Jasmeet Kataria-Hale1,2,3, Dantin Jeramy Roddy1,3,4, Acacia Cognata5, Patrice Hochevar1,2,3, Jill Zender1,3,4, Paige Sheaks1,3,4, Scott Osborne1,2,3, Kristina Tucker1,2,3, Nancy Hurst1,2,3, Joseph Hagan1,2,3, Amy Hair6,7,8. 1. Department of Pediatrics, Texas Children's Hospital, Houston, TX, USA. 2. Section of Neonatology, Texas Children's Hospital, Houston, TX, USA. 3. Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA. 4. Section of Pediatric Critical Care Medicine, Texas Children's Hospital, Houston, TX, USA. 5. Lovelace Women's Hospital, Albuquerque, NM, USA. 6. Department of Pediatrics, Texas Children's Hospital, Houston, TX, USA. abhair@texaschildrens.org. 7. Section of Neonatology, Texas Children's Hospital, Houston, TX, USA. abhair@texaschildrens.org. 8. Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA. abhair@texaschildrens.org.
Abstract
OBJECTIVE: To evaluate the hypothesis that implementation of a preoperative standardized feeding protocol increases human milk use in infants with complex congenital heart disease (CHD). STUDY DESIGN: Single-center, quasi-experimental study of infants with complex CHD. A cohort of 546 infants pre protocol was compared to 55 patients post protocol. Feeding regimen and peri-operative outcomes information were collected. RESULT: Human milk use increased significantly (58.4% versus 100%, p < 0.01) and there was no formula use post protocol (18.7% versus 0%, p < 0.01). Preoperative necrotizing enterocolitis occurred in 18/546 (3.3%) infants pre protocol versus 1/55 (1.8%) post protocol, p = 1.00. Days to full feeds and length of hospital stay in both cohorts were not significantly different. CONCLUSION: Successful implementation of a preoperative standardized feeding protocol can increase human milk and decrease formula use in infants with complex CHD without significant adverse outcomes. A larger study is needed to evaluate the association of human milk use with peri-operative outcomes.
OBJECTIVE: To evaluate the hypothesis that implementation of a preoperative standardized feeding protocol increases human milk use in infants with complex congenital heart disease (CHD). STUDY DESIGN: Single-center, quasi-experimental study of infants with complex CHD. A cohort of 546 infants pre protocol was compared to 55 patients post protocol. Feeding regimen and peri-operative outcomes information were collected. RESULT: Human milk use increased significantly (58.4% versus 100%, p < 0.01) and there was no formula use post protocol (18.7% versus 0%, p < 0.01). Preoperative necrotizing enterocolitis occurred in 18/546 (3.3%) infants pre protocol versus 1/55 (1.8%) post protocol, p = 1.00. Days to full feeds and length of hospital stay in both cohorts were not significantly different. CONCLUSION: Successful implementation of a preoperative standardized feeding protocol can increase human milk and decrease formula use in infants with complex CHD without significant adverse outcomes. A larger study is needed to evaluate the association of human milk use with peri-operative outcomes.
Authors: Sylvia L del Castillo; Mary E McCulley; Robinder G Khemani; Howard E Jeffries; Dan W Thomas; Jamie Peregrine; Winfield J Wells; Vaughn A Starnes; David Y Moromisato Journal: Pediatr Crit Care Med Date: 2010-05 Impact factor: 3.624
Authors: Kathryn Y Burge; Aarthi Gunasekaran; Marjorie M Makoni; Arshid M Mir; Harold M Burkhart; Hala Chaaban Journal: J Clin Med Date: 2022-07-09 Impact factor: 4.964