

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Objective: to characterize nutritional status and variables that predict nutritional changes in children with congenital heart disease. Method: a cross-sectional study undertaken in two health institutions between January and June 2009, using a questionnaire with questions about nutrition, applied to 132 children under two years of age who had congenital heart disease.Children who had additional serious illnesses were excluded. Result: the predominant percentile values and Z scores were concentrated within the range of normal levels. The Z scores, however, presented negative variations with a deviation to the left. In the analysis of predictive factors, the occurrence of immediate and acute malnutrition was related to a decrease in skinfold thickness (decrease in subscapular skinfold thickness, while immediate malnutrition was related to a high Apgar score. Chronic malnutrition was related to female children with higher ages. Conclusion: it is evidenced that it is necessary to carry out nutritional strategies which improve prognosis, so as to widen the nursing care directed at these children.Descriptors: Child; Heart Defects; Nutritional Status; Nursing. Entretanto, os valores de escores Z apresentaram variações negativas com desvio para a esquerda. Na análise de fatores preditores, a ocorrência de desnutrição imediata e aguda esteve relacionada à diminuição da prega cutânea subescapular, a desnutrição imediata relacionouse ao elevado escore de Apgar. A desnutrição crônica referiu-se às crianças do sexo feminino com idademaior. Conclusão: evidencia-se a necessidade de realizar estratégias nutricionais que possibilitem melhor prognóstico, na tentativa de ampliar os cuidados de enfermagem direcionados a essas crianças.Descritores: Criança; Cardiopatias Congênitas; Estado Nutricional; Enfermagem. Estado nutricional de niños con cardiopatías congénitasObjetivo: caracterizar el estado nutricional y verificar variables que predicen alteraciones nutricionales en niños portadoras de cardiopatías. Método: estudio transversal realizado en dos instituciones de salud de enero a junio de 2009, utilizando formulario con cuestiones nutricionales. Se seleccionaron 132 niños menores de dos años y presentando cardiopatía congénita, excluyéndose aquéllas con otras enfermedades graves. Resultado: los valores de percentiles y scores Z predominantes se concentraron dentro de la banda de normalidad.Mientras, los valores de scores Z presentaron variaciones negativas con desvío para la izquierda.En el análisis de factores predictores, la ocurrencia de desnutrición inmediata y aguda estuvo relacionada a la disminución del pliegue cutáneo subescapular, la desnutrición inmediata se relacionó al elevado score de Apgar. La desnutrición crónica se refirió a los niños del sexo femenino con edades mayores. Conclusión: se evidencia la necesidad de realizar estrategias nutricionales que posibiliten mejor pronóstico, en la tentativa de ampliar las atenciones de enfermería dirigidos a estos niños.

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“…As already mentioned by several authors, patients with congenital heart disease have a deficit in weight and height development [ 4 - 6 , 8 , 17 ] . The low energy intake, hypermetabolism [ 8 , 9 ] and cell hypoxia [ 9 ] are factors that decrease the availability of energy and hamper the adoption of a proper diet for these children, contributing to their developmental delay [ 10 , 15 ] .…”

Section: Discussionmentioning

confidence: 99%

“…Congenital heart defects usually cause changes in development, mainly in height and weight, which when measured are shown below the normal mean for age [ 4 - 8 ] . These changes are usually multifactorial and may be from both cardiac and extra-cardiac causes [ 8 - 10 ] .…”

Section: Introductionmentioning

confidence: 99%

Evolution of weight and height of children with congenital heart disease undergoing surgical treatment

Peres¹,

Croti²,

Godoy³

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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ObjectiveTo evaluate the height and weight development of children with congenital heart disease undergoing surgery with the goal of determining when they reach the threshold of normal development and whether there are differences between patients with developmental pattern below the level of normality preoperatively (z-score<-2 for the analyzed parameter) in comparison to the total group of cardiac patients.MethodsWe prospectively followed up 27 children undergoing operation into five time periods: preoperatively and at four subsequent outpatient appointments: 1st month, 3rd month, 6th month and 12th month after hospital discharge. The anthropometric parameters used were median z-score (MZ), weight (WAZ), height (HAZ), subscapular skinfold (SSFAZ), upper arm circumference (UAC) and triceps skinfold (TSFAZ). The evolution assessment of the parameters was performed by analysis of variance and comparison with the general normal population from unpaired t test, both in the total group of cardiac patients, and in subgroups with preoperative parameters below the normal level (Zm<-2).ResultsIn the total group there was no significant evolution of MZ of all parameters. WAZ was statistically lower than the normal population until the 1st month of follow-up (P=0.028); HAZ only preoperatively (P=0.044), SSFAZ in the first month (P=0.015) and at 12th month (P=0.038), UAC and TSFAZ were always statistically equal to the general population. In patients whose development was below the level of normality, there were important variation of WAZ (P=0.002), HAZ (P=0.001) and UAC (P=0.031) after the operation, and the WAZ was lower than the normal population until the 3rd month (P=0.015); HAZ and UAC, until the first month (P=0.024 and P=0.039 respectively), SSFAZ, up to the 12th month (P=0.005), the TSFAZ only preoperatively (P=0.011).ConclusionThe operation promoted the return to normalcy for those with heart disease in general within up to three months, but for the group of patients below normal developmental pattern of the return occurred within 12 months.

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Evaluation of the growth percentiles of children with congenital heart disease

Abstract: Silva VM, Lopes MVO, Araujo TL. Evaluation of the growth percentiles of children with congenital heart disease.Rev Latino-am Enfermagem 2007 março-abril; 15(2):298-303.

Cited by 10 publications

References 8 publications

Terms of nursing: human responses of children hospitalized with heart disease - a cross-sectional study

Terms of nursing: human responses of children hospitalized with heart disease - a cross-sectional study

Nutritional status of children with congenital heart disease

Evolution of weight and height of children with congenital heart disease undergoing surgical treatment

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