Evaluation of swallowing in infants with congenital heart defect

Karine da Rosa Pereira1, Cora Firpo2, Marisa Gasparin3

  • 1Department of Speech Pathology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.

Insights

Infants undergoing surgery for congenital heart defects often develop dysphagia (swallowing difficulties). This study found issues with suction and feeding readiness in these young patients, similar to preterm infants.

Area of Science:

  • Pediatric Surgery
  • Neonatology
  • Speech-Language Pathology

Background:

  • Surgical repair of congenital heart disease in early childhood can disrupt crucial functions like swallowing.
  • Infants with congenital heart defects may experience feeding and swallowing challenges post-surgery.

Purpose of the Study:

  • To identify and describe swallowing alterations in infants diagnosed with congenital heart defects during hospitalization.
  • To investigate the relationship between surgical repair and swallowing difficulties in infants.

Main Methods:

  • A prospective, cross-sectional study was conducted.
  • Evaluated swallowing in 19 infants under 7 months old with congenital heart defects and suspected dysphagia.
  • Data collected from patients in a specialized heart disease hospital.

Main Results:

  • A significant association was observed between abnormal suction rhythm and dysphagia (p=0.036).
  • Impaired oral-motor readiness for feeding was significantly linked to dysphagia (p=0.014).
  • The median age of the 19 infants studied was 3.2 months.

Conclusions:

  • Dysphagia is a common complication following surgical repair of congenital heart defects in infants.
  • Infants with congenital heart defects exhibit oral feeding readiness patterns similar to those seen in preterm infants.

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