Nutrition in congenital heart disease: consensus document.

Autor:	Centeno-Malfaz F; Servicio de Pediatría Hospital Universitario Río Hortega, Servicio Pediatría Hospital Recoletas Campogrande, Valladolid, Spain., Moráis-López A; Unidad de Nutrición Infantil y Enfermedades Metabólicas, Hospital Universitario La Paz, Madrid, Spain., Caro-Barri A; Instituto Pediátrico del Corazón, Servicio de Pediatría, Hospital 12 de Octubre, Madrid, Spain., Peña-Quintana L; Sección Gastroenterología, Hepatología y Nutrición Pediátrica, Complejo Hospitalario Universitario Insular Materno-Infantil de Las Palmas, Las Palmas de Gran Canaria, Spain., Gil-Villanueva N; Cardiología Infantil, Hospital General Universitario Gregorio Marañón, Madrid, Spain., Redecillas-Ferreiro S; Unidad de Gastroenterología y Soporte Nutricional Pediátrico, Hospital Universitari Vall d'Hebrón, Barcelona, Spain., Marcos-Alonso S; Unidad de Cardiología Infantil, Servicio de Pediatría, Hospital Materno Infantil de A Coruña, A Coruña, Spain., Ros-Arnal I; Unidad de Gastroenterología y Nutrición Pediátrica, Hospital Miguel Servet, Zaragoza, Spain., Tejero MÁ; Cardiología Pediátrica, Unidad de Gestión Clínica (UGC) de Pediatría, Hospital Regional Universitario Reina Sofía, Córdoba, Spain., Sánchez CS; Servicio de Digestivo, Hepatología y Nutrición Infantil, Hospital Materno Infantil, Hospital General Universitario Gregorio Marañón, Madrid, Spain., Leis R; Unidad de Gastroenterología, Hepatología y Nutrición Pediátrica, Hospital Clínico Universitario de Santiago, Santiago de Compostela, A Coruña, Spain. Electronic address: mariarosaura.leis@usc.es.
Jazyk:	angličtina
Zdroj:	Anales de pediatria [An Pediatr (Engl Ed)] 2023 May; Vol. 98 (5), pp. 373-383. Date of Electronic Publication: 2023 May 01.
DOI:	10.1016/j.anpede.2023.02.022
Abstrakt:	Introduction: The prevalence of malnutrition among infants with congenital heart disease (CHD) is high. Early nutritional assessment and intervention contribute significantly to its treatment and improve outcomes. Our objective was to develop a consensus document for the nutritional assessment and management of infants with CHD. Material and Methods: We employed a modified Delphi technique. Based on the literature and clinical experience, a scientific committee prepared a list of statements that addressed the referral to paediatric nutrition units (PNUs), assessment, and nutritional management of infants with CHD. Specialists in paediatric cardiology and paediatric gastroenterology and nutrition evaluated the questionnaire in 2 rounds. Results: Thirty-two specialists participated. After two evaluation rounds, a consensus was reached for 150 out of 185 items (81%). Cardiac pathologies associated with a low and high nutritional risk and associated cardiac or extracardiac factors that carry a high nutritional risk were identified. The committee developed recommendations for assessment and follow-up by nutrition units and for the calculation of nutritional requirements, the type of nutrition and the route of administration. Particular attention was devoted to the need for intensive nutrition therapy in the preoperative period, the follow-up by the PNU during the postoperative period of patients who required preoperative nutritional care, and reassessment by the cardiologist in the case nutrition goals are not achieved. Conclusions: These recommendations can be helpful for the early detection and referral of vulnerable patients, their evaluation and nutritional management and improving the prognosis of their CHD. (Copyright © 2023 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu