Growth Restriction in Infants and Young Children with Congenital Heart Disease

Costello, Claire L., Gellatly, Marcelee, Daniel, Jane, Justo, Robert N. and Weir, Kelly (2015) Growth Restriction in Infants and Young Children with Congenital Heart Disease. Congenital Heart Disease, 10 5: 447-456. doi:10.1111/chd.12231


Author Costello, Claire L.
Gellatly, Marcelee
Daniel, Jane
Justo, Robert N.
Weir, Kelly
Title Growth Restriction in Infants and Young Children with Congenital Heart Disease
Journal name Congenital Heart Disease   Check publisher's open access policy
ISSN 1747-0803
1747-079X
Publication date 2015-09-01
Year available 2014
Sub-type Article (original research)
DOI 10.1111/chd.12231
Open Access Status Not yet assessed
Volume 10
Issue 5
Start page 447
End page 456
Total pages 10
Place of publication Hoboken, NJ, United States
Publisher Wiley-Blackwell Publishing
Language eng
Abstract ObjectiveThe purpose of this study was to determine the prevalence of growth restriction in infants and young children with congenital heart disease (CHD) and investigate the relationship between poor growth, feeding difficulties, cardiac classification, and nutrition intervention on outcomes.
Formatted abstract
Objective. The purpose of this study was to determine the prevalence of growth restriction in infants and young children with congenital heart disease (CHD) and investigate the relationship between poor growth, feeding difficulties, cardiac classification, and nutrition intervention on outcomes.

Design. This is a prospective observational cohort study of infants and young children with CHD aged 0–3 years admitted to hospital for cardiac surgery. Anthropometry, growth history, cardiac classification, cardiac diagnosis, feeding difficulty, and nutrition intervention data were collected for 78 participants.

Results. Many participants demonstrated growth restriction as evidenced by a z-score ≤−2 for population growth parameters including weight/age z-score (n = 18, 23%), height/age z-score (n = 16, 21%), and weight/height z-score (n = 12, 18%). Increased hospital length of stay was associated with factors including faltering growth preadmission (P = .009), tube feeding required preadmission (P = .002), diagnosis of cyanotic CHD (P = .015), and presence of a feeding difficulty (P = .015).

Conclusions. Growth restriction remains an ongoing problem in children with CHD. Faltering growth preadmission and lower growth parameters were associated with an increased hospital length of stay. Nutritional screening from diagnosis may detect growth faltering, improve access to early nutrition intervention, and improve patient outcomes.
Keyword Congenital Heart Disease/Defects
Infant/Child
Growth
Nutrition
Feeding Difficulty
Dysphagia
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Queensland Children's Medical Research Institute Publications
Official 2016 Collection
School of Medicine Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 6 times in Thomson Reuters Web of Science Article | Citations
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