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. 2024 Aug 27:12:1416778.
doi: 10.3389/fped.2024.1416778. eCollection 2024.

The effect of nutritional risk management program on the growth and development of infants and toddlers with congenital heart disease after discharge

Ya-Li Huang  1   2 , Wen-Yi Luo  1   2   3 , Xie-Lei Wang  1   2 , Feng Zheng  1   2 , Jian-Hua Gao  1   2 , Ming-Xia Chen  1   2 , Yang-Dong Pan  1   2
Affiliations

The effect of nutritional risk management program on the growth and development of infants and toddlers with congenital heart disease after discharge

Ya-Li Huang et al. Front Pediatr. .

Abstract

Objective: To evaluate the effect of nutritional risk management program on the growth and development of infants and toddlers with congenital heart disease (CHD) after discharge.

Methods: Infants and toddlers with CHD discharged from a children's specialized hospital in southeast China were selected as the research subjects. The subjects were divided into the intervention group and the control group. The intervention group underwent a nutritional risk management program combined with traditional follow-up after discharge, whereas the control group received traditional follow-up after discharge. The primary outcome measure were the height-for-age Z-score (HAZ), weight-for-age Z-score (WAZ), and weight-for-height Z-score (WHZ) at different time point and the percentage of growth and development curves were also recorded and analyzed.

Results: There were no statistically significant differences in general characteristics between the two groups. However, in the intervention group, the percentages of HAZ < -2, WAZ < -2, and WHZ < -2 were lower than those in the control group at 3rd and 6th months after discharge (P < 0.05). The percentage of growth and development curves (3%-97%) was higher than that in the control group (P < 0.05). The readmission rate within 6 months after discharge in the intervention group was lower than that in the control group (P < 0.05).

Conclusion: Implementing nutritional risk management program for infants and toddlers with CHD after discharge can help improve postoperative malnutrition, promote growth and development and achieve catch-up growth as soon as possible.

Keywords: congenital heart disease; growth and development; infants and toddlers; nursing care; nutritional management.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
The nutritional risk management process.
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