Study on Bone Age in Pediatric Patients with Congenital Heart Disease and its Relation with Cyanosis and Pulmonary Artery Pressure

Saifeddine, Mahmoud; Rashid, Rafia; Ghaffari, Siavash; Shoaran, Maryam

doi:10.3923/pjbs.2009.702.706

Cited by 6 publications

(4 citation statements)

References 22 publications

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“…It is also common in chronic inflammatory states or infectious diseases, such as juvenile idiopathic arthritis and states of immunodeficiency (30)(31)(32)(33)(34)(35)(36)(37). Children with cardiac diseases, or those with chronic kidney or liver disease, may experience a delay in skeletal maturation (38)(39)(40)(41)(42).…”

Section: Endocrine and Nonendocrine Causesmentioning

confidence: 99%

Evaluation of Bone Age in Children: A Mini-Review

et al. 2021

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Bone age represents a common index utilized in pediatric radiology and endocrinology departments worldwide for the definition of skeletal maturity for medical and non-medical purpose. It is defined by the age expressed in years that corresponds to the level of maturation of bones. Although several bones have been studied to better define bone age, the hand and wrist X-rays are the most used images. In fact, the images obtained by hand and wrist X-ray reflect the maturity of different types of bones of the skeletal segment evaluated. This information, associated to the characterization of the shape and changes of bone components configuration, represent an important factor of the biological maturation process of a subject. Bone age may be affected by several factors, including gender, nutrition, as well as metabolic, genetic, and social factors and either acute and chronic pathologies especially hormone alteration. As well several differences can be characterized according to the numerous standardized methods developed over the past decades. Therefore, the complete characterization of the main methods and procedure available and particularly of all their advantages and disadvantages need to be known in order to properly utilized this information for all its medical and non-medical main fields of application.

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Section: Endocrine and Nonendocrine Causesmentioning

confidence: 99%

Evaluation of Bone Age in Children: A Mini-Review

et al. 2021

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“…Yapılan bir çalışmada pulmoner arteriyel hipertansiyonu olsun veya olmasın siyanotik DKH'lı olanlarda kemik yaşının belirgin olarak geri olduğu ve asiyanotik DKH olanlarda pulmoner arteriyel hipertansiyon varlığında büyüme geriliğinin belirgin geri olduğu gösterilmiştir (34). Oksidatif durumun siyanotik DKH'da yüksek asiyanotik DKH'da normal olduğu gösterilmiştir (35).…”

Section: Discussionunclassified

The association between pulmonary arterial hypertension and malnutrition in children who had acyanotic congenital heart diseases with left to right shunt: an observational study

Altın¹,

Karataş²,

Şap³

et al. 2012

Anadolu Kardiyol Derg

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Sol-sağ şantlı doğuştan kalp hastalığı olan çocuklarda pulmoner arteriyel hipertansiyonla malnütrisyonun ilişkisi: Gözlemsel bir çalışmaThe association between pulmonary arterial hypertension and malnutrition in children with congenital heart diseases with left-to-right shunt: an observational study Özgün Araşt›rma Original Investigation ABSTRACTObjective: To evaluate the association between the degree of pulmonary arterial hypertension (PAH) and the level of malnutrition in children with acyanotic congenital heart diseases and left-to-right shunt, and especially to evaluate the development rates of malnutrition in patients with borderline PAH. Methods:The study was performed with data of 327 patients with acyanotic congenital heart diseases and left-to-right shunt and underwent cardiac catheterization between January 2001-February 2011. The design of the study was retrospective and observational. All patients were evaluated with anthropometric measurements, echocardiography and cardiac catheterization. They were classified according to the mean pulmonary artery pressure and level of malnutrition. Chi-square, ANOVA and Kruskal-Wallis tests were used for statistical analysis. Normally and abnormally distributed data were analyzed with Pearson and Spearman correlation tests respectively. Results: Malnutrition was detected in 94.8% of patients with PAH and 17.2% of no PAH patients according to Gomez classification (p<0.001). In addition, malnutrition was detected in 23.5% (16/68) of borderline PAH group. A negative association was detected between mean pulmonary arterial pressure and body weight for age (Gomez) and z scores of weight (p<0.001 for all). Z scores of weight and height were significantly decreased in patients with PAH in contrast to no PAH group (p<0.001, p<0.01 respectively). There was no statistical difference between no PAH and borderline PAH groups according to Gomez classification and relative body weight formula, however z scores of weight in borderline PAH group were decreased compared with no PAH group (p<0.001). . Sınırda PAH'ı olanların ise %23.5'inde (16/68) malnütrisyon tespit edildi. Ortalama pulmoner arter basıncı ile yaşa göre vücut ağırlığı (Gomez) ve kilo z skorları arasında negatif ilişki mevcuttu (her ikisi için p<0.001). Kilo ve boy z skorları da PAH olanlarda olmayanlara göre belirgin düşüktü (sırasıyla p<0.001, p<0.01). Gomez sınıflaması ve rölatif vücut ağırlığına göre PAH olmayan ve sınırda PAH olan gruplar arasında fark yoktu, ancak sınırda PAH grubunun kilo z skorları PAH olmayan gruba göre düşüktü (p<0.001). Sonuç: Asiyanotik sol-sağ şantlı DKH'lı çocuklarda PAB arttıkça, beraberinde malnütrisyon derecesinin de ağırlaştığı görüldü. Sınırda PAH'ı olan hastaların olmayanlara göre malnütrisyona daha fazla eğilimli olduğu izlendi, ancak bu konuda daha geniş kapsamlı araştırmaların yapılması gerektiği düşünüldü. (Anadolu Kardiyol Derg 2012; 12: 150-9) Anahtar kelimeler: Çocuk, malnütrisyon, doğuştan kalp hastalığı, pulmoner arteriyel hipertansiyon

