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The development of a consensus-based nutritional pathway for infants with CHD before surgery using a modified Delphi

Luise V Marino1, Mark J Johnson2, Nigel J Hall2

  • 11Department of Dietetics/SLT,University Hospital Southampton NHS Foundation Trust,Southampton,UK.

Cardiology in the Young
|April 30, 2018
PubMed

Insights

A new nutritional pathway was developed for infants with congenital heart disease (CHD) awaiting surgery. This structured approach aims to improve nutritional care and address growth failure in this vulnerable population.

Area of Science:

  • Pediatric Cardiology
  • Nutritional Science
  • Clinical Pathway Development

Background:

  • Infants with congenital heart disease (CHD) often experience growth failure before surgical intervention.
  • Existing nutritional care for these infants may lack a structured, evidence-based approach.

Purpose of the Study:

  • To develop a structured nutritional pathway for infants with CHD awaiting surgery.
  • To provide standardized nutritional support guidelines for this patient group.

Main Methods:

  • A modified Delphi process was employed for guideline development.
  • Involved stakeholder meetings, anonymous online surveys (two rounds), a regional conference, and a final expert meeting.

Main Results:

  • Paediatric Dietitians from all 11 UK pediatric cardiology centers participated.
  • High levels of agreement were achieved: 76% after round 1 and 96% after round 2.
  • Consensus was reached on all statements after final expert group discussions.

Conclusions:

  • Nutrition guidelines were successfully developed for infants with CHD awaiting surgery.
  • The pathway integrates best available evidence and expert opinion for nutritional support.
  • The modified Delphi process ensured a robust and consensus-driven guideline.

Keywords:
CHDDelphigrowthinfantsnutrition

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