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Table 2 Medical profile and cardiac surgery outcomes for children with and without undernutrition

From: Undernutrition in young children with congenital heart disease undergoing cardiac surgery in a low-income environment

Descriptor

Undernourished

Adequately nourished

Difference in groups

CARDIOLOGY OUTCOMES (N = 40)

Sample size

(n = 27)

(n = 13)

 

Type of defect

   

 • Cyanotic

8 (29.6%)

2 (15.4%)

P = 0.33

 • Acyanotic

19 (70.4%)

11(84.6%)

 

Primary cardiac diagnosis

   

 • PDA

4

0

 

 • VSD

10

6

 

 • AVSD

5

3

 

 • COA

2

1

 

 • TOF

1

0

 

 • HLHS

1

0

 

 • TGA

1

0

 

 • TA

1

0

 

 • DORV

2

1

 

 • TAPVD

0

1

 

 • AS

0

1

 

Presence of genetic disorder (DS)

6 (22.2%)

4 (30. 8%)

p = 0.56

Complicated CHD

21 (77.8%)

9 (69.2%)

p = 0.56

 • Reversible PHT

13

4

 

 • CCF

6

3

 

 • CCF and reversible PHT

2

2

 

Disease severity

Mean severity: moderate

Mean severity: moderate

 

mild

1 (3.6%)

3 (23.1%)

 

moderate (correctable surgery)

18 (66.6%)

9 (69.2%)

 

moderate to severe (more surgeries)

7 (25.9%)

1 (7.7%)

 

severe (uncorrectable or palliated)

1 (3.7%)

0

 

FSDs

7 (25.9%)

3 (23.1%)

p = 0.85

FSDs with CCF

6 (85.7%)

1 (33.3%)

p = 0.28

SURGICAL OUTCOMES (N = 38)

Sample size

(n = 25)

(n = 13)

 

Age at surgery (months)

   

 Mean and SD

11.4 (7.4)

9.3 (6.9)

p = 0.40

 Median and Range

11.5 [1.9 -31.5]

6.8 [1.1- 23.9]

 

ICU length of stay (days)

   

 Prolonged stay (≥7 days)

10 (40%)

4 (30.7%)

p = 0.58

 Mean (SD)

8.7 (6.6)

5.8 (2.2)

p = 0.13

 Median and Range

6 [3-28]

5.5 [3-10]

 

Hospital length of stay (days)

   

 Prolonged (≥ 14 days)

9 (36%)

7 (53.8%)

p = 0.30

 Mean and SD

22.5 (24.9)

15.7 (11.6)

p = 0.36

 Median and Range

11 [6 -108]

12.5 [4-49]

 

Cardiopulmonary bypass

15 (60%)

11 (84.6%)

p = 0.14

Cardiopulmonary bypass time (min)

   

 Mean and SD

119.1 (63.1)

100 (47.8)

p = 0.41

 Median and Range

105 [55-300]

92.5 [41-190]

 

Postoperative complications

8 (32%)

2 (15%)

p = 0.26

  1. PDA patent ductus arteriosus, VSD ventricular septal defect, AVSD atrioventricular septal defect, COA coarctation of the aorta, TOF Tetralogy of Fallot, HLHS hypoplastic left heart syndrome, TGA transposition of the great arteries, TA tricuspid atresia, DORV double outlet right ventricle, TAPVD total anomalous pulmonary venous drainage, AS aortic stenosis, CCF congestive cardiac failure, PHT pulmonary hypertension, ICU intensive care unit, SD standard deviation, DS Down syndrome, FSDs feeding and swallowing difficulties