Malnutrition in Hospitalized Children With Congenital Heart Disease
Judith Wynn Cameron, RN, PhD, CPNP;
Amnon Rosenthal, MD;
Allan David Olson, MD, MS
Arch Pediatr Adolesc Med. 1995;149(10):1098-1102.
Abstract
| |
Objective
To determine the prevalence of malnutrition among hospitalized children with congenital heart disease by age, disease process, and clinical status.
Design
Cross-sectional, retrospective chart review.
Setting
Pediatric cardiology units at a 150-bed tertiary care teaching hospital in Ann Arbor, Mich.
Patients
Patients (n=160) were randomly selected from consecutive admissions to the Pediatric Cardiology and Thoracic Surgery Services during a 1-year period.
Intervention
None.
Main Outcome Measures
Acute and chronic malnutrition, assessed by comparing the patients' weight and height with established means.
Results
Acute and chronic malnutrition occurred in 33% and 64% of the patients, respectively. Age, diagnostic category, and symptoms were associated with malnutrition. Eighty percent of infants presented with acute malnutrition compared with 18% of patients of other ages (P<.001). Malnutrition affected 60% of patients with left-to-right shunts, 53% of patients with complex heart disease, and no patients with primary rhythm disturbances. Acute malnutrition affected 11% and chronic malnutrition affected 50% of patients with left-sided heart obstruction. Acute or chronic malnutrition occurred in 70% or more of patients with cyanosis and/or congestive heart failure but in only 30% of patients with neither (P<.001).
Conclusion
Malnutrition in hospitalized children with congenital heart disease remains common, highlighting the importance of nutritional screening and intervention.
(Arch Pediatr Adolesc Med. 1995;149:1098-1102)
Author Affiliations
From the Division of Health Promotion and Risk Reduction, The University of Michigan School of Nursing, Ann Arbor (Dr Cameron), and the Divisions of Pediatric Cardiology (Dr Rosenthal) and Pediatric Gastroenterology (Dr Olson), University of Michigan Medical Center, C. S. Mott Children's Hospital, Ann Arbor.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Lower weight-for-age z score adversely affects hospital length of stay after the bidirectional Glenn procedure in 100 infants with a single ventricle.
Anderson et al.
J. Thorac. Cardiovasc. Surg. 2009;138:397-404.e1.
ABSTRACT
| FULL TEXT
Serum Levels of Ghrelin, Tumor Necrosis Factor-{alpha} and Interleukin-6 in Infants and Children with Congenital Heart Disease
Afify et al.
J Trop Pediatr 2009;0:fmp036v1-fmp036.
ABSTRACT
| FULL TEXT
Enteral Feeding and Caloric Intake in Neonates After Cardiac Surgery
Schwalbe-Terilli et al.
Am J Crit Care 2009;18:52-57.
ABSTRACT
| FULL TEXT
Safety and Effectiveness of Radiologic Percutaneous Gastrostomy and Gastro jejunostomy in Children with Cardiac Disease
Sy et al.
Am. J. Roentgenol. 2008;191:1169-1174.
ABSTRACT
| FULL TEXT
Gastrointestinal Morbidity After Norwood Palliation for Hypoplastic Left Heart Syndrome
Jeffries et al.
Ann. Thorac. Surg. 2006;81:982-987.
ABSTRACT
| FULL TEXT
Guidelines for the Use of Parenteral and Enteral Nutrition in Adult and Pediatric Patients
American Society for Parenteral and Enteral Nutrit
JPEN J Parenter Enteral Nutr 2002;26:1SA-138SA.
A Comprehensive Pediatric Inpatient Nutrition Support Package: A Multi-disciplinary Approach
Creamer et al.
Nutr Clin Pract 2001;16:246-257.
ABSTRACT
Thiamine Deficiency in Children with Congenital Heart Disease Before and After Corrective Surgery
Shamir et al.
JPEN J Parenter Enteral Nutr 2000;24:154-158.
ABSTRACT
Malnutrition and growth failure in cyanotic and acyanotic congenital heart disease with and without pulmonary hypertension
Varan and Yilmaz
Arch. Dis. Child. 1999;81:49-52.
ABSTRACT
| FULL TEXT
Nutrition After Cardiac Surgery for Infants With Congenital Heart Disease
Boctor et al.
Nutr Clin Pract 1999;14:111-115.
ABSTRACT
|
