Prevalence of Malnutrition in Children with Congenital Heart Disease

Tabib, Avisa; Aryafar, Maryam; Ghadrdoost, Behshid

doi:10.5812/compreped.84274

Cited by 12 publications

(12 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Likewise, height below 5 th percentile was much more common in cyanotic CHD in comparison with acyanotic CHD (65.6% vs 9.1%). Similar findings were reported by Tabib et al and Ulfa et al 26,27 Other growth parameters analysed in our study such as weight for age and height for age measured also significantly lower in cyanotic groups of CHD. Noticeably, results of our analysis showed that cyanotic CHD group had significantly longer cardiopulmonary bypass (CPB) time, aortic cross-clamp (ACC) time and longer intensive care unit length of stay.…”

Section: Discussionsupporting

confidence: 92%

Implications of congenital heart disease on growth and development of paediatric cardiac surgical patients

Khasawneh¹,

Mohammad

Alfawares³

et al. 2021

Int J Adv Med

View full text Add to dashboard Cite

Background: To identify the prevalence, predictors and implications of malnutrition and failure to thrive (FTT) in paediatric cardiac surgical patients.Methods: Observational retrospective analysis of data of paediatric patients presenting for cardiac surgery at Queen Alia heart institute/Amman/Jordan between April 2020 and October 2020. Patients' ages, anthropometric measurements, diagnoses, type of surgical intervention, ICU stay and perioperative outcomes were recorded on a special form designed for the purpose of this study. Prevalence of malnutrition based on world health organization (WHO) and centers for disease control (CDC) growth charts was determined using height-for-age z-score (HAZ) and percentile, weight-for-age z-score (WAZ) and percentile, weight-for-height z-score (WHZ) and percentile. BMI was used for patients above 2 years of age in 109 paediatric cardiac surgical patients. Prevalence of malnutrition and FTT was examined according to age category and cardiac pathology). Patients were divided according to heart pathology into cyanotic and acyanotic CHD.Results: One hundred and nine pediatric cardiac surgical patients were presented for cardiac surgery (59 males and 50 females). Patients' age ranged from 2 days to 17 years (mean 3.7 years, SD±4.5 years). Patients' body weight ranged from 2.7 to 70 kg (mean 14.98 kg, SD±14.2 kg). Average weight percentile was 19.26 (SD±20.01) and ranged between 0.1 and 88.5 and the average Z-score for weight was -1.274±1.037 (mean±SD). The overall height percentile for the all patients with CHD averaged 18.53±17.1 (mean±SD) and the average Z-score for height was -1.1029±0.743 (mean±SD). Prevalence of isolated malnutrition and FTT was 33.2% and 20.2%. Normal nutritional status was found in 46.78%. Cyanotic type CHD was more commonly associated with FTT (p=0.001), longer cardiopulmonary bypass (p=0.001), higher intraoperative lactate (p=0.012) and aortic cross clamp times (p=0.001). Patients with malnutrition and FTT had average ICU stay of 4.32±2.219 days and averaged 4.772±2.065 days (mean±SD) respectively, which was almost double of the ICU stay of patients who had normal nutritional status 2.32±2.261 days (mean±SD).Conclusions: Prevalence of malnutrition and FTT is high in paediatric patients with CHD at time of presentation for surgery. Predicting factors for malnutrition and FTT are cyanotic type of CHD and smaller age. Malnutrition was associated with longer ICU stay.

show abstract

Section: Discussionsupporting

confidence: 92%

Implications of congenital heart disease on growth and development of paediatric cardiac surgical patients

Khasawneh¹,

Mohammad

Alfawares³

et al. 2021

Int J Adv Med

View full text Add to dashboard Cite

show abstract

“…This difference could be due to the age of inclusion, settings and capacity of the institutions and design differences ( 17 , 18 ). Our report is higher than reports from Uganda(31.5%) and Iran (39.8%)( 15 , 19 ). The higher figure in our study could be a reflection of the high national burden of malnutrition in Ethiopia( 5 ).…”

Section: Discussioncontrasting

confidence: 88%

“…Malnutrition in CHD patients can be categorized into different groups depending on the presence or absence of cyanosis/pulmonary hypertension/heart failure. Several combinations including acyanotic patients with pulmonary hypertension (patients with left-to-right shunt and pulmonary hypertension),acyanotic patients without pulmonary hypertension and cyanotic patients are used (4,(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

Severe Acute Malnutrition among Unoperated Ethiopian Children with Congenital Heart Disease: A Wake-up Call to Reverse the Situation, A Retrospective Cross-Sectional Study

