EFFECTIVENESS OF NUTRITIONAL SUPPORT FOR MALNOURISHED CHILDREN WITH CONGENITAL HEART DISEASE AFTER HEART SURGERY

Trinh Thi Ngoc, Luu Thi My Thuc, Le Hong Quang, Tran Thi Na

##plugins.themes.vojs.article.main##

Abstract

Background: Children after congenital heart surgery especially when malnourished without nutritional support interventions will affect the recovery results after surgery. Objectives: This study aims to evaluate the effectiveness of nutritional support for malnourished children with congenital heart disease after open heart surgery. Methods: An intervention study without a control group on children 12-24 months old who were identified as underweight after open heart surgery at Viet Nam National Children’s Hospital from November 2020 to May 2021. After surgery, who were used high energy hydrolyzed Whey protein formula (1kcal/ml) and an age-appropriate supplemental diet during
stay at the Department of Cardiology. Results: Before discharge, energy and protein gain were 131kcal/kg/day and 3.5g/kg/day, 87% and 88% of the target, respectively. Mean weight gain was 38g/day during the intervention period. There were 26.7% children with gastrointestinal symptoms but improved
rapidly. Conclusion: The use of high energy density hydrolyzed Whey protein formula with correct dietary guidelines increased energy and protein intake, result in weight gain with good tolerability.

##plugins.themes.vojs.article.details##

References

1. Herridge J., Tedesco-Bruce A., Gray S., et al. Feeding the child with congenital heart disease: a
narrative review. Pediatr Med, 2021, 4(0).
2. Scheeffer V.A., Ricachinevsky C.P., Freitas A.T., et al. Tolerability and Effects of the Use of
Energy-Enriched Infant Formula After Congenital Heart Surgery: A Randomized Controlled Trial.
JPEN J Parenter Enteral Nutr, 2020, 44(2), 348-354.
3. Minor G., Ochoa J.B., Storm H., et al. Formula Switch Leads to Enteral Feeding Tolerance Improvements in Children With Developmental Delays. Glob Pediatr Health, 2016, 3, 2333794X16681887.
4. Smith C., McCabe H., Macdonald S., et al. Improved growth, tolerance and intake with an
extensively hydrolysed peptide feed in infants with complex disease. Clin Nutr, 2018, 37(3),
1005-1012.
5. Schwalbe-Terilli C.R., Hartman D.H., Nagle M.L., et al. Enteral feeding and caloric intake in
neonates after cardiac surgery. Am J Crit Care Off Publ Am Assoc Crit-Care Nurses, 2009, 18(1),
52-57.
6. Hong B.J., Moffett B., Payne W., et al. Impact of postoperative nutrition on weight gain in
infants with hypoplastic left heart syndrome. J Thorac Cardiovasc Surg, 2014, 147(4), 1319-1325.
7. Hoàng Thị Tín, Lê Nguyễn Thanh Nhàn, Nguyễn Phước Mỹ Linh. Tình trạng dinh dưỡng ở
trẻ bị tim bẩm sinh trước và sau phẫu thuật chỉnh tim, Tạp chí y học TP.Hồ Chí Minh, 2014, 8, 54-65.
8. Marino L.V., Eveleens R.D., Morton K., et al. Peptide nutrient-energy dense enteral
feeding in critically ill infants: an observational study. J Hum Nutr Diet Off J Br Diet Assoc, 2019,
32(3), 400-408.
9. Pillo-Blocka F., Adatia I., Sharieff W., et al. Rapid advancement to more concentrated
formula in infants after surgery for congenital heart disease reduces duration of hospital stay:
a randomized clinical trial. J Pediatr, 2004, 145(6), 761-766.
10. Zhang H., Gu Y., Mi Y., et al. High-energy nutrition in paediatric cardiac critical care
patients: a randomized controlled trial. Nurs Crit Care, 2019, 24(2), 97-102.