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Prevalence and predictors of later feeding disorders in children who underwent neonatal cardiac surgery for congenital heart disease

Published online by Cambridge University Press:  28 January 2011

Ilona Maurer ,
Beatrice Latal ,
Hilda Geissmann ,
Walter Knirsch ,
Urs Bauersfeld  and
Christian Balmer
Ilona Maurer
Affiliation:
Division of Speech and Language Pathology, University Children's Hospital Zurich, Switzerland
Beatrice Latal
Affiliation:
Child Development Centre, University Children's Hospital Zurich, Switzerland
Hilda Geissmann
Affiliation:
Division of Speech and Language Pathology, University Children's Hospital Zurich, Switzerland
Walter Knirsch
Affiliation:
Division of Cardiology, University Children's Hospital Zurich, Switzerland
Urs Bauersfeld
Affiliation:
Division of Cardiology, University Children's Hospital Zurich, Switzerland
Christian Balmer*
Affiliation:
Division of Cardiology, University Children's Hospital Zurich, Switzerland
*
Correspondence to: C. Balmer, MD, Division of Cardiology, University Children's Hospital, Steinwiesstrasse 75, 8032 Zurich, Switzerland. Tel: 00 41 44 266 71 11; Fax: 00 41 44 266 79 81; E-mail: christian.balmer@kispi.uzh.ch
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Abstract

Aim

We thought of assessing the prevalence and predictors of feeding disorders in patients with congenital heart defects after neonatal cardiac surgery.

Methods

Retrospective study of 82 consecutive neonates (48 males, 34 females) who underwent surgery for congenital heart defects from 1999 to 2002. Information was taken from patient charts and nursing notes. The presence of a feeding disorder was assessed by a questionnaire sent to the paediatricians when the child was 2 years of age. A feeding disorder was defined as a need for tube feeding, inadequate food intake for age, or failure to thrive. Data were analysed with descriptive statistics and logistic regression.

Results

Feeding disorders occurred in 22% of the study population. Reoperation and early feeding disorders were identified as independent risk factors for later feeding disorders (odds ratio 5.8, p 0.01; odds ratio 20.7, p 0.02). There was a trend towards more feeding disorders in patients with neurological abnormalities during the first hospital stay.

Conclusion

Feeding disorder is a frequent, long-term sequela after neonatal cardiac surgery. Patients with congenital heart defects who undergo multiple cardiac surgeries and those with early feeding disorders are at risk of developing later feeding disorders. Patients with these risk factors need to be selected for preventive strategies.

Keywords

Feeding disordercongenital heart defectneonatal cardiac surgery
Type
Original Articles
Information
Cardiology in the Young , Volume 21 , Issue 3 , June 2011 , pp. 303 - 309
Copyright
Copyright © Cambridge University Press 2011

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