Assefa

Tadele

2020

Ethiop J Health Sci

View full text Add to dashboard Cite

BACKGROUND፡ Children with Congenital Heart Disease (CHD) are at increased risk for severe acute malnutrition (SAM). We aimed to determine the magnitude and determinants of SAM among children with CHD in a tertiary hospital.METHODS: Retrospective cross-sectional study was conducted among children with CHD between 2016 and 2019. Clinical and anthropometric data were retrieved from medical records. Anthropometric assessment was done by using WHO standard growth curves. Data analysis was done using Statistical Package for Social Sciences V22. Statistical significance was set at p-value<0.05, and multivariable logistic regression was used to determin predictors.RESULTS: There were 2400 pediatric admissions during the study period,CHD accounted for 6.5%(156) of admissions. For review, 141 records were eligible. The gender distribution was comparable, males 51.1% (72). Infants (<12 months) and older children (>12 months) accounted for 57.4% (81) and 42.6% (60) of study subjects, respectively. SAM was documented in 51.8% (73) of the study subjects, [95% CI: 44.7-60.2]. Infants had higher odds of SAM compared to children aged >12 months[adjusted odds ratio (AOR)= 4.48, 95%CI:2.07-9.70]. Anemic children had higher odds for SAM[AOR =3.76, 95% CI:1.54-9.18]. Children without acyanotic CHD with heart failure(HF) were 58% less likely to develop SAM[AOR= 0.42, 95% CI:0.19-0.96].CONCLUSION: The burden of SAM among children with CHD is high. Younger age,anemia and acyanotic CHD with HF predicted SAM.Screening for anemia and targeted anthropometric assessment are recommended for early SAM detection.

show abstract

“…Patients with cyanotic or acyanotic CHD without pulmonary hypertension had higher body weight and body height rates compared to CHD with pulmonary hypertension. 34 We found a significant relationship between time period after PDA closure and nutritional status, before and 1, 3, 6, and 12 months post-closure. A Yogyakarta study also showed that body weight significantly increased after transcatheter PDA closure.…”

Section: Resultsmentioning

confidence: 56%

“…33 Malnutrition in PDA may induce failure to thrive, as well as developmental and cognitive disorders. 34 In Yogyakarta, malnutrition was noted in 76.7% of patients diagnosed with PDA. 14 Similarly, 80% of our patients had malnutrition, including 40% with severe malnutrition prior to transcatheterization.…”

Section: Resultsmentioning

confidence: 99%

Time period after transcatheter PDA closure with changes in left ventricular function and nutritional status

Irfan¹,

Ali²,

Tobing³

et al. 2021

View full text Add to dashboard Cite

Background Few studies perform follow ups on patent ductus arteriosus (PDA) patients who undergo transcatheter closure. In addition to side effects from the procedure, it is important to evaluate changes in left ventricular function (LVF) parameters and nutritional status. Objective To compare LVF and nutritional status before and during the one-year period post-transcatheter PDA closure, and evaluate potential associated factors in post-closure PDA transcatheter patients. Methods This retrospective cohort study was done in a single center in patients diagnosed with PDA who had undergone transcatheter closure. Data were obtained from subjects’ medical records. The relationship between the post-closure PDA time span and LVF parameters [ejection fraction (EF) and fractional shortening (FS)] was analyzed by Friedman and repeated ANOVA tests; the post-closure PDA time period and nutritional status was analyzed by Friedman test. The time periods analyzed were 1, 3, 6, and 12 months post-closure. Factors potentially associated with LVF 12 months post-closure were analyzed by linear regression. Results A total of 30 patients who had undergone transcatheter PDA closure were included. The body weight mean of at the time of transcatheter PDA closure was 13.1 kg. We found a significant relationship between time period after PDA closure and nutritional status, before and 1, 3, 6, and at 12 months post-closure. In a comparison of pre-closure to 12 months post-closure, subjects’ mean EF (66.6 vs. 70.9%, respectively; P<0.001) and FS (34.4 vs. 37.8%, respectively; P<0.001) were significantly higher. In addition, significantly more patients had normal nutritional status 12 months post-closure than before closure. Age was not related to LVF parameters (EF: r=0.212; P=0.260; FS: r=0.137; P=0.471). Conclusion Both LVF and nutritional status significantly improve gradually over the 12 months post-closure compared to pre-closure. PDA size is not significantly associated with improved LVF parameters and nutritional status.

show abstract

Prevalence of Malnutrition in Children with Congenital Heart Disease

Cited by 12 publications

References 10 publications

Implications of congenital heart disease on growth and development of paediatric cardiac surgical patients

Implications of congenital heart disease on growth and development of paediatric cardiac surgical patients

Severe Acute Malnutrition among Unoperated Ethiopian Children with Congenital Heart Disease: A Wake-up Call to Reverse the Situation, A Retrospective Cross-Sectional Study

Time period after transcatheter PDA closure with changes in left ventricular function and nutritional status

Contact Info

Product

Resources

About