Catch-up growth in term and preterm infants after surgical closure of ventricular septal defect in the first year of life

Martins, Luísa Correia; Lourenço, Rita; Cordeiro, Susana Arruda; Carvalho, Nuno; Mendes, Inês; Loureiro, Marisa Dias Rolan; Patrício, Miguel; Anjos, Rui

doi:10.1007/s00431-015-2676-4

Cited by 17 publications

(7 citation statements)

References 14 publications

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“…Previously, several studies found that CHD patients could catch-up growth significantly after corrective cardiac surgery in both cyanotic and acyanotic CHD (Carmona et al, 2012; Cheung et al, 2003; Li et al, 2019). Martins et al, demonstrated that early VSD closure resulted in significant acceleration of post-operative growth within 3–6 months in both term and preterm infants (Correia Martins et al, 2016). Regarding to Ratanachu-ek et al (Ratanachu-Ek and Pongdara, 2011) the WHZ of CHD patients increased after cardiac surgery.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and predictive factors of malnutrition in Thai children with congenital heart disease and short-term postoperative growth outcomes

et al. 2022

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Background: Growth restriction is still a common problem in children with congenital heart disease (CHD). Evidence demonstrates that performing cardiac surgery in appropriate timing may result in better growth outcome. Aim: To investigate prevalence and associated factors of malnutrition in pediatric patients with CHD who underwent cardiac surgery. In addition, post-operative growth outcomes at two weeks following cardiac surgery were also assessed. Methods: A retrospective cohort study was conducted in pediatric patients who underwent cardiac surgery at Chiang Mai University Hospital between January and September 2014. Results: One hundred patients with a median age of 28.5 months (range 14–62 months) were enrolled. Two-third of these patients had at least one form of malnutrition before receiving surgical treatment while wasting, stunting and combined wasting-stunting accounted for 23%, 28%, and 15% of patients, respectively. Multiple logistic regression analysis demonstrated that congestive heart failure-related symptoms were significantly associated with increasing risk of malnutrition (adjusted OR 4.4; 95% CI 1.78–11.26, p = 0.001). Two weeks after hospital discharge, wasting patients with regardless of stunting had significantly improved weight for height (WHZ) and weight for length Z-scores (WLZ) compared to growth parameters at the time of cardiac surgery, p = 0.012 and p < 0.001, respectively. Conclusion: The prevalence of acute and chronic malnutrition in pediatric patients with CHD who underwent cardiac surgery was very high in this study. Children with congestive heart failure had a four-time at risk of undernutrition. In short-term, cardiac surgery may mitigate acute malnutrition of these patients.

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Section: Discussionmentioning

confidence: 99%

Prevalence and predictive factors of malnutrition in Thai children with congenital heart disease and short-term postoperative growth outcomes

et al. 2022

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“…Furthermore, nutrient deprivation during the neonatal period is seen not only in preterm infants, but also in term infants requiring surgery and/or intensive care. Correia Martins et al reported that earlier surgical closure of ventricular septal defects resulted in better acceleration of postoperative growth than later surgery [21]. However, there has been scarce evidence on catch-up growth in term infants who underwent other types of surgeries.…”

Section: Discussionmentioning

confidence: 99%

Weight gain velocity and adequate amount of nutrition for infants with congenital diaphragmatic hernia

et al. 2020

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Purpose Growth retardation is a severe morbidity in infants with congenital diaphragmatic hernia (CDH). This study aimed to determine when catch-up growth starts in infants with CDH and to determine the adequate amount of nutrition required during catch-up growth. Methods This was a multicenter retrospective cohort study involving neonates with isolated CDH (born 2006-2010; n = 98). Weight gain velocity (WGV) was calculated using body weight Z-scores. The minimum required weight gain was defined as WGV ≥ 0. Patients were dichotomized into severe and non-severe cases according to diaphragmatic defects. Results Average monthly WGV changed from < 0 to ≥ 0 at 2 months of age. Total caloric intake at 2 months of age was lower when the WGV between 1 and 3 months was < 0 in both severe cases [122 (95% confidence interval (CI) 116-128) vs. 97 (95% CI 84-110) kcal/kg/day, p = 0.02] and non-severe cases [115 (95% CI 110-120) vs. 99 (95% CI 87-111) kcal/ kg/day, p < 0.001)]. Conclusion Catch-up growth started at approximately 2 months of age. During this period, total caloric intake of > 122 kcal/ kg/day was needed to avoid decreases in the body weight Z-score in severe cases.

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“…Persistent malnutrition has been widely described in infants with CHD including in cardiac centres in other countries 9 11 , 14 , 70 – 73 We aimed to ensure that the principles of nutritional care within the pathway were as generic as possible to allow local adaptation within a variety of healthcare settings both nationally and internationally.…”

Section: Discussionmentioning

confidence: 99%

The development of a consensus-based nutritional pathway for infants with CHD before surgery using a modified Delphi process

et al. 2018

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IntroductionDespite improvements in the medical and surgical management of infants with CHD, growth failure before surgery in many infants continues to be a significant concern. A nutritional pathway was developed, the aim of which was to provide a structured approach to nutritional care for infants with CHD awaiting surgery.Materials and methodsThe modified Delphi process was development of a nutritional pathway; initial stakeholder meeting to finalise draft guidelines and develop questions; round 1 anonymous online survey; round 2 online survey; regional cardiac conference and pathway revision; and final expert meeting and pathway finalisation.ResultsPaediatric Dietitians from all 11 of the paediatric cardiology surgical centres in the United Kingdom contributed to the guideline development. In all, 33% of participants had 9 or more years of experience working with infants with CHD. By the end of rounds 1 and 2, 76 and 96% of participants, respectively, were in agreement with the statements. Three statements where consensus was not achieved by the end of round 2 were discussed and agreed at the final expert group meeting.ConclusionsNutrition guidelines were developed for infants with CHD awaiting surgery, using a modified Delphi process, incorporating the best available evidence and expert opinion with regard to nutritional support in this group.

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Catch-up growth in term and preterm infants after surgical closure of ventricular septal defect in the first year of life

Cited by 17 publications

References 14 publications

Prevalence and predictive factors of malnutrition in Thai children with congenital heart disease and short-term postoperative growth outcomes

Prevalence and predictive factors of malnutrition in Thai children with congenital heart disease and short-term postoperative growth outcomes

Weight gain velocity and adequate amount of nutrition for infants with congenital diaphragmatic hernia

The development of a consensus-based nutritional pathway for infants with CHD before surgery using a modified Delphi process

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