The Nutritional Status of Pediatric Patients with Single Ventricle Undergoing a Bidirectional Glenn Procedure

Single ventricle (SV) physiology is associated with growth retardation in children. The nutritional status of pediatric patients with SV undergoing a bidirectional Glenn (BDG) procedure vitally affects the feasibility of the next operation stages. To explore the nutritional status and to identify sp...

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Veröffentlicht in:Pediatric cardiology 2020-12, Vol.41 (8), p.1594-1600
Hauptverfasser: Luo, Wen-Yi, Xu, Zhuo-Ming, Zhang, Yue-Yue, Hong, Li, Zhang, Ming-Jie, Zhang, Ya-Qing
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container_end_page 1600
container_issue 8
container_start_page 1594
container_title Pediatric cardiology
container_volume 41
creator Luo, Wen-Yi
Xu, Zhuo-Ming
Zhang, Yue-Yue
Hong, Li
Zhang, Ming-Jie
Zhang, Ya-Qing
description Single ventricle (SV) physiology is associated with growth retardation in children. The nutritional status of pediatric patients with SV undergoing a bidirectional Glenn (BDG) procedure vitally affects the feasibility of the next operation stages. To explore the nutritional status and to identify specific anthropometric parameters relevant to short-term surgical outcomes in children with SV after the BDG procedure, this study included 151 patients who underwent the BDG procedure. Anthropometric assessments and Infant and Child Feeding Index (ICFI) scores were used to evaluate nutritional status. There was a significant statistical correlation between ICFI and malnutrition in both the height-for-age Z -score (HAZ) and weight-for-age Z -score (WAZ) groups ( P  
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The nutritional status of pediatric patients with SV undergoing a bidirectional Glenn (BDG) procedure vitally affects the feasibility of the next operation stages. To explore the nutritional status and to identify specific anthropometric parameters relevant to short-term surgical outcomes in children with SV after the BDG procedure, this study included 151 patients who underwent the BDG procedure. Anthropometric assessments and Infant and Child Feeding Index (ICFI) scores were used to evaluate nutritional status. There was a significant statistical correlation between ICFI and malnutrition in both the height-for-age Z -score (HAZ) and weight-for-age Z -score (WAZ) groups ( P  &lt; 0.05). The clinical data, including ventilation time, nosocomial infection presence, pressure injury presence, peritoneal dialysis status, and total intensive care unit days, after BDG surgery were significantly different among the HAZ groups ( P  &lt; 0.05), while nosocomial infection was different among the WAZ groups ( P  &lt; 0.05). Children after BDG procedure had a high incidence of malnutrition, in addition to disease factors, the type and frequency of dietary intake were also important factors leading to worse clinical outcomes during hospitalization. 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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Anthropometry
Body Weight
Cardiac Surgery
Cardiology
Child development
Child, Preschool
Children
Diet
Female
Fontan Procedure - methods
Health aspects
Heart Defects, Congenital - surgery
Heart Ventricles - abnormalities
Heart Ventricles - surgery
Hospitalization
Humans
Infant
Male
Malnutrition - epidemiology
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Nutritional Status
Original
Original Article
Pediatrics
Physiological aspects
Surveys and Questionnaires
Vascular Surgery
title The Nutritional Status of Pediatric Patients with Single Ventricle Undergoing a Bidirectional Glenn Procedure
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