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Source: Kataria-Hale J, Cognata A, Hagan J, et al. The relationship between preoperative feeding exposures and postoperative outcomes in infants with congenital heart disease [published online ahead of print October 2, 2020]. Pediatr Crit Care Med. doi:10.1097/PCC.0000000000002540
Investigators from Texas Children’s Hospital, Houston, TX, conducted a retrospective study to assess the association between preoperative feeding exposure and development of necrotizing enterocolitis (NEC), length of stay (LOS), and time to full feedings in newborns with complex congenital heart disease (CHD). Using hospital databases, the investigators identified newborns admitted to their institution at <72 hours of age with CHD between 2010 and 2016; specific criteria were used to categorize an infant with CHD. The medical records of the identified patients were reviewed and information on demographics, gestational age, cardiac lesion, development of postoperative NEC, daily volume of feeds, type of feeds provided, and route of feeding (oral or nasogastric [NG]) abstracted.
During the study period, feeds typically were begun in patients with CHD at a rate of 20 mL/kg/d …
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