Toward standardization of care: The feeding readiness assessment after congenital cardiac surgery

Ehrmann, Daniel; Mulvahill, Matthew; Harendt, Shaunda; Church, Jessica; Stimmler, Amy; Vichayavilas, Piyagarnt; Batz, Sanja; Rodgers, Jennifer; Maria, Michael V. Di; Jaggers, James; Barrett, Cindy; Kaufman, Jon

doi:10.1111/chd.12550

Cited by 15 publications

(7 citation statements)

References 27 publications

(59 reference statements)

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“…Initiation of tube feedings should not be delayed. Standardized assessments such as the Feeding Readiness Assessment, which assess oral feeding skills preoperatively and postoperatively based on feeding milestones, may be helpful in predicting which children will require long‐term tube feeding and allow for earlier incorporation of tube feeds into the feeding plan of these children . In summary, there remains considerable variability in nutrition provision in children with congenital heart disease, and larger multicenter studies and nutrition‐focused protocols are needed to improve outcomes for this vulnerable population.…”

Section: Congenital Heart Diseasementioning

confidence: 99%

Malnutrition in Children With Chronic Disease

Larson‐Nath

Goday

2019

Nut in Clin Prac

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Malnutrition occurs when nutrient intake does not meet the needs for normal body functions and as a consequence leads to alterations of growth and development in children. Chronic illness puts children at risk for developing malnutrition. Because of children's rapid periods of growth and development, early diagnosis, prevention, and management of malnutrition are paramount. The reasons for malnutrition in children with chronic disease are multifactorial and are related to the underlying disease and nonillness-associated factors. This review addresses the causes, evaluation, and management of malnutrition in pediatric congenital heart disease, chronic kidney disease, liver disease, and cystic fibrosis. (Nutr Clin Pract. 2019;34:349-358)

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Section: Congenital Heart Diseasementioning

confidence: 99%

Malnutrition in Children With Chronic Disease

Larson‐Nath

Goday

2019

Nut in Clin Prac

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“…The feeding methods of infants after the operation are complex and variable. Upon review of the literature and our clinical practice, we defined several risk factors and characteristics of caregivers, and graded the feeding risk and caregiver's feeding ability at the "transitional stage", in order to identify those children who might have feeding difficulties and at risk of malnutrition, which can be avoided by systematic assessment and standardization of feeding care [34].…”

Section: Discussionmentioning

confidence: 99%

Clinical Effect of an Improved Post-Operative Feeding Protocol “in Transition” Infants of Congenital Heart Disease with Pulmonary Hypertension

He¹,

Zhao²,

Weng³

et al. 2021

Congenital Heart Disease

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Background: To achieve successful management of infants with congenital heart disease (CHD) together with pulmonary hypertension (PH), postoperative care, especially feeding care is vital in addition to surgery. Postoperative feeding is comprised of three stages: feeding in the intensive care unit, feeding in the general ward and family feeding, in which the general ward is considered as the "transitional stage". At present, there is little research on the optimal mode of feeding care for the transitional stage, and there is no universally recognized and accepted protocol. Methods: We retrospectively analyzed 114 CHD infants with PH who underwent family-centered (FC) feeding care from July 2017 to December 2018, and prospectively studied 122 CHD infants with the same baseline level who adopted the improved mode, nurse-parent-driven (NPD) feeding mode from January 2019 to June 2020. The feasibility and efficacy of NPD as a "transitional" feeding nursing mode in CHD infants with PH were compared with the FC cohort by observing and analyzing the stress of family caregivers, feedingrelated complications, the proportion of breastfeeding, improvement of nutritional status, acquisition of knowledge and skills of feeding care, inpatient's satisfaction rating and prognosis. Results: When compared with the FC feeding care, the NPD mode significantly reduced the burden of family caregivers, improved the rate of feeding care knowledge and skills and inpatient's satisfaction rating, reduced the incidence of improper feeding-related complications, and enhanced the proportion of breastfeeding and nutritional status of infants at the "transitional stage" (all P < 0.05). The self-assessment score of care ability of family caregivers and weight gain of children in the NPD group were significantly higher than those in the FC group (all P < 0.05) during the follow-up. Conclusions: As a transitional mode of feeding in CHD infants with PH, NPD feeding care is superior to the conventional FC mode, which therefore can be adopted as a standard protocol in clinical practice.

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“…It comprehensively assesses various aspects of their feeding process, offering crucial insights into feeding challenges within this vulnerable group. (10), predict protracted feeding difficulties in infants admitted for their first cardiac surgery. • Additionally, Telepractice for Bottle-Feeding Assessments, explored by (28), evaluates bottle-feeding skills, making it particularly relevant for infants at risk or with certain medical conditions.…”

Section: Types Of Tools For Different Ages and Target Groupsmentioning

confidence: 99%

Comprehensive Review of Assessment Tools for Nutrition and Feeding Practices in Early Childhood: Applications, Strengths, and Limitations

Pancheva,

Dzhogova,

Eubova

et al. 2023

Biomedical Reviews

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This narrative review provides a significant contribution to the field of developmental disabilities by providing a comprehensive and up-to-date analysis of the prevalence and patterns of malnutrition in individuals with cerebral palsy. The findings from this study shed light on the high prevalence of malnutrition and associated factors, such as motor impairment severity, functional limitations, feeding difficulties, and socio-demographic factors. By synthesizing the existing literature from global studies, this manuscript enhances our understanding of the complex relationship between malnutrition and cerebral palsy, providing valuable insights for clinicians, researchers, and policymakers. The comprehensive nature of this review, encompassing various continents and countries, helps to identify regional variations in malnutrition prevalence and highlights the need for targeted interventions and tailored nutritional care strategies for individuals with cerebral palsy worldwide.

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Toward standardization of care: The feeding readiness assessment after congenital cardiac surgery

Cited by 15 publications

References 27 publications

Malnutrition in Children With Chronic Disease

Malnutrition in Children With Chronic Disease

Clinical Effect of an Improved Post-Operative Feeding Protocol “in Transition” Infants of Congenital Heart Disease with Pulmonary Hypertension

Comprehensive Review of Assessment Tools for Nutrition and Feeding Practices in Early Childhood: Applications, Strengths, and Limitations

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