TY  - CHAP
M1  - Book, Section
TI  - Nutrition for the Infant or Child in the Cardiac Intensive Care Unit
A1  - Pathan, Nazima
A1  - Marino, Luise
A2  - Goday, Praveen S.
A2  - Mehta, Nilesh M.
Y1  - 2015
N1  - 
T2  - Pediatric Critical Care Nutrition
AB  - Globally,  congenital  heart  disease  (CHD)  represents  one-third  of  all  major  congenital  anomalies,  affecting  between  0.3%  and  1.5%  of  all  pregnancies  (around  40,000  children  are  born  with  CHD  per  year  in  the  United  States).1  Growth  faltering  is  commonly  seen  in  children  with  CHD,  particularly  those  with  cyanotic  disease  and  univentricular  physiology.  Children  with  CHD  exhibit  early  and  progressive  falls  in  their  growth  trajectory  in  comparison  to  healthy  children,  with  reductions  in  weight-for-age  Z-score,  head  circumference,  and  length-for-age  Z-score.  The  process  of  surgery  and  bypass,  in  addition  to  the  effects  of  cardiac  failure  and  chronic  disease,  involve  a  significant  degree  of  metabolic  and  nutritional  stress,  such  that  postoperative  malnutrition  presents  a  further  burden  on  restoring  growth  toward  normal  parameters.  Early  nutrition  support  is  crucial,  particularly  in  those  undergoing  surgery  in  the  neonatal  and  infant  period,  where  there  is  little  reserve  during  what  is  a  critical  time  for  brain  development.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1105179560
ER  -