Nutrition in Congenital Heart Disease
NCT05891210 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 100
Last updated 2023-06-06
Summary
Congenital heart disease (CHD) defined as anatomic malformation of the heart and great vessels which occurs during intrauterine development irrespective of the age of presentation(1) It is classified into acyanotic and cyanotic depending upon whether the patients clinically exhibit cyanosis(2) .
It is the most common human developmental anomaly with a reported prevalence of between 4 to 10 per 1000 live birth (3-6).
The variety and severity of clinical presentation depend on the cardiac structures involved and their functional impact (7).
Previous studies have found that, although birth weight for gestational age is usually normal in patients with congenital heart disease, young children often present with impaired growth parameters (8,9) The underlying causes of this failure to thrive may be multifactorial including innate growth potential, severity of cardiac underlying disease, increased energy requirements ,decreased nutritional intake, malabsorption and poor utilization of absorbed nutrients .these factor are particularly common and sever in low and middle income countries (11) Several studies suggest that the failure to thrive is associated with poorer cognitive development, learning disabilities, and long term behavioral problems more recently Corbett et al (12) detected a significant association between the severity of growth deficiency and IQ ,whereas Raynor and Rudolf (13) found that 55% of the infants who were failing to thrive exhibited developmental delay .In addition , A study by Reif et al (14) reported that children with a history of failure to thrive were found to have more learning difficulties and evidenced developmental delay at follow up 5 years after the initial presentation(15).
Achieving survival is not the only target of clinicians for these patients, appropriate growth, development and improved quality of life are also very important.
The management of children with congenital heart disease require multidisciplinary approach,in which the nutritional aspect plays an important role ,an adequate caloric intake, in fact this improve the out come of these patients.(7) This study will asses the nutritional status for patients with congenital heart disease Who are admitted at assiut university hospital children and adopting a protocol for nutritional support for them.
Conditions
- Congenital Heart Disease
Sponsors & Collaborators
-
Assiut University
lead OTHER
Eligibility
- Min Age
- 5 Weeks
- Max Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-09-01
- Primary Completion
- 2024-09-01
- Completion
- 2024-12-01
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