The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 2 , Pages 397-404.e1 , August 2009

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

  • Jeffrey B. Anderson, MD, MPH

      Affiliations

    • Division of Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
    • Corresponding Author InformationAddress for reprints: Jeffrey B. Anderson, MD, MPH, Division of Cardiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, ML2003, Cincinnati, OH 45259.
  • ,
  • Robert H. Beekman III, MD

      Affiliations

    • Division of Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
  • ,
  • William L. Border, MBChB, MPH

      Affiliations

    • Division of Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
  • ,
  • Heidi J. Kalkwarf, PhD

      Affiliations

    • Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
  • ,
  • Philip R. Khoury, MS

      Affiliations

    • Division of Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
  • ,
  • Karen Uzark, PhD

      Affiliations

    • Division of Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
  • ,
  • Pirooz Eghtesady, MD, PhD

      Affiliations

    • Division of Cardiothoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
  • ,
  • Bradley S. Marino, MD, MPP, MSCE

      Affiliations

    • Division of Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
    • Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio

Received 29 September 2008 ,Revised 15 December 2008 ,Accepted 16 February 2009.

References 

  1. Gingell RL, Hornung MG. Growth problems associated with congenital heart disease in infancy. In:  Lebenthal E editors. Textbook of gastroenterology and nutrition in infancy. New York: Raven; 1981;p. 853–860
  2. Hansen SR, Dorup I. Energy and nutrient intakes in congenital heart disease. Acta Paediatr. 1993;82:166–172
  3. Cameron JW, Rosenthal A, Olson AD. Malnutrition in hospitalized children with congenital heart disease. Arch Pediatr Adolesc Med. 1995;149:1098–1102
  4. Strangway A, Fowler R, Cunningham K, Hamilton JR. Diet and growth in congenital heart disease. Pediatrics. 1976;57:75–86
  5. Leitch CA, Karn CA, Peppard RJ, Granger D, Liechty EA, Ensing GJ, et al. Increased energy expenditure in infants with cyanotic congenital heart disease. J Pediatr. 1998;133:755–760
  6. Kelleher DK, Laussen P, Teixeira-Pinto A, Duggan C. Growth and correlates of nutritional status among infants with hypoplastic left heart syndrome (HLHS) after stage 1 Norwood procedure. Nutrition. 2006;22:237–244
  7. Norwood WI, Lang P, Hansen DD. Physiologic repair of aortic atresia-hypoplastic left heart syndrome. N Engl J Med. 1983;308:23–26
  8. Glenn WW. Superior vena cava-pulmonary artery shunt. By William W.L. Glenn, 1958. Ann Thorac Surg. 1989;47:62–64
  9. Bartmus DA, Driscoll DJ, Offord KP, Humes RA, Mair DD, Schaff HV, et al. The modified Fontan operation for children less than 4 years old. J Am Coll Cardiol. 1990;15:429–435
  10. Kyle UG, Genton L, Pichard C. Hospital length of stay and nutritional status. Curr Opin Clin Nutr Metab Care. 2005;8:397–402
  11. Pichard C, Kyle UG, Morabia A, Perrier A, Vermeulen B, Unger P. Nutritional assessment: lean body mass depletion at hospital admission is associated with an increased length of stay. Am J Clin Nutr. 2004;79:613–618
  12. Naber TH, Schermer T, de Bree A, Nusteling K, Eggink L, Kruimel JW, et al. Prevalence of malnutrition in nonsurgical hospitalized patients and its association with disease complications. Am J Clin Nutr. 1997;66:1232–1239
