Claire L Costello1, Marcelee Gellatly2, Jane Daniel2, Robert N Justo3, Kelly Weir4,5,6. 1. Department of Nutrition & Dietetics, Mater Children's Hospital, Herston, Queensland, Australia. 2. Department of Speech Pathology, Mater Children's Hospital, Herston, Queensland, Australia. 3. Queensland Paediatric Cardiac Service, Mater Children's Hospital, Herston, Queensland, Australia. 4. Speech Pathology Department, Royal Children's Hospital, Herston, Queensland, Australia. 5. Discipline of Paediatrics & Child Health, The University of Queensland, Herston, Queensland, Australia. 6. Queensland Children's Medical Research Institute, The University of Queensland, Herston, Queensland, Australia.
Abstract
OBJECTIVE: The purpose of this study was to determine the prevalence of growth restriction in infants and young children with congenital heart disease (CHD) and investigate the relationship between poor growth, feeding difficulties, cardiac classification, and nutrition intervention on outcomes. DESIGN: This is a prospective observational cohort study of infants and young children with CHD aged 0-3 years admitted to hospital for cardiac surgery. Anthropometry, growth history, cardiac classification, cardiac diagnosis, feeding difficulty, and nutrition intervention data were collected for 78 participants. RESULTS: Many participants demonstrated growth restriction as evidenced by a z-score ≤ -2 for population growth parameters including weight/age z-score (n = 18, 23%), height/age z-score (n = 16, 21%), and weight/height z-score (n = 12, 18%). Increased hospital length of stay was associated with factors including faltering growth preadmission (P = .009), tube feeding required preadmission (P = .002), diagnosis of cyanotic CHD (P = .015), and presence of a feeding difficulty (P = .015). CONCLUSIONS: Growth restriction remains an ongoing problem in children with CHD. Faltering growth preadmission and lower growth parameters were associated with an increased hospital length of stay. Nutritional screening from diagnosis may detect growth faltering, improve access to early nutrition intervention, and improve patient outcomes.
OBJECTIVE: The purpose of this study was to determine the prevalence of growth restriction in infants and young children with congenital heart disease (CHD) and investigate the relationship between poor growth, feeding difficulties, cardiac classification, and nutrition intervention on outcomes. DESIGN: This is a prospective observational cohort study of infants and young children with CHD aged 0-3 years admitted to hospital for cardiac surgery. Anthropometry, growth history, cardiac classification, cardiac diagnosis, feeding difficulty, and nutrition intervention data were collected for 78 participants. RESULTS: Many participants demonstrated growth restriction as evidenced by a z-score ≤ -2 for population growth parameters including weight/age z-score (n = 18, 23%), height/age z-score (n = 16, 21%), and weight/height z-score (n = 12, 18%). Increased hospital length of stay was associated with factors including faltering growth preadmission (P = .009), tube feeding required preadmission (P = .002), diagnosis of cyanotic CHD (P = .015), and presence of a feeding difficulty (P = .015). CONCLUSIONS: Growth restriction remains an ongoing problem in children with CHD. Faltering growth preadmission and lower growth parameters were associated with an increased hospital length of stay. Nutritional screening from diagnosis may detect growth faltering, improve access to early nutrition intervention, and improve patient outcomes.
Authors: Thomas Zoller; Maria Antonia Prioli; Maria Clemente; Mara Pilati; Camilla Sandrini; Giovanni Battista Luciani; Marco Deganello Saccomani; Benjamim Ficial; Marcella Gaffuri; Giorgio Piacentini; Lucia Calciano; Angelo Pietrobelli Journal: Children (Basel) Date: 2022-06-14
Authors: Luise V Marino; Mark J Johnson; Nigel J Hall; Natalie J Davies; Catherine S Kidd; M Lowri Daniels; Julia E Robinson; Trevor Richens; Tara Bharucha; Anne-Sophie E Darlington Journal: Cardiol Young Date: 2018-04-29 Impact factor: 1.093