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“…In particular, in pediatric patients undergoing cardiac surgery due to congenital heart disease, there may be accompanying airway anomalies and most patients need to maintain the ETT after surgeries for a certain period of time. In addition, pediatric patients with congenital heart disease may have impaired growth and development [5,6], and for this reason, it may be difficult to find an appropriate size of ETT using an age-based formula, and several studies have suggested their own modified formula [7][8][9]. Determining the correct ETT size is highly relevant, because it can lead to complications such as anesthesia, wheezing, sublingual stenosis, improper ventilation and lung aspiration [10].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, most patients need to maintain the ETT after surgeries for a certain period of time. In addition, pediatric patients with congenital heart disease may have impaired growth and development [ 5 , 6 ]. For this reason, it may be difficult to find an appropriate size ETT using an age-based formula; several studies have suggested their own modified formula [ 7 – 9 ].…”

Section: Introductionmentioning

confidence: 99%

Prediction of endotracheal tube size using a printed three-dimensional airway model in pediatric patients with congenital heart disease: a prospective, single-center, single-group study

Park

Ahn

Yoon

et al. 2021

Korean J Anesthesiol

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Background: To determine the correct size of endotracheal tubes (ETT) for endotracheal intubation of pediatric patients, new methods have been investigated. Although the three-dimensional (3D) printing technology has been successful in the field of surgery, there are not many studies in the field of anesthesia. The purpose of this study is to evaluate the accuracy of a 3D airway model for prediction of the correct ETT size, and compare the results with a conventional age-based formula in pediatric patients.Methods: Thirty five pediatric patients under 6 years of age who were scheduled for congenital heart surgery. In the pre-anaesthetic period, the patient's computed tomography (CT) images were converted to STL (Standard Triangle Language) files using the 3D conversion program. An FDM (Fused Deposition Modelling) type 3D printer was used to print 3D airway models from the subglottis to the upper carina. ETT size was selected by inserting various sized cuffed-ETTs to a printed 3D airway model. Results:The 3D method selected the correct ETT size in 21 out of 35 pediatric patients (60%), whereas the age-based formula selected the correct ETT size in 9patients (26%).Conclusions: Prediction of correct size ETTs using a printed 3D airway model has demonstrated better results than the age-based formula. In particular, the selection of ETT size using a printed 3D airway model may be feasible for helping minimize re-intubation attempts and complications in the patients with congenital heart disease or an abnormal range of growth and development.

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Study on Bone Age in Pediatric Patients with Congenital Heart Disease and its Relation with Cyanosis and Pulmonary Artery Pressure

Cited by 6 publications

References 22 publications

Evaluation of Bone Age in Children: A Mini-Review

Evaluation of Bone Age in Children: A Mini-Review

The association between pulmonary arterial hypertension and malnutrition in children who had acyanotic congenital heart diseases with left to right shunt: an observational study

Prediction of endotracheal tube size using a printed three-dimensional airway model in pediatric patients with congenital heart disease: a prospective, single-center, single-group study

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