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Feeding dysfunction in children with single ventricle following staged palliation. J Pediatr 2014 Feb;164(2):243-6.e1

Date

10/29/2013

Pubmed ID

24161218

Pubmed Central ID

PMC3946833

DOI

10.1016/j.jpeds.2013.09.030

Scopus ID

2-s2.0-84892817248   16 Citations

Abstract

OBJECTIVE: To determine the prevalence of feeding dysfunction in children with single ventricle defects and identify associated risk factors.

STUDY DESIGN: Patients aged 2-6 years with single ventricle physiology presenting for routine cardiology follow-up at the Children's Hospital of Wisconsin were prospectively identified. Parents of the patients completed 2 validated instruments for assessment of feeding dysfunction. Chart review was performed to retrospectively obtain demographic and diagnostic data.

RESULTS: Instruments were completed for 56 patients; median age was 39 months. Overall, 28 (50%) patients had some form of feeding dysfunction. Compared with a normal reference population, patients with single ventricle had statistically significant differences in dysfunctional food manipulation (P < .001), mealtime aggression (P = .002), choking/gagging/vomiting (P < .001), resistance to eating (P < .001), and parental aversion to mealtime (P < .001). Weight and height for age z-scores were significantly lower in subjects with feeding dysfunction (-0.84 vs -0.33; P < .05 and -1.46 vs -0.56; P = .001, respectively). Multivariable analysis identified current gastrostomy tube use (P = .02) and a single parent household (P = .01) as risk factors for feeding dysfunction.

CONCLUSION: Feeding dysfunction is common in children with single ventricle defects, occurring in 50% of our cohort. Feeding dysfunction is associated with worse growth measures. Current gastrostomy tube use and a single parent household were identified as independent risk factors for feeding dysfunction.

Author List

Hill GD, Silverman AH, Noel RJ, Simpson PM, Slicker J, Scott AE, Bartz PJ

Authors

Peter J. Bartz MD Professor in the Pediatrics department at Medical College of Wisconsin
Alan Silverman PhD Professor in the Pediatrics department at Medical College of Wisconsin
Pippa M. Simpson PhD Chief, Professor in the Pediatrics department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Body Weight
Child
Child, Preschool
Enteral Nutrition
Feeding Behavior
Feeding and Eating Disorders
Female
Follow-Up Studies
Heart Defects, Congenital
Heart Ventricles
Humans
Male
Palliative Care
Postoperative Period
Prevalence
Retrospective Studies
Surveys and Questionnaires
Treatment Outcome
Wisconsin
jenkins-FCD Prod-482 91ad8a360b6da540234915ea01ff80e38bfdb40a