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Feeding difficulties in neonates following cardiac surgery: determinants of prolonged feeding-tube use

Elissa B McKean1, Nadine A Kasparian2, Shweta Batra3

  • 11Discipline of Paediatrics and Child Health,Sydney Medical School,The University of Sydney, Sydney,New South Wales,Australia.

Cardiology in the Young
|January 24, 2017
PubMed

Insights

Neonatal cardiac surgery patients often face feeding difficulties, particularly those with genetic syndromes or prior assisted feeding. Early identification aids resource allocation for these infants.

Area of Science:

  • Pediatric Cardiology
  • Neonatal Surgery
  • Infant Nutrition

Background:

  • Feeding difficulties are a significant concern in neonates undergoing cardiac surgery.
  • Understanding the prevalence and correlates of these difficulties is crucial for optimizing care.

Purpose of the Study:

  • To determine the prevalence of feeding difficulties in neonates post-cardiac surgery.
  • To identify factors associated with these feeding difficulties.
  • To investigate healthcare resource utilization in infants with feeding challenges.

Main Methods:

  • Retrospective review of 79 neonates undergoing first cardiac surgery in 2009.
  • Data collected included demographics, pre-, intra-, and post-operative details.
  • Feeding difficulty defined as requiring tube feeding at discharge/transfer.

Main Results:

  • 30% of neonates (24/79) had feeding difficulties.
  • Difficulties were linked to genetic syndromes, preoperative assisted feeding, and palliative procedures.
  • Infants with feeding issues had more speech pathology, dietetics, and nursing consults.

Conclusions:

  • Identified factors enable early recognition of infant feeding difficulties.
  • Findings can guide health resource allocation and inform future research.
  • Highlights areas for clinical practice improvement in post-cardiac surgery infant care.

Keywords:
CHDcardiac surgeryfeedinghealth servicesneonate

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