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Göteborgs universitets publikationer

Special diets to reduce pleural effusion after cardiac surgery in children with complex heart disease - effect or not?

Författare och institution:
Ewelina Wadman (Institutionen för vårdvetenskap och hälsa); Mia Sörensen (Institutionen för vårdvetenskap och hälsa); Ewa-Lena Bratt (Institutionen för vårdvetenskap och hälsa)
Publicerad i:
46th Nordic Meeting in Paediatric Cardiology, 21-23 September 2016. Båstad, Sweden,
Konferensbidrag, poster
Sammanfattning (abstract):
Background: Previous research has shown that children with complex congenital heart disease (CHD) are at risk of developing nutrition-related problems that can lead to reduced growth. Children born with complex CHD go through at least three surgical procedures. In Gothenburg the third operation (TCPC-surgery) is performed at around 3 years of age. A frequent postoperative complication is pleural effusions with need for both prolonged drainage treatment and hospitalization a result. After surgery the child is prescribed a fat reduced special diet (TCPC-diet), which aims to decrease the pleural effusion and shorten pleural drain treatment period. There is however no scientific evidence for a positive effect of this special diet on pleural effusions nor any data on possible negative side effects on nutritional status. Aim: The aim of the study was to evaluate the effects of TCPC-diet after TCPC-surgery by (I); identifying the occurrence of postoperative nutritional problems in children who have undergone TCPC-surgery 2001-2015 and (II); compare the time for drainage treatment before and after the introduction of the diet regime in June 2010. Method: The study is a retrospective registry study. Medical files of patients operated on between 2001-2015 were reviewed. Result: In total 72 patients were included. Two groups were compared; group 1 = no special diet (before June 2010), group 2 = special TCPC-diet (after June 2010). Nutritional problems increased significantly (p=0.001) in group 2 compared to group 1. The duration for right pleural drainage in group 2 was median 11 days range 1-44 compared to group 1 median 17 days range 3-50, (p=0.084). Conclusion: Children on special TCPC-diet had increased nutritional problems compared to the group without TCPC-diet. We were not able to show a significant effect of special TCPC-diet on duration of pleural effusion and need for pleural drainage.  
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Hälsovetenskaper ->
congenital heart disease, nutrition, TCPC-surgery, pleural effusion
Postens nummer:
Posten skapad:
2016-09-24 16:19

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