Evidence map›Paper›PMID 29704905›Full record

GuidelineCardiology in the young2018

The development of a consensus-based nutritional pathway for infants with CHD before surgery using a modified Delphi process.

Luise V Marino, Mark J Johnson, Nigel J Hall, Natalie J Davies, Catherine S Kidd, M Lowri Daniels, Julia E Robinson, Trevor Richens, Tara Bharucha, Anne-Sophie E Darlington and 1 more

Registry-linked trialAbstract readPractice Guideline
In one paragraph

Guideline in Cardiology in the young, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05457712 (Nutrition In Preoperative Pediatric Congenital Heart Disease), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05457712 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Nutrition In Preoperative Pediatric Congenital Heart Disease: A Randomized Clinical Trial

TypeinterventionalSponsorInstituto de Cardiologia do Rio Grande do SulRan2023 to 2024Enrolled118ConditionsCongenital Heart Defects, UnderweightArmsprotocol, Control
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Preoperative nutritional strategies for neonates with complex congenital heart disease: a national survey.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  3. Article
  4. Review
  5. Review
  6. Identifying research priorities for paediatric nutrition for Australia: A Delphi consensus approach.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Luise V Marino1Department of Dietetics/SLT,University Hospital Southampton NHS Foundation Trust,Southampton,UK.
Mark J Johnson2NIHR Biomedical Research Centre Southampton,University Hospital Southampton NHS Foundation Trust and University of Southampton,Southampton,UK.
Nigel J Hall2NIHR Biomedical Research Centre Southampton,University Hospital Southampton NHS Foundation Trust and University of Southampton,Southampton,UK.
Natalie J Davies1Department of Dietetics/SLT,University Hospital Southampton NHS Foundation Trust,Southampton,UK.
Catherine S Kidd1Department of Dietetics/SLT,University Hospital Southampton NHS Foundation Trust,Southampton,UK.
M Lowri Daniels1Department of Dietetics/SLT,University Hospital Southampton NHS Foundation Trust,Southampton,UK.
Julia E Robinson1Department of Dietetics/SLT,University Hospital Southampton NHS Foundation Trust,Southampton,UK.
Trevor RichensFaculty of Medicine,University of Southampton,Southampton,UK.
Tara BharuchaFaculty of Medicine,University of Southampton,Southampton,UK.
Anne-Sophie E Darlington7Faculty of Health Sciences,University of Southampton,Southampton,UK.
British Dietetic Association Paediatric Cardiology Interest Group

Funding

Department of Health DRF-2012-05-272Department of Health ICA-CL-2016-02-001
6 · The paper itself

Abstract

IntroductionDespite improvements in the medical and surgical management of infants with CHD, growth failure before surgery in many infants continues to be a significant concern. A nutritional pathway was developed, the aim of which was to provide a structured approach to nutritional care for infants with CHD awaiting surgery.Materials and methodsThe modified Delphi process was development of a nutritional pathway; initial stakeholder meeting to finalise draft guidelines and develop questions; round 1 anonymous online survey; round 2 online survey; regional cardiac conference and pathway revision; and final expert meeting and pathway finalisation.

resultsPaediatric Dietitians from all 11 of the paediatric cardiology surgical centres in the United Kingdom contributed to the guideline development. In all, 33% of participants had 9 or more years of experience working with infants with CHD. By the end of rounds 1 and 2, 76 and 96% of participants, respectively, were in agreement with the statements. Three statements where consensus was not achieved by the end of round 2 were discussed and agreed at the final expert group meeting.

conclusionsNutrition guidelines were developed for infants with CHD awaiting surgery, using a modified Delphi process, incorporating the best available evidence and expert opinion with regard to nutritional support in this group.

Indexed as

ConsensusHeart Defects, CongenitalNutrition PolicyPreoperative CareDelphi TechniqueHumansInfantSurveys and QuestionnairesUnited KingdomCHDDelphigrowthinfantsnutrition

Identifiers

PMID29704905
PMCPMC5977758

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.