Lower weight-for-age z score adversely affects hospital length of stay after the bidirectional Glenn procedure in 100 infants with a single ventricle

Abstract

There is suboptimal weight gain between neonatal discharge and the bidirectional Glenn procedure. A lower weight-for-age z score and younger age at the time of the bidirectional Glenn procedure affects length of hospital stay independent of hemodynamic or echocardiographic variables.

Risk factors of sepsis after open congenital cardiac surgery in infants: a pilot study

“…41 Nutritional status calculated by weight for age formula and young age were correlated with length of stay and hemodynamic status after a Glenn bidirectional surgery. 42 While accompanied with hypoalbuminemia, a poor nutrition in children with congenital heart disease increased the risk of mortality and postsurgical infections as well as prolonged hospital stay. 43 In our observation, 85.7% of the subjects who suffered from sepsis had a poor nutritional status; this finding, however, showed no significant finding on bivariate analyses (RR=1.059, p=1.000).…”

Testing a Novel Method for Measuring Sleeping Metabolic Rate in Neonates

“…17 Poor nutrition in children with complex CHD has been shown to be associated with infection risk, increased hospital stay, and mortality after cardiac surgery. [18][19][20] The methods described here may support nutritional interventions in other chronic conditions known or suspected to increase the risk for growth failure in infancy, such as cystic fibrosis, 21 immune disorders, 22 and inflammatory bowel disease. 23 Similarly, babies born prematurely have increased nutritional needs that vary based on gestational age and birth weight.…”

Improved Nutrition Delivery and Nutrition Status in Critically Ill Children With Heart Disease

“…Improved WAZ has been associated with improved outcomes in children with hypoplastic left heart syndrome as they move through their palliative course. 18 Although infants with single-ventricle physiology represent a small subset of all children with congenital heart disease, they occupy a disproportionate percentage of a heart center's clinical efforts and financial resources. 4,6 Their outcomes, throughout their staged palliations and beyond, are considered markers of success for congenital heart programs.…”

“…16,17 Poor growth patterns can negatively affect both short-and longer-term outcomes, including infection rates, length of stay, and neurodevelopmental and neurocognitive performance. 18,19 Improvements in nutrition delivery, consistent weight gain, and adequate growth should be the expectation for patients of all congenital heart centers.…”