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 |
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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
|
doi_str_mv | 10.1007/s00246-020-02416-w |
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Z
-score (HAZ) and weight-for-age
Z
-score (WAZ) groups (
P
< 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
< 0.05), while nosocomial infection was different among the WAZ groups (
P
< 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. Therefore, it is vital to maintain an optimal nutritional status in infants with SV who are undergoing a series of surgical procedures.</description><identifier>ISSN: 0172-0643</identifier><identifier>ISSN: 1432-1971</identifier><identifier>EISSN: 1432-1971</identifier><identifier>DOI: 10.1007/s00246-020-02416-w</identifier><identifier>PMID: 32700035</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>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</subject><ispartof>Pediatric cardiology, 2020-12, Vol.41 (8), p.1594-1600</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>COPYRIGHT 2020 Springer</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c513t-26c0ad4c2b87822e90dbad2873463266ad4d63c56931ef55f4e6a320359997b63</citedby><cites>FETCH-LOGICAL-c513t-26c0ad4c2b87822e90dbad2873463266ad4d63c56931ef55f4e6a320359997b63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00246-020-02416-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00246-020-02416-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32700035$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luo, Wen-Yi</creatorcontrib><creatorcontrib>Xu, Zhuo-Ming</creatorcontrib><creatorcontrib>Zhang, Yue-Yue</creatorcontrib><creatorcontrib>Hong, Li</creatorcontrib><creatorcontrib>Zhang, Ming-Jie</creatorcontrib><creatorcontrib>Zhang, Ya-Qing</creatorcontrib><title>The Nutritional Status of Pediatric Patients with Single Ventricle Undergoing a Bidirectional Glenn Procedure</title><title>Pediatric cardiology</title><addtitle>Pediatr Cardiol</addtitle><addtitle>Pediatr Cardiol</addtitle><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
< 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
< 0.05), while nosocomial infection was different among the WAZ groups (
P
< 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. Therefore, it is vital to maintain an optimal nutritional status in infants with SV who are undergoing a series of surgical procedures.</description><subject>Anthropometry</subject><subject>Body Weight</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Child development</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Diet</subject><subject>Female</subject><subject>Fontan Procedure - methods</subject><subject>Health aspects</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Heart Ventricles - abnormalities</subject><subject>Heart Ventricles - surgery</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Malnutrition - epidemiology</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Nutritional Status</subject><subject>Original</subject><subject>Original Article</subject><subject>Pediatrics</subject><subject>Physiological aspects</subject><subject>Surveys and Questionnaires</subject><subject>Vascular Surgery</subject><issn>0172-0643</issn><issn>1432-1971</issn><issn>1432-1971</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UVtrFDEUHkSxa_UP-CABX3yZmsskmXkRatEqFF1o62vIZs7MpswkNZlx6b_vWWctFkRCyMn5LpzDVxSvGT1hlOr3mVJeqZJyirdiqtw9KVasErxkjWZPixVlmpdUVeKoeJHzDaW0prV8XhwJrvEj5KoYr7ZAvs1T8pOPwQ7kcrLTnEnsyBpabxFwZG0nD2HKZOenLbn0oR-A_MAOglhdhxZSH7FNLPnoW5_AHdzOBwiBrFN00M4JXhbPOjtkeHV4j4vrz5-uzr6UF9_Pv56dXpROMjGVXDlq28rxTa1rzqGh7ca2vNaiUoIrhVirhJOqEQw6KbsKlBUcF2qaRm-UOC4-LL6382aE1u1HtYO5TX606c5E681jJPit6eMvo4WWaIMG7w4GKf6cIU9m9NnBMNgAcc6GV1xJoXilkfp2ofZ2AONDF9HR7enmVDMpWc2kQNbJP1h4Whi9iwE6j_1HAr4IXIo5J-gepmfU7OM3S_wG4ze_4zc7FL35e-8HyZ-8kSAWQkYo9JDMTZwTJpX_Z3sPsoW7gg</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Luo, Wen-Yi</creator><creator>Xu, Zhuo-Ming</creator><creator>Zhang, Yue-Yue</creator><creator>Hong, Li</creator><creator>Zhang, Ming-Jie</creator><creator>Zhang, Ya-Qing</creator><general>Springer US</general><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201201</creationdate><title>The Nutritional Status of Pediatric Patients with Single Ventricle Undergoing a Bidirectional Glenn Procedure</title><author>Luo, Wen-Yi ; Xu, Zhuo-Ming ; Zhang, Yue-Yue ; Hong, Li ; Zhang, Ming-Jie ; Zhang, Ya-Qing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c513t-26c0ad4c2b87822e90dbad2873463266ad4d63c56931ef55f4e6a320359997b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anthropometry</topic><topic>Body Weight</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Child development</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Diet</topic><topic>Female</topic><topic>Fontan Procedure - methods</topic><topic>Health aspects</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Heart Ventricles - abnormalities</topic><topic>Heart Ventricles - surgery</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Malnutrition - epidemiology</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Nutritional Status</topic><topic>Original</topic><topic>Original Article</topic><topic>Pediatrics</topic><topic>Physiological aspects</topic><topic>Surveys and Questionnaires</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luo, Wen-Yi</creatorcontrib><creatorcontrib>Xu, Zhuo-Ming</creatorcontrib><creatorcontrib>Zhang, Yue-Yue</creatorcontrib><creatorcontrib>Hong, Li</creatorcontrib><creatorcontrib>Zhang, Ming-Jie</creatorcontrib><creatorcontrib>Zhang, Ya-Qing</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatric cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luo, Wen-Yi</au><au>Xu, Zhuo-Ming</au><au>Zhang, Yue-Yue</au><au>Hong, Li</au><au>Zhang, Ming-Jie</au><au>Zhang, Ya-Qing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Nutritional Status of Pediatric Patients with Single Ventricle Undergoing a Bidirectional Glenn Procedure</atitle><jtitle>Pediatric cardiology</jtitle><stitle>Pediatr Cardiol</stitle><addtitle>Pediatr Cardiol</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>41</volume><issue>8</issue><spage>1594</spage><epage>1600</epage><pages>1594-1600</pages><issn>0172-0643</issn><issn>1432-1971</issn><eissn>1432-1971</eissn><abstract>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
< 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
< 0.05), while nosocomial infection was different among the WAZ groups (
P
< 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. Therefore, it is vital to maintain an optimal nutritional status in infants with SV who are undergoing a series of surgical procedures.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32700035</pmid><doi>10.1007/s00246-020-02416-w</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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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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