Preoperative Nutritional Status of Infants with Non-Restricted Ventricular Septal Defect and Its Influence on Postoperative Recovery.

IF 0.7 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Heart Surgery Forum Pub Date : 2023-10-25 DOI:10.59958/hsf.5707

Qu-Bo Huang, Bi-Xia Shi, Sheng-Huo Zhou, Sai-Lan Li, Yan-Juan Lin

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Abstract

Purpose: This study described the preoperative nutritional status of infants with nonrestricted ventricular septal defects (VSDs) and evaluated its effect on postoperative recovery.

Methods: We retrospectively collected data from infants with nonrestricted VSD who received surgical treatment in our hospital from January 2020 to December 2021 and analyzed their preoperative nutritional status and postoperative recovery.

Results: Fifty (53.8%) patients were underweight (weight for age Z score (WAZ) ≤-1), and 31 (33.3%) patients were malnourished (WAZ ≤-2). The mechanical ventilation time, duration of intensive care unit stay and hospital stay time after surgery of patients with WAZ ≤-2 were significantly longer than those of patients with WAZ >-2 (p < 0.05). The results of linear correlation analysis showed that age, WAZ and prealbumin were negatively correlated with mechanical ventilation time, duration of intensive care unit stay and hospital stay time after surgery, respectively. Multiple linear regression analysis showed that mechanical ventilation time = 7.080 - 0.668 WAZ - 0.013 prealbumin - 0.618 age (R2: 0.729, F: 79.773, p: 0.001); duration of intensive care unit admission = 11.775 - 1.385 WAZ - 0.018 prealbumin - 0.102 age (R2: 0.714, F: 74.072, p: 0.001); and hospital stay time = 17.663 - 1.673 WAZ - 0.017 prealbumin - 1.07 age (R2: 0.711, F: 72.842, p: 0.001).

Conclusion: The incidence of malnutrition in infants with nonrestricted VSD was very high, and malnutrition had a significant adverse effect on postoperative recovery. Malnutrition significantly prolonged mechanical ventilation time, duration of intensive care unit stay and hospital stay after surgery.

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非限制性室间隔缺损患儿术前营养状况及其对术后恢复的影响。

目的：本研究描述了无限制性室间隔缺损（VSDs）婴儿的术前营养状况，并评估了其对术后恢复的影响。方法：我们回顾性收集了2020年1月至2021年12月在我院接受手术治疗的无限制性室间隔缺损婴儿的数据，并分析了他们的术前营养状况和术后恢复情况。结果：50名（53.8%）患者体重不足（年龄Z评分（WAZ）≤-1），31名（33.3%）患者营养不良（WAZ≤-2）。WAZ≤-2的患者术后机械通气时间、重症监护室住院时间和住院时间明显长于WAZ＞-2的患者（p<0.05）。线性相关分析结果显示，年龄、WAZ和前白蛋白与机械通气时间呈负相关，重症监护室的住院时间和手术后的住院时间。多元线性回归分析显示，机械通气时间=7.080-0.668 WAZ-0.013前白蛋白-0.618年龄（R2:0.729，F:79.773，p=0.001）；重症监护病房入院时间=11.775-1.385 WAZ-0.018前白蛋白-0.102年龄（R2:0.714，F:74.072，p:0.001）；住院时间=17.663-1.673 WAZ-0.017 prealbumin-1.07年龄（R2:0.711，F:72.842，p=0.001）。营养不良显著延长了术后机械通气时间、重症监护室住院时间和住院时间。

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来源期刊

Heart Surgery Forum 医学-外科

CiteScore

1.20

自引率

16.70%

发文量

130

审稿时长

6-12 weeks

期刊介绍： The Heart Surgery Forum® is an international peer-reviewed, open access journal seeking original investigative and clinical work on any subject germane to the science or practice of modern cardiac care. The HSF publishes original scientific reports, collective reviews, case reports, editorials, and letters to the editor. New manuscripts are reviewed by reviewers for originality, content, relevancy and adherence to scientific principles in a double-blind process. The HSF features a streamlined submission and peer review process with an anticipated completion time of 30 to 60 days from the date of receipt of the original manuscript. Authors are encouraged to submit full color images and video that will be included in the web version of the journal at no charge.