  13. Caulfield LE, de Onis M, Blossner M, Black RE. Undernutrition as an underlying cause of child deaths associated with diarrhea, pneumonia, malaria, and measles. Am J Clin Nutr. 2004;80:193–198
  14. Leite HP, Fisberg M, de Carvalho WB, de Camargo Carvalho AC. Serum albumin and clinical outcome in pediatric cardiac surgery. Nutrition. 2005;21:553–558
  15. Leite HP, Fisberg M, Novo NF, Nogueira EB, Ueda IK. Nutritional assessment and surgical risk markers in children submitted to cardiac surgery. Sao Paulo Med J. 1995;113:706–714
  16. Davis D, Davis S, Cotman K, Worley S, Londrico D, Kenny D, et al. Feeding difficulties and growth delay in children with hypoplastic left heart syndrome versus d-transposition of the great arteries. Pediatr Cardiol. 2008;29:328–333
  17. Li J, Zhang G, Herridge J, Holtby H, Humpl T, Redington A, et al. Energy expenditure and caloric and protein intake in infants following the Norwood procedure. Pediatr Crit Care Med. 2008;9:55–61
  18. Mahle WT, Spray TL, Wernovsky G, Gaynor JW, Clark BJ. Survival after reconstructive surgery for hypoplastic left heart syndrome: a 15-year experience from a single institution. Circulation. 2000;102(suppl 3):III136–III141
  19. Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R, et al. CDC growth charts: United States. Adv Data. 2000;8:1–27
  20. Brown DW, Gauvreau K, Powell AJ, Lang P, Colan SD, Del Nido PJ, et al. Cardiac magnetic resonance versus routine cardiac catheterization before bidirectional Glenn anastomosis in infants with functional single ventricle: a prospective randomized trial. Circulation. 2007;116:2718–2725
  21. Corman LC. Effects of specific nutrients on the immune response. Selected clinical applications. Med Clin North Am. 1985;69:759–791
  22. Jaquiss RD, Ghanayem NS, Hoffman GM, Fedderly RT, Cava JR, Mussatto KA, et al. Early cavopulmonary anastomosis in very young infants after the Norwood procedure: impact on oxygenation, resource utilization, and mortality. J Thorac Cardiovasc Surg. 2004;127:982–989
  23. Jaquiss RD, Siehr SL, Ghanayem NS, Hoffman GM, Fedderly RT, Cava JR, et al. Early cavopulmonary anastomosis after Norwood procedure results in excellent Fontan outcome. Ann Thorac Surg. 2006;82:1260–1266
  24. Malagon I, Onkenhout W, Klok G, van der Poel PF, Bovill JG, Hazekamp MG. Gut permeability in paediatric cardiac surgery. Br J Anaesth. 2005;94:181–185
  25. Wernovsky G, Wypij D, Jonas RA, Mayer JE, Hanley FL, Hickey PR, et al. Postoperative course and hemodynamic profile after the arterial switch operation in neonates and infants. A comparison of low-flow cardiopulmonary bypass and circulatory arrest. Circulation. 1995;92:2226–2235
  26. Davies G, Reid L. Growth of the alveoli and pulmonary arteries in childhood. Thorax. 1970;25:669–681
  27. Wernovsky G, Gruber P. Common congenital heart disease: presentation, management, and outcomes. In:  Taeusch W,  Ballard R,  Gleason C editor. Avery's diseases of the newborn. 8th ed. Philadelphia: Elsevier Saunders; 2005;p. 835
  28. Kloth RL, Baum VC. Very early extubation in children after cardiac surgery. Crit Care Med. 2002;30:787–791
  29. Allaham AH, Estrera AL, Miller CC, Achouh P, Safi HJ. Chylothorax complicating repairs of the descending and thoracoabdominal aorta. Chest. 2006;130:1138–1142
  30. Chang AC, Hanley FL, Wernovsky G, Rosenfeld HM, Wessel DL, Jonas RA, et al. Early bidirectional cavopulmonary shunt in young infants. Postoperative course and early results. Circulation. 1993;88(suppl):II149-58

PII: S0022-5223(09)00369-9

doi: 10.1016/j.jtcvs.2009.02.033

The Journal of Thoracic and Cardiovascular Surgery
Volume 138, Issue 2 , Pages 397-404.e1 , August 2009