RT Journal Article
T1 Nutrition in congenital heart disease: consensus document
A1 Centeno Malfaz, Fernando
A1 Morais López, Ana
A1 Caro Barri, Ana
A1 Peña Quintana, Luis
A1 Gil Villanueva, Nuria
A1 Redecillas Ferreiro, Susana
A1 Marcos Alonso, Sonia
A1 Ros Arnal, Ignacio
A1 Tejero, María Ángeles
A1 Sánchez Sánchez, César
A1 Leis Trabazo, María Rosaura
K1 Apoyo nutricional
K1 Cardiopatías congénitas
K1 Congenital heart defects
K1 Delphi technique
K1 Estado nutricional
K1 Evaluación nutricional
K1 Nutrition disorders
K1 Nutrition therapy
K1 Nutritional assessment
K1 Nutritional status
K1 Nutritional support
K1 Terapia nutricional
K1 Trastornos nutricionales
K1 Técnica delfos
AB Introduction: The prevalence of malnutrition among infants with congenital heart disease (CHD) is high. Early nutritional assessment and intervention contribute significantly to its treatment and improve outcomes. Our objective was to develop a consensus document for the nutritional assessment and management of infants with CHD. Material and methods: We employed a modified Delphi technique. Based on the literature and clinical experience, a scientific committee prepared a list of statements that addressed the referral to paediatric nutrition units (PNUs), assessment, and nutritional management of infants with CHD. Specialists in paediatric cardiology and paediatric gastroenterology and nutrition evaluated the questionnaire in 2 rounds. Results: Thirty-two specialists participated. After two evaluation rounds, a consensus was reached for 150 out of 185 items (81%). Cardiac pathologies associated with a low and high nutritional risk and associated cardiac or extracardiac factors that carry a high nutritional risk were identified. The committee developed recommendations for assessment and follow-up by nutrition units and for the calculation of nutritional requirements, the type of nutrition and the route of administration. Particular attention was devoted to the need for intensive nutrition therapy in the preoperative period, the follow-up by the PNU during the postoperative period of patients who required preoperative nutritional care, and reassessment by the cardiologist in the case nutrition goals are not achieved. Conclusions: These recommendations can be helpful for the early detection and referral of vulnerable patients, their evaluation and nutritional management and improving the prognosis of their CHD.
PB Ediciones Doyma S.A.
SN 1695-4033
YR 2023
FD 2023-05-01
LK https://hdl.handle.net/10347/45321
UL https://hdl.handle.net/10347/45321
LA eng
NO Centeno-Malfaz, F., Moráis-López, A., Caro-Barri, A., Peña-Quintana, L., Gil-Villanueva, N., Redecillas-Ferreiro, S., Marcos-Alonso, S., Ros-Arnal, I., Tejero, M. Á., Sánchez, C. S., & Leis, R. (2023). Nutrition in congenital heart disease: consensus document. Anales de pediatria, 98(5), 373–383. https://doi.org/10.1016/j.anpede.2023.02.022
NO The study received funding from Danone Nutricia to supportin-person and online meetings of experts.
DS Minerva
RD 1 may 2026