Prevalence and predictors of later feeding disorders in children who underwent neonatal cardiac surgery for congenital heart disease
| Autor: | Walter Knirsch, Urs Bauersfeld, Hilda Geissmann, Christian Balmer, Beatrice Latal, Ilona Maurer |
|---|---|
| Přispěvatelé: | University of Zurich, Balmer, C |
| Rok vydání: | 2011 |
| Předmět: |
Heart Defects
Congenital Male medicine.medical_specialty Pediatrics Heart disease 610 Medicine & health 2705 Cardiology and Cardiovascular Medicine Risk Factors Surveys and Questionnaires Prevalence medicine Humans Feeding disorder 2735 Pediatrics Perinatology and Child Health Cardiac Surgical Procedures Feeding and Eating Disorders of Childhood Intubation Gastrointestinal Retrospective Studies business.industry Infant Newborn Infant Sequela Retrospective cohort study General Medicine Odds ratio medicine.disease Surgery Cardiac surgery Logistic Models 10036 Medical Clinic Pediatrics Perinatology and Child Health Failure to thrive Population study Female medicine.symptom Cardiology and Cardiovascular Medicine business Switzerland |
| Zdroj: | Cardiology in the Young. 21:303-309 |
| ISSN: | 1467-1107 1047-9511 |
| DOI: | 10.1017/s1047951110001976 |
| Popis: | AimWe thought of assessing the prevalence and predictors of feeding disorders in patients with congenital heart defects after neonatal cardiac surgery.MethodsRetrospective study of 82 consecutive neonates (48 males, 34 females) who underwent surgery for congenital heart defects from 1999 to 2002. Information was taken from patient charts and nursing notes. The presence of a feeding disorder was assessed by a questionnaire sent to the paediatricians when the child was 2 years of age. A feeding disorder was defined as a need for tube feeding, inadequate food intake for age, or failure to thrive. Data were analysed with descriptive statistics and logistic regression.ResultsFeeding disorders occurred in 22% of the study population. Reoperation and early feeding disorders were identified as independent risk factors for later feeding disorders (odds ratio 5.8, p 0.01; odds ratio 20.7, p 0.02). There was a trend towards more feeding disorders in patients with neurological abnormalities during the first hospital stay.ConclusionFeeding disorder is a frequent, long-term sequela after neonatal cardiac surgery. Patients with congenital heart defects who undergo multiple cardiac surgeries and those with early feeding disorders are at risk of developing later feeding disorders. Patients with these risk factors need to be selected for preventive strategies. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|