Understanding the Impact of Fluid Restriction on Growth Outcomes in Infants Following Cardiac Surgery

Objective: Fluid restriction is reported to be a barrier in providing adequate nutrition following cardiac surgery. The specific aim of this study was to evaluate the adequacy of nutritional intake during the postoperative period using anthropometrics by comparing preoperative weight status, as measured by weight-for-age z scores, to weight status at discharge home. Design: Prospective cohort study. Setting: Cardiac ICU at Miami Children’s Hospital. Patients: Infants from birth to 12 months old who were scheduled for cardiac surgery at Miami Children’s Hospital between December 2013 and September 2014 were followed during the postoperative stay. Interventions: Observational study. Measurements and Main Results: Preoperative and discharge weight-for-age z scores were analyzed. The Risk Adjustment for Congenital Heart Surgery 1 categories were obtained to account for the individual complexity of each case. In patients who had preoperative and discharge weights available (n = 40), the mean preoperative weight-for-age z score was –1.3 ± 1.43 and the mean weight-for-age z score at hospital discharge was –1.89 ± 1.35 with a mean difference of 0.58 ± 0.5 (p

from Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2BCmcrj