Related Experiment Video

Updated: Oct 7, 2025

Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery
09:47

Anesthesia and Intubation of Preadolescent Mouse Pups for Cardiothoracic Surgery

Published on: June 2, 2022

2.5K

Oral Aversion in Infants With Congenital Heart Disease: A Single-Center Retrospective Cohort Study

Stephanie A Goldstein1, Kimberly J Watkins2, Ray E Lowery3

  • 1Division of Pediatric Critical Care, Department of Pediatrics, University of Utah, Primary Children's Hospital, Salt Lake City, UT.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|January 6, 2022
PubMed

Insights

Oral aversion (OA) affects nearly a quarter of neonates one year after heart surgery. Early oral feeding at discharge may reduce the risk of developing OA in infants.

Area of Science:

  • Pediatric Cardiology
  • Neonatal Surgery
  • Feeding Disorders

Background:

  • Neonates undergoing cardiac surgery face risks, including oral aversion (OA).
  • Oral aversion's long-term impact beyond initial hospitalization is not well-documented.
  • Understanding OA prevalence is crucial for affected infants and their families.

Purpose of the Study:

  • To determine the prevalence of oral aversion (OA) at one year of age in neonates who underwent cardiopulmonary bypass (CPB) surgery.
  • To identify risk factors associated with OA in this vulnerable population.
  • To explore the relationship between feeding practices and OA development.

Main Methods:

  • A retrospective cohort study was conducted at a single quaternary care hospital.
  • 157 neonates who underwent CPB surgery between 2014 and 2017 with one-year follow-up data were analyzed.
  • Feeding experts reviewed medical records to diagnose OA, with inter-rater reliability assessed.

Main Results:

  • Oral aversion (OA) was present in 23.6% of patients at one year; an additional 18.5% had other feeding difficulties.
  • Factors associated with OA included longer ICU stays, mechanical ventilation, nil per os days, and delayed oral feeding initiation.
  • Infants with any oral intake at discharge had significantly lower odds of developing OA at one year.

Conclusions:

  • Oral aversion and feeding difficulties are common sequelae in neonates post-cardiopulmonary bypass surgery.
  • Delayed initiation of oral feeding appears to be a modifiable risk factor for OA.
  • Interventions promoting early oral feeding may improve long-term functional outcomes for these infants.
Abstract

More Related Videos

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China08:42

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

Published on: February 11, 2022

3.7K
Exploring Infant Sensitivity to Visual Language using Eye Tracking and the Preferential Looking Paradigm06:07

Exploring Infant Sensitivity to Visual Language using Eye Tracking and the Preferential Looking Paradigm

Published on: May 15, 2019

8.6K

Related Concept Videos

Conditioned Taste Aversion01:14

Conditioned Taste Aversion

Conditioned taste aversion, also known as sauce béarnaise syndrome, is a phenomenon in which an individual develops an aversion to a certain food taste following a negative experience, typically illness. This form of aversion is a type of classical conditioning in which the taste of the food (conditioned stimulus, CS) is associated with the experience of illness (unconditioned stimulus, UCS).
A notable characteristic of conditioned taste aversion is that it often requires only a single...
251
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
80
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
43
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
42
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
103
Mitral Regurgitation I: Introduction01:20

Mitral Regurgitation I: Introduction

Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
77