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Impact of a Standardized Clinical Assessment and Management Plan (SCAMP®) on growth in infants with CHD

Russell C Gongwer1, Kimberlee Gauvreau2, Susanna Y Huh3

  • 11Center for Applied Pediatric Quality Analytics,Boston Children's Hospital,Boston,MA,USA.

Cardiology in the Young
|September 4, 2018
PubMed

Insights

Infants with congenital heart disease (CHD) who received nutrition support showed improved weight gain. This nutrition-focused protocol enhanced growth compared to historical controls, highlighting the importance of early intervention.

Area of Science:

  • Pediatric Cardiology
  • Nutritional Science
  • Growth and Development

Background:

  • Congenital heart disease (CHD) frequently causes growth failure in infants.
  • A standardized clinical assessment and management plan was implemented to address this.
  • The plan involved identifying growth failure, evaluating causes, and coordinating care with nutrition physicians.

Purpose of the Study:

  • To evaluate the effectiveness of a nutrition-focused protocol in improving growth in infants with CHD.
  • To compare the growth outcomes of enrolled patients with historical controls.

Main Methods:

  • A prospective cohort of 29 infants with CHD and growth failure were enrolled (July 2013-June 2014).
  • 42 historical controls from June 2010-June 2011 were selected for comparison.
  • Eligibility criteria included age <1 year, CHD, and growth failure (weight-for-age z-score <-2 or inadequate weight gain).
  • Primary outcome: change in weight-for-age z-score over at least 6 months of follow-up.

Main Results:

  • Enrolled patients showed a greater mean gain in weight-for-age z-score (2.7) compared to controls (1.8) (p=0.03).
  • Control patients were older at baseline and had a higher baseline weight-for-age z-score than enrolled patients.
  • The intervention group demonstrated significantly improved weight gain.

Conclusions:

  • A nutrition-focused protocol significantly improved weight gain in infants with CHD experiencing growth failure.
  • Early identification and collaborative nutrition support are crucial for managing growth failure in CHD.
  • CHD programs should integrate nutritional expertise to address growth issues effectively.
Abstract

Keywords:
CHDInfant growthinfant feeding

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