Low Energy Intakes Are Associated With Adverse Outcomes in Infants After Open Heart Surgery

Low Energy Intakes Are Associated With Adverse Outcomes in Infants After Open Heart Surgery

Background: Infants with congenital heart lesions who undergo open heart surgery may experience physiologic and metabolic stress in the postoperative period, leading to altered metabolism and hypercatabolism. The purpose of this study was to determine the relationship between energy intake and hospi...

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Veröffentlicht in:JPEN. Journal of parenteral and enteral nutrition 2013-03, Vol.37 (2), p.254-260
Hauptverfasser: Larsen, Bodil M. K., Goonewardene, Laksiri A., Field, Catherine J., Joffe, Ari R., Van Aerde, John E., Olstad, Dana Lee, Clandinin, Michael T.
Format: Artikel
Sprache:eng
Schlagworte:
Cardiac Surgical Procedures - adverse effects
critical care
Critical Care - methods
Energy Intake
Enteral Nutrition
Heart Diseases - surgery
Humans
infant
Infant, Newborn
Infant, Newborn, Diseases - surgery
Intensive Care Units
Length of Stay
parenteral nutrition
Parenteral Nutrition - methods
Postoperative Complications - etiology
Prospective Studies
Respiration, Artificial
Thorax
Treatment Outcome
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Zusammenfassung:Background: Infants with congenital heart lesions who undergo open heart surgery may experience physiologic and metabolic stress in the postoperative period, leading to altered metabolism and hypercatabolism. The purpose of this study was to determine the relationship between energy intake and hospital outcomes during the first 10 days following neonatal open heart surgery. Materials and Methods: A post hoc analysis of all patients in a prospective randomized controlled trial was performed. Nutrition intake and hospital outcomes were assessed in 32 infants (40 ± 2.2 weeks, 3.4 ± 0.5 kg) in the neonatal and pediatric intensive care units. Infants received parenteral nutrition (PN) for 1–4 days before and 10 days after open heart surgery. Infants were separated into those who received a cumulative energy intake of
ISSN:0148-6071
1941-2444
DOI:10.1177/0148607112463075