Nutrition support in neonates with congenital heart disease during the perioperative period
10.16151/j.1007-810x.2017.06.011
- VernacularTitle:先天性心脏病新生儿围手术期营养支持的研究
- Author:
Zhen WU
1
;
Zhi FU
;
jun Hong MIU
Author Information
1. 南京医科大学附属儿童医院急诊、重症医学科
- Keywords:
Congenital heart disease;
Nutrition;
Shunts;
Caloric intake;
Growth failure
- From:
Parenteral & Enteral Nutrition
2017;24(6):365-368,373
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the impact of hospital-based nutritional practices on weight gain in neonates during the immediate postoperative period.Methods:It is a retrospective study of 45 neonates who underwent modified systemic-to-pulmonary artery shunt in Huai'an First People's Hospital.We reviewed the weight-for-age Z-score (WAZ score) at the time points of the date of surgery,transfer from cardiac intensive care unit (CICU) to general ward,and day of hospital discharge.Caloric intake (calories/kg/day) and total fluid intake (ml/kg/day) at different time points were measured too.We also reviewed the initiation time of enteral feeding and CICU stay (days) postoperatively.Results:An overall median WAZ score decrease of-1.3 (IQR-1.7 to-0.7) from time of shunt palliation to hospital discharge.A length of stay of ＞5 days in the CICU,initiation of enteral feeding beyond the postoperative days (POD) 5 and the severity of diseases were significantly associated with a great mean difference in WAZ score(P ＜ 0.001,P ＜ 0.001,P =0.003).Conclusion:The nutrition support in immediate postoperative period is substantially lower than what is needed;initiation time of enteral feeding,a length of stay ＞ 5 days in the CICU and the severity of diseases were independent predictors of a greater change in WAZ score.
