Did Malnutrition Affect Post-Operative Somatic Growth in Pediatric Patients Undergoing Surgical Procedures for Congenital Heart Disease?

Fitria, Liza; Caesa, Putri; Joe, Juweni; Marwali, Eva Miranda

doi:10.1007/s00246-018-2022-5

Cited by 9 publications

(7 citation statements)

References 13 publications

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“…The effects of administering high-energy formula to infants during the postoperative period has attracted considerable attention. High-energy nutrition has been observed to reduce postoperative weight loss and shorten ICU stay (20,(22)(23)(24)(25)(26)(27). These findings support Cui et al, and show the tolerance and effectiveness of early highenergy feeding at achieving higher nutrition intake and shorter CICU stays in infants following cardiac surgery (20).…”

Section: Discussionsupporting

confidence: 55%

“…Standardized feeding protocols have been shown to decrease the incidence of necrotizing enterocolitis and death, decrease episodes of sepsis, and reduce the overall duration of hospital stays (18). Recent studies suggest that protein-and energy-enriched infant formulas may assist in achieving nutrition targets early and promoting anabolism in critically ill infants (19)(20)(21)(22). In addition, Zhang et al (23) proposed that infants after cardiac surgery fed with highenergy formula gained more weight.…”

Section: Introductionmentioning

confidence: 99%

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Early high-energy feeding in infants following cardiac surgery: a randomized controlled trial

Chen¹,

Zhang²,

Song³

et al. 2021

Transl Pediatr

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Background: Effective nutrition programs are beneficial for nutritional recovery in infants. Few studies have focused on the effect of early high-energy feeding after open heart surgery. This study sought to assess the effects of early high-energy feeding in infants after congenital heart surgery.Methods: Patients at a tertiary pediatric cardiology center who underwent open heart surgery between July 2016 and July 2018 were recruited and randomly allocated to 1 of the following 2 groups: (I) the intervention group (postoperative early high-energy feeding; n=124); and (II) the control group (no intervention; n=120). The primary endpoints of average energy delivery and growth Z-scores [i.e., weight-for-height Z-score (WHZ), weight-for-age Z-score (WAZ), and height-for-age Z-score (HAZ)] were recorded preoperatively, during the intensive care unit (ICU) stay, at discharge, and at 1 and 3 months postoperatively. The secondary endpoints of malnutrition recovery, ventilator support time, infection rate, and cardiac ICU (CICU) stay were also recorded.Results: A total of 244 infants were included in the study. There were no significant differences in the baseline features between the 2 groups. The intervention group received higher calories on average than the control group (44.5 vs. 34.7; P<0.001). At discharge from the ICU, the WHZ (−2.29 vs. −2.76; P<0.001) and WAZ (−3.08 vs. −3.43; P=0.005) of patients in the intervention group were higher than those of patients in the control group. Ventilator support time (P=0.004), CICU stay (P=0.045), and infection rate (P=0.001) were significantly lower in the intervention group than the control group. At 3 months post-surgery, the intervention group exhibited a higher malnutrition recovery rate than the control group (19.4% vs. 6.5%; P=0.002). Conclusions:The administration of early high-energy feeding to infants after congenital heart surgery is associated with improved growth, reduced CICU stay, decreased ventilator support time, and reduced postoperative infection rates.

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Section: Discussionsupporting

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Early high-energy feeding in infants following cardiac surgery: a randomized controlled trial

Chen¹,

Zhang²,

Song³

et al. 2021

Transl Pediatr

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“…To attain a negative fluid balance, fluid intake is generally restricted. 37 The resting energy consumption in the first 3-5 days is expected to be 55-75 kcal/kg/day based on research in CHD patients. This helps guide initial feeding, which can be increased to 120-150 kcal/kg/day when transitioning to a lower level of care to facilitate catch-up growth.…”

Section: Variabl E Outcomes Resultsmentioning

confidence: 99%

Disease-related malnutrition in congenital 27 heart disease: what is the risk and impact on patient’s outcomes?

Noormanto

2022

World Nutr J

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Congenital heart disease (CHD) is the most common congenital anomaly in newborn babies. Malnutrition is common in children with congenital heart disease and may contribute to adverse outcomes. Malnutrition in children with CHD has been link to increased morbidity and mortality. Nutritional assessment and intervention before and after surgery is recommended to improve poor outcomes. This review aims to provide information about common CHD in children and nutrition pre- and post-operative cardiac surgery.

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“…Undernutrition was significantly associated with increased risk of death in our study. Nutritional status may impact on the outcomes of cardiac surgery [18][19][20]. Children undergoing cardiac surgery, who are underweight, may be associated with a higher 30-day mortality.…”

Section: Plos Onementioning

confidence: 99%

Outcome and factors associated with undernutrition among children with congenital heart disease

et al. 2023

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Background Congenital heart disease (CHD) is associated with high morbidity and mortality, especially among those with undernutrition. Evaluating risk factors associated with undernutrition is important to improve clinical outcomes. We aimed to evaluate the outcome and factors associated with undernutrition among children with CHD. Material and methods A prospective cohort study was conducted among children with CHD at Dr. Sardjito Hospital, Yogyakarta, Indonesia during February 2016 to June 2018. Clinical and demographic data were collected at the time of diagnosis. Multivariate logistic regression analysis was used to identify independent factors associated with undernutrition using odds ratio (OR) and 95% confidence interval (CI). Significance was set as p<0.05. Results We recruited 1,149 children with CHD, of those, 563 (49%) were underweight, 549 (47.8%) were stunting, and 361 (31.4%) were wasting. In the multivariate analysis, cyanotic CHD, delayed diagnosis, congestive heart failure, pulmonary hypertension, syndrome, young maternal age, history of low birth weight, and being first child were independently associated with undernutrition. Underweight and stunting were significantly associated with increased mortality with OR of 3.54 (95% CI: 1.62–7.74), p<0.001 and OR 3.31 (95% CI: 1.65–6.64), p<0.001, respectively. Conclusions About half of the children with CHD were categorized with undernutrition. An increased risk of undernutrition was associated with cyanotic CHD, delayed diagnosis, congestive heart failure, pulmonary hypertension, syndrome, low birth weight, and being first child. Underweight and stunting were significantly associated with increased risk of death.

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Did Malnutrition Affect Post-Operative Somatic Growth in Pediatric Patients Undergoing Surgical Procedures for Congenital Heart Disease?

Cited by 9 publications

References 13 publications

Early high-energy feeding in infants following cardiac surgery: a randomized controlled trial

Early high-energy feeding in infants following cardiac surgery: a randomized controlled trial

Disease-related malnutrition in congenital 27 heart disease: what is the risk and impact on patient’s outcomes?

Outcome and factors associated with undernutrition among children with congenital heart disease

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