Impact of the nutritional status of children with congenital heart diseases on the early post-operative outcome

Abstract Background Children with congenital heart disease (CHD) frequently become malnourished due to many factors including hypermetabolic state, inadequate caloric intake, malabsorption, and fluid restriction as part of the hemodynamic intervention. The abnormal nutritional status may affect earl...

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Autores principales:	Sameh R. Ismail, Akhter Mehmood, Noura Rabiah, Riyadh M. Abu-sulaiman, Mohamed S. Kabbani
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Congenital heart disease Children Nutrition Postoperative Early outcome Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/6141bc93b367496ea5ea5dc842c6a518
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spelling	oai:doaj.org-article:6141bc93b367496ea5ea5dc842c6a5182021-12-05T12:24:22ZImpact of the nutritional status of children with congenital heart diseases on the early post-operative outcome10.1186/s43054-021-00077-92090-9942https://doaj.org/article/6141bc93b367496ea5ea5dc842c6a5182021-11-01T00:00:00Zhttps://doi.org/10.1186/s43054-021-00077-9https://doaj.org/toc/2090-9942Abstract Background Children with congenital heart disease (CHD) frequently become malnourished due to many factors including hypermetabolic state, inadequate caloric intake, malabsorption, and fluid restriction as part of the hemodynamic intervention. The abnormal nutritional status may affect early outcome after pediatric cardiac surgery; we aim to prove the importance of nutritional assessment and patient nutritional preparation before performing pediatric cardiac surgery. Results We conducted a prospective observational cohort study from March 2013 till January 2015. All children from birth until 14 years of age admitted to the pediatric cardiac intensive care unit (PCICU) after cardiac surgery. Nutritional status was assessed preoperatively and prognostic nutritional index (PNI) was calculated. All post-operative outcome parameters, PCICU and hospital length of stay (LOS), ventilation time, the rate of infection, and ICU mortality were recorded. Two hundred fifty-nine children were evaluated. At admission, 179 patients (69%) had intake less than 50% of the recommended daily allowance (RDA) of calories intake. There was a statistically significant relationship between pre-admission RDA and the infection rate (P value 0.018). Severely malnourished patients had significantly longer ICU length of stay (LOS) (P value = 0.049). Similarly, weight and height percentiles have a significant effect on ICU LOS (P value 0.009 and 0.045) respectively. There was a significant relation between PNI ≥ 55 and the ICU LOS (P < 0.05), and ventilation time (P = 0.036). Delay in feeding postoperatively was associated with a higher risk of infection (P = 0.005), and higher mortality (P = 0.03). Conclusions Children with CHD were significantly malnourished preoperatively and had further weight loss postoperatively. Preoperative nutritional status and delayed postoperative enteral feeding were associated with a higher infection rate and mortality.Sameh R. IsmailAkhter MehmoodNoura RabiahRiyadh M. Abu-sulaimanMohamed S. KabbaniSpringerOpenarticleCongenital heart diseaseChildrenNutritionPostoperativeEarly outcomePediatricsRJ1-570ENEgyptian Pediatric Association Gazette, Vol 69, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Congenital heart disease Children Nutrition Postoperative Early outcome Pediatrics RJ1-570
spellingShingle	Congenital heart disease Children Nutrition Postoperative Early outcome Pediatrics RJ1-570 Sameh R. Ismail Akhter Mehmood Noura Rabiah Riyadh M. Abu-sulaiman Mohamed S. Kabbani Impact of the nutritional status of children with congenital heart diseases on the early post-operative outcome
description	Abstract Background Children with congenital heart disease (CHD) frequently become malnourished due to many factors including hypermetabolic state, inadequate caloric intake, malabsorption, and fluid restriction as part of the hemodynamic intervention. The abnormal nutritional status may affect early outcome after pediatric cardiac surgery; we aim to prove the importance of nutritional assessment and patient nutritional preparation before performing pediatric cardiac surgery. Results We conducted a prospective observational cohort study from March 2013 till January 2015. All children from birth until 14 years of age admitted to the pediatric cardiac intensive care unit (PCICU) after cardiac surgery. Nutritional status was assessed preoperatively and prognostic nutritional index (PNI) was calculated. All post-operative outcome parameters, PCICU and hospital length of stay (LOS), ventilation time, the rate of infection, and ICU mortality were recorded. Two hundred fifty-nine children were evaluated. At admission, 179 patients (69%) had intake less than 50% of the recommended daily allowance (RDA) of calories intake. There was a statistically significant relationship between pre-admission RDA and the infection rate (P value 0.018). Severely malnourished patients had significantly longer ICU length of stay (LOS) (P value = 0.049). Similarly, weight and height percentiles have a significant effect on ICU LOS (P value 0.009 and 0.045) respectively. There was a significant relation between PNI ≥ 55 and the ICU LOS (P < 0.05), and ventilation time (P = 0.036). Delay in feeding postoperatively was associated with a higher risk of infection (P = 0.005), and higher mortality (P = 0.03). Conclusions Children with CHD were significantly malnourished preoperatively and had further weight loss postoperatively. Preoperative nutritional status and delayed postoperative enteral feeding were associated with a higher infection rate and mortality.
format	article
author	Sameh R. Ismail Akhter Mehmood Noura Rabiah Riyadh M. Abu-sulaiman Mohamed S. Kabbani
author_facet	Sameh R. Ismail Akhter Mehmood Noura Rabiah Riyadh M. Abu-sulaiman Mohamed S. Kabbani
author_sort	Sameh R. Ismail
title	Impact of the nutritional status of children with congenital heart diseases on the early post-operative outcome
title_short	Impact of the nutritional status of children with congenital heart diseases on the early post-operative outcome
title_full	Impact of the nutritional status of children with congenital heart diseases on the early post-operative outcome
title_fullStr	Impact of the nutritional status of children with congenital heart diseases on the early post-operative outcome
title_full_unstemmed	Impact of the nutritional status of children with congenital heart diseases on the early post-operative outcome
title_sort	impact of the nutritional status of children with congenital heart diseases on the early post-operative outcome
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/6141bc93b367496ea5ea5dc842c6a518
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Impact of the nutritional status of children with congenital heart diseases on the early post-operative outcome

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