Improving Outcomes for Infants with Single Ventricle Physiology through Standardized Feeding during the Interstage
Joint Authors
Weston, Cindy
Husain, S. Adil
Curzon, Christopher L.
Neish, Steve
Kennedy, Gemma T.
Bonagurio, Krista
Gosselin, Kevin
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-05-22
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Congenital heart disease is identified as the most common birth defect with single ventricle physiology carrying the highest mortality.
Staged surgical palliation is required for treatment, with mortality historically as high as 22% in the four- to six-month period from the first- to second-stage surgical palliation, known as the interstage.
A standardized postoperative feeding approach was implemented through an evidence-based protocol, parent engagement, and interprofessional team rounds.
Five infants with single ventricle physiology preprotocol were compared with five infants who received the standardized feeding approach.
Mann-Whitney U tests were conducted to evaluate the hypotheses that infants in the intervention condition would consume more calories and have a positive change in weight-to-age z-score (WAZ) and shorter length of stay (LOS) following the first and second surgeries compared to infants in the control condition.
After the protocol, the change in WAZ during the interstage increased by virtually one standard deviation from 0.05 to 0.91.
Median LOS dropped 32% after the first surgery and 43% after the second surgery.
Since first- and second-stage palliative surgeries occur within the same year of life, this represents savings of $500,000 to $800,000 per year in a 10-infant model.
The standardized feeding approach improved growth in single ventricle infants while concurrently lowering hospital costs.
American Psychological Association (APA)
Weston, Cindy& Husain, S. Adil& Curzon, Christopher L.& Neish, Steve& Kennedy, Gemma T.& Bonagurio, Krista…[et al.]. 2016. Improving Outcomes for Infants with Single Ventricle Physiology through Standardized Feeding during the Interstage. Nursing Research and Practice،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1113479
Modern Language Association (MLA)
Weston, Cindy…[et al.]. Improving Outcomes for Infants with Single Ventricle Physiology through Standardized Feeding during the Interstage. Nursing Research and Practice No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1113479
American Medical Association (AMA)
Weston, Cindy& Husain, S. Adil& Curzon, Christopher L.& Neish, Steve& Kennedy, Gemma T.& Bonagurio, Krista…[et al.]. Improving Outcomes for Infants with Single Ventricle Physiology through Standardized Feeding during the Interstage. Nursing Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1113479
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1113479