Advertisement

Prevalence and predictors of later feeding disorders in children who underwent neonatal cardiac surgery for congenital heart disease.

18:44 EDT 25th May 2013 | BioPortfolio

Summary of "Prevalence and predictors of later feeding disorders in children who underwent neonatal cardiac surgery for congenital heart disease."

AimWe thought of assessing the prevalence and predictors of feeding disorders in patients with congenital heart defects after neonatal cardiac surgery.
METHODS:
Retrospective 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.
RESULTS:
Feeding 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.

Affiliation

1Division of Speech and Language Pathology, University Children's Hospital Zurich, Switzerland.

Journal Details

This article was published in the following journal.

Name: Cardiology in the young
ISSN: 1467-1107
Pages: 1-7

Links

Medical and Biotech [MESH] Definitions

Urea Cycle Disorders, Inborn

Rare congenital metabolism disorders of the urea cycle. The disorders are due to mutations that result in complete (neonatal onset) or partial (childhood or adult onset) inactivity of an enzyme, involved in the urea cycle. Neonatal onset results in clinical features that include irritability, vomiting, lethargy, seizures, NEONATAL HYPOTONIA; RESPIRATORY ALKALOSIS; HYPERAMMONEMIA; coma, and death. Survivors of the neonatal onset and childhood/adult onset disorders share common risks for ENCEPHALOPATHIES, METABOLIC, INBORN; and RESPIRATORY ALKALOSIS due to HYPERAMMONEMIA.

Feeding And Eating Disorders Of Childhood

Mental disorders related to feeding and eating that are usually diagnosed in infancy or early childhood.

Jaundice, Neonatal

Yellow discoloration of the SKIN; MUCOUS MEMBRANE; and SCLERA in the NEWBORN. It is a sign of NEONATAL HYPERBILIRUBINEMIA. Most cases are transient self-limiting (PHYSIOLOGICAL NEONATAL JAUNDICE) occurring in the first week of life, but some can be a sign of pathological disorders, particularly LIVER DISEASES.

Enteral Nutrition

Nutritional support given via the alimentary canal or any route connected to the gastrointestinal system (i.e., the enteral route). This includes oral feeding, sip feeding, and tube feeding using nasogastric, gastrostomy, and jejunostomy tubes.

Endemic Diseases

The constant presence of diseases or infectious agents within a given geographic area or population group. It may also refer to the usual prevalence of a given disease with such area or group. It includes holoendemic and hyperendemic diseases. A holoendemic disease is one for which a high prevalent level of infection begins early in life and affects most of the child population, leading to a state of equilibrium such that the adult population shows evidence of the disease much less commonly than do children (malaria in many communities is a holoendemic disease). A hyperendemic disease is one that is constantly present at a high incidence and/or prevalence rate and affects all groups equally. (Last, A Dictionary of Epidemiology, 3d ed, p53, 78, 80)

PubMed Articles [ 26546 Associated PubMed Articles listed on BioPortfolio]

Psychiatric disorders in children and adolescents presenting with unexplained chronic pain: what is the prevalence and clinical relevancy?

The prevalence of psychiatric disorders among children with unexplained chronic pain (UCP) is high in unselected populations and pain clinics, yet the clinical relevance of these disorders in children...

Feeding Problems and Nutrient Intake in Children with Autism Spectrum Disorders: A Meta-analysis and Comprehensive Review of the Literature.

We conducted a comprehensive review and meta-analysis of research regarding feeding problems and nutrient status among children with autism spectrum disorders (ASD). The systematic search yielded 17 p...

Feeding disorders of early childhood: An empirical study of diagnostic subtypes.

OBJECTIVE: The aim of this study was to examine the differences among three subtypes of feeding disorders (FD), defined through the criteria of the DC:0-3R: "Infantile Anorexia" (IA), "Feeding Disorde...

Feeding Symptoms, Dietary Patterns, and Growth in Young Children With Autism Spectrum Disorders.

Objective: To investigate the feeding, diet and growth of young children with autism spectrum disorders (ASD). Method: Data on feeding and food frequency were collected by questionnaires completed at...

Brief Report: Prevalence of Autistic Spectrum Disorders in the Sultanate of Oman.

Prevalence of autistic spectrum disorders (ASD) in Oman is unknown. We conducted a cross-sectional study to estimate the prevalence of ASD among 0-14 year old children. Diagnoses were made as per DSM-...

Clinical Trials [ 4850 Associated Clinical Trials listed on BioPortfolio]

Preterm Neonatal Feeding Protocol Comparing Feed Administration Time

Doctors have tried many different methods of feeding to try to decrease feeding intolerance in preterm babies so that they spend less time receiving liquid nutrition and have fewer problem...

Gastrointestinal Dysfunction in Children Affected With Mitochondrial Disorders

Hypothesis: Many patients with underlying mitochondrial disorders have feeding problems because of poor gastrointestinal motility; feeding problems lead to growth impairment and many affec...

Feeding After Neonate Surgery Review

The purpose is to determine what factors, if any, lead to delayed feeding, discharge with a NG tube, G-tube placement or Nissen fundoplication.

Early Breast Feeding and Glucose Levels in High Risk Newborns

Early breast feeding has shown to be important to mother-infant bonding and is associated with longer duration of breast feeding. However, little data is available regarding its contributi...

Multisite Feeding Study: Home Surveillance and Feeding Strategies in Infants With Complex Single Ventricle

This study will assess 75-100 patients for feeding issues following surgery for single ventricle.

Search BioPortfolio:
Advertisement
Advertisement