Kosovo’s Experience for Children with Feeding Difficulties after Cardiac Surgery for Congenital Heart Defect

  • Ramush Bejiqi University of Gjakovo, Paediatric Clinic, University Clinical Centre of Kosovo, Prishtina, Kosovo
  • Ragip Retkoceri Paediatric Clinic, University Clinical Centre of Kosovo, Prishtina, Kosovo
  • Hana Bejiqi Main Center of Family Medicine, Prishtina, Kosovo
  • Arlinda Maloku Paediatric Clinic, University Clinical Centre of Kosovo, Prishtina, Kosovo
  • Armend Vuciterna University of Gjakovo, Paediatric Clinic, University Clinical Centre of Kosovo, Prishtina, Kosovo
  • Naim Zeka Paediatric Clinic, University Clinical Centre of Kosovo, Prishtina, Kosovo
  • Abdurrahim Gerguri Paediatric Clinic, University Clinical Centre of Kosovo, Prishtina, Kosovo
  • Rinor Bejiqi Medical School, University or Kosovo, Prishtina, Kosovo
Keywords: Cardiac surgery, Congenital heart defect, echocardiography, Chromosomal abnormalities, Feeding problems

Abstract

BACKGROUND: A feeding disorder in infancy and during childhood is a complex condition involving different symptoms such as food refusal and faddiest, both leading to a decreased food intake.

AIM: We aimed to assess the prevalence and predictor factors of feeding difficulties in children who underwent cardiac open heart surgery in neonatal period and infancy. We address selected nutritional and caloric requirements for children after cardiac surgery and explore nutritional interdependence with other system functions. 

METHODS: This was a retrospective study in a tertiary referral hospital, and prior approval from the institutional ethics committee was obtained. Information for 78 children (42 male and 36 female) was taken from patients charts. Data were analysed with descriptive statistics and logistic regression.

RESULTS: From a cohort of analysed children with feeding problems we have occurred in 23% of such cases. At the time of the study, refusal to eat or poor appetite was reported as a significant problem in 19 children and subnormal height and weight were recorded in 11 children. Early neonatal intervention and reoperation were identified as risk factors for latter feeding difficulties or inadequate intake. Children with feeding problems also tended to eat less than children without feeding problems. There was a trend towards more feeding problems in patients with chromosomal abnormalities or other associated anomalies.

CONCLUSION: Feeding disorder is often and a frequent long-term sequel in children after neonatal or early infancy heart surgery. Patients with chromosomal and associated anomalies who underwent multiple cardiac surgeries are at risk of developing feeding difficulties.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

Author Biography

Naim Zeka, Paediatric Clinic, University Clinical Centre of Kosovo, Prishtina, Kosovo
Department of Pediatric's Neurology

References

Thommessen M, Heiberg A, Kase BF. Feeding problems in children with congenital heart disease: the impact on energy intake and growth outcome. Eur J Clin Nutr. 1992;46:457-64. PMid:1623850

Moller JH, Taubert KA, Allen HD, et al. Cardiovascular health and disease in children: current status. A Special Writing Group from the Task Force on Children and Youth, American Heart Association. Circulation. 1994;89:923-30. https://doi.org/10.1161/01.CIR.89.2.923 PMid:8313589

Perloff JK, Warnes CA. Challenges posed by adults with repaired congenital heart disease. Circulation. 2001;103:2637-43. https://doi.org/10.1161/01.CIR.103.21.2637

Lipsitt LP, Crook C, Booth CA. The transitional infant: behavioural development and feeding. Am J Clin Nutr. 1985;41:485 – 496. PMid:3969954

Deller SF, Hyams JS, Treem WR et al Feeding resistance and gastroesophageal reflux in infancy. J Pediatr Gastroenetrol Nutr. 1993;17:66 – 71. https://doi.org/10.1097/00005176-199307000-00009

Reilly S, Skuse D, Poblete X. Prevalence of feeding problems and oral motor dysfunction in children with cerebral palsy: a community survey. J Pediatr. 1996;129:877 – 882. https://doi.org/10.1016/S0022-3476(96)70032-X

Dahl M, Sundelin C. Early feeding problems in affluent society. I. Categories and clinical signs. Acta Pediatr Scand. 1986;75:370 – 379. https://doi.org/10.1111/j.1651-2227.1986.tb10217.x

Ilona M, Beatrice L, Hilda G et al. Prevalence and predictors factors of letter feeding disorders in children who underwent neonatal cardiac surgery for congenital heart disease. Card in the Young. 2011;21:303 – 309. https://doi.org/10.1017/S1047951110001976 PMid:21272426

Bejiqi R, Retkoceri R, Zeka N, et al. Treatment of children with protein - losing enteropathy after Fontan and other complex congenital heart disease procedures in condition with limited human and technical resources. Mater Sociomed. 2014;26:39-42. https://doi.org/10.5455/msm.2014.26.39-42 PMid:24757400 PMCid:PMC3990394

Dahl M, Eklund G, Sundelin C. Early feeding problems in an affluent society. II. Determinants. Acta Pediatr Scand. 1986;75:380 – 387. https://doi.org/10.1111/j.1651-2227.1986.tb10218.x

Dahl M. Early feeding problems in an affluent society. III. Follow-up at two years: natural course, health behaviour and development. Acta Pediatr Scand. 1987;76:872 – 882. https://doi.org/10.1111/j.1651-2227.1987.tb17257.x PMid:3480683

Stein A. Barnes J. Feeding and sleep disorders. In: Rutter M (ed) Child and Adolescent Psychiatry, 4th edn. Blackwell Science, Oxford, 2002: 754 – 775.

Morris CD, Maneshe VD. 25 year mortality after surgical repair of congenital heart defect in childhood. A population based study. JAMA. 1991;266:3447 – 3452. https://doi.org/10.1001/jama.1991.03470240069035 PMid:1744959

Boneva RS, Botto LD, Moore CA et al. Mortality associated with congenital heart defects in the United States. Trends and racial disparities 1979 – 1997. Circulation. 2000; 103: 2376 – 2381. https://doi.org/10.1161/01.CIR.103.19.2376

Limperopolous C, Majnemer A, Shevell MI, et al. Neurodevelopmental status of new-borns and infants with congenital heart defects before and after open heart surgery. J Pediatr. 2000; 137:638 – 645. https://doi.org/10.1067/mpd.2000.109152 PMid:11060529

Published
2017-11-27
How to Cite
1.
Bejiqi R, Retkoceri R, Bejiqi H, Maloku A, Vuciterna A, Zeka N, Gerguri A, Bejiqi R. Kosovo’s Experience for Children with Feeding Difficulties after Cardiac Surgery for Congenital Heart Defect. Open Access Maced J Med Sci [Internet]. 2017Nov.27 [cited 2020Oct.1];5(7):920-4. Available from: https://www.id-press.eu/mjms/article/view/oamjms.2017.205
Section
B - Clinical Sciences