| Autor: |
Leah Foyle, Colin J. McMahon, Aoife O Neill, Anne Marie Shine |
| Rok vydání: |
2019 |
| Předmět: |
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| Zdroj: |
Abstracts. |
| DOI: |
10.1136/archdischild-2019-epa.24 |
| Popis: |
Background Growth impairment in infants with univentricular congenital heart disease is well documented. Meeting nutritional requirements in the early phase of infancy can be particularly challenging as these infants undergo complex surgical palliation within the first few days of life. This audit is a retrospective study aiming to evaluate the nutritional status of these infants. Method Eighty-nine infants with single ventricle physiology underwent a surgical Norwood or a hybrid/interventional procedure (stage 1) as a neonate in OLCHC during the time period January 2014 - December 2018. Subject data collected included demographics, procedure type, anthropometry, mode and type of feeding, nutritional intake and nutrition related complications. Weight for Age Z scores (WAZ) were calculated using the World Health Organisation Standards. Results WAZ Median number of days to any form of nutrition support was 3 and to first enteral feed was 6. Median number of days to achieve basic energy requirements from EN was 16. Preoperative trophic feeds and parenteral nutrition were provided to 18% and 38% of infants respectively. Vocal chord palsy and chylothorax arose frequently amongst the Norwood group with one in five infants experiencing such difficulties. On discharge post stage 1 intervention, 48% of infants were receiving tube feeds. Mean daily calorie intake on week 1 and week 2 was 24kcal/kg/day and 59kcal/kg/day respectively. Conclusions Reaching nutrition goals is often complicated and delayed in the neonatal pre and post-operative period. This is evident here with delays in provision of nutrition support and in time to reach basic energy requirements. Our results concur with the literature with the greatest decline in WAZ occurring in the neonatal period. During a critical period of growth and development infants with HLHS experience significant challenges and nutritional compromise. It is necessary to develop strategies and guidelines directed at improving the nutritional intake and status of this vulnerable group. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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