Creating the optimal preoperative nutritional status for neonates undergoing cardiac surgery by implementing a preoperative nutritional support plan

• Published in: Journal of paediatrics and child health 2023-07, Vol.59 (7), p.901-905
• Main Authors: Zhang, Qi‐Liang, Zhou, Si‐Jia, Chen, Xiu‐Hua, Cao, Hua, Chen, Qiang
• Format: Article
• Language: English
• Subjects: Body Weight; cardiac surgery; Cardiac Surgical Procedures; congenital heart disease; Heart Defects, Congenital - surgery; Heart surgery; Humans; Infant, Newborn; Neonatal care; neonates; Newborn babies; Nutritional Status; Nutritional Support
• ISSN: 1034-4810; 1440-1754
• DOI: 10.1111/jpc.16414

Aim The purpose of this study was to explore the effect of a preoperative nutritional support programme on improving preoperative nutritional status and promoting postoperative recovery in neonates undergoing cardiac surgery. Methods The clinical data of neonates undergoing cardiac surgery who received preoperative nutritional support therapy in our hospital from March 2021 to December 2021 were collected, and the clinical data of neonates undergoing cardiac surgery who did not receive preoperative nutritional support therapy in our hospital from February 2020 to February 2021 were selected as the control. The nutritional status and postoperative recovery of the two groups were compared. Results A total of 30 neonates who received nutritional support before cardiac surgery were included in this study. A total of 28 neonates who did not receive nutritional support before cardiac surgery were included in the control group. There were no significant differences in general information or the nutritional status at birth between the two groups. The duration of nutritional support in the intervention group was 16.8 ± 7.1 days. Before the operation, the intervention group was significantly better than the control group in terms of body weight, albumin, prealbumin and haemoglobin, which indicated that the nutritional status of the intervention group was better than that of the control group. The intensive care time, ventilator time and hospital stay time in the intervention group were significantly lower than those in the control group. Conclusion Nutritional support plans after birth for neonates with severe congenital heart disease can effectively improve the nutritional status of patients before surgery and accelerate the speed of postoperative recovery.