Nutritional Prehabilitation Program and Cardiac Surgery Outcome in Pediatrics
Samah Ibrahim Hassan;
Abstract
Summary
C
ongenitalheartdiseases(CHDs)arethemostcommonbirthdefectswithanincidenceofapproximately6-8in1,000livebirths.
Malnutritionisdefinedasastateofpoornutritionandfailureofgrowth.Failureofgrowthexistswhenweightorweightforheight,islessthan2standarddeviationsbelowthemeanforsexandage,weightislessthanthethirdcentile,orweightforagehasazvalueoflessthan-2.0.
Theconceptof“prehabilitation,”essentiallypreparingthepatientfortheupcominginsultandmajormetabolicstress,hasgainedmomentumandisofkeeninterestinmanysurgicalcircles.
Prehabilitationprogramwaspreparedandappliedon40patients(groupAwhoreceivednutrition2weeksbeforesurgeryandgroupBwhoreceivednutrition1weekbeforesurgery)insidethepostoperativepediatricCICU.
Datagainedfromthe40patientswasstatisticallystudiedTheresultswereasfollows;postoperativecomplicationsandmortalitywerestatisticallyloweringroupA,furthermore,postoperativeweightgaindurationofmechanicalventilation,lengthofhospitalstayshowedsignificantdifferencebetweenbothgroups.
ManyofrecentstudiescarriedoutforthepediatricpatientsintheCICUhavesimilarresultstoourstudy.Someotherstudieshavebetterresultsthanourstudy.
Weconcludedthatthenutritionalandotherclinicaloutcomesaswellasfateofthepatientswasmarkedlyimprovedafterapplicationoftheprehabilitationnutritionalprogram.
Fromourresults,werecommendthatnutritiondeliveredtothepatientsintheICUshouldbeguidedbyprehabilitationprogramandthattheregularassessmentofthenutritionalstatusofthepatientsclinicallyandlaboratory.
C
ongenitalheartdiseases(CHDs)arethemostcommonbirthdefectswithanincidenceofapproximately6-8in1,000livebirths.
Malnutritionisdefinedasastateofpoornutritionandfailureofgrowth.Failureofgrowthexistswhenweightorweightforheight,islessthan2standarddeviationsbelowthemeanforsexandage,weightislessthanthethirdcentile,orweightforagehasazvalueoflessthan-2.0.
Theconceptof“prehabilitation,”essentiallypreparingthepatientfortheupcominginsultandmajormetabolicstress,hasgainedmomentumandisofkeeninterestinmanysurgicalcircles.
Prehabilitationprogramwaspreparedandappliedon40patients(groupAwhoreceivednutrition2weeksbeforesurgeryandgroupBwhoreceivednutrition1weekbeforesurgery)insidethepostoperativepediatricCICU.
Datagainedfromthe40patientswasstatisticallystudiedTheresultswereasfollows;postoperativecomplicationsandmortalitywerestatisticallyloweringroupA,furthermore,postoperativeweightgaindurationofmechanicalventilation,lengthofhospitalstayshowedsignificantdifferencebetweenbothgroups.
ManyofrecentstudiescarriedoutforthepediatricpatientsintheCICUhavesimilarresultstoourstudy.Someotherstudieshavebetterresultsthanourstudy.
Weconcludedthatthenutritionalandotherclinicaloutcomesaswellasfateofthepatientswasmarkedlyimprovedafterapplicationoftheprehabilitationnutritionalprogram.
Fromourresults,werecommendthatnutritiondeliveredtothepatientsintheICUshouldbeguidedbyprehabilitationprogramandthattheregularassessmentofthenutritionalstatusofthepatientsclinicallyandlaboratory.
Other data
| Title | Nutritional Prehabilitation Program and Cardiac Surgery Outcome in Pediatrics | Other Titles | برنامج التأهيل الغذائىونتائج جراحة القلب في طب الأطفال | Authors | Samah Ibrahim Hassan | Issue Date | 2015 |
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