Evidence map›Paper›PMID 31917526›Full record

ArticleCongenital heart disease2019

Longitudinal growth in patients with single ventricle cardiac disease receiving tube-assisted feeds.

Arene Butto, Laura Mercer-Rosa, Christopher Teng, Carrie Daymont, Jonathan Edelson, Jennifer Faerber, Erika Mejia, Chitra Ravishankar, Meryl S Cohen

Abstract readComparative Study
In one paragraph

Article in Congenital heart disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

9 authors.

Arene ButtoDivision of Cardiology, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0002-8633-5420
Laura Mercer-RosaDivision of Cardiology, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Christopher TengDivision of Cardiology, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Carrie DaymontDepartments of Pediatrics and Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania.
Jonathan EdelsonDivision of Cardiology, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Jennifer FaerberDivision of Cardiology, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Erika MejiaDivision of Cardiology, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Chitra RavishankarDivision of Cardiology, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Meryl S CohenDivision of Cardiology, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Funding

Outcome and Right Ventricular Remodeling After Repair of Tetralogy of FallotK01HL125521 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI MERCER-ROSA, LAURA M. · 2015 to 2019
$791k
LMR NIH K01 HL125521Matthew's Hearts of Hope Foundation Private foundationNHLBI NIH HHS K01 HL125521PHA NIH K01 HL125521
6 · The paper itself

Abstract

objectiveChildren with single ventricle cardiac disease (SVCD) have poor growth in early life. Tube-assisted feeding (TF) is used to improve weight gain, but its impact on long-term growth remains unknown. We sought to compare the longitudinal growth of SVCD patients receiving TF after initial cardiac surgery with those fed entirely by mouth.

designWe conducted a retrospective cohort study of SVCD patients who underwent initial surgical palliation between 1999 and 2009. We defined TF as the use of nasogastric, gastrostomy, or jejunostomy TF. We compared maximal attained growth z-scores for each year of life between TF and non-TF patients. A secondary analysis compared surgical and clinical factors between groups.

resultsA total of 134 patients were included; 64% were male and 68% underwent the Norwood operation. One third of patients (44) received TF. Adjusting for age, TF patients had an average of 0.56 lower weight-for-age z-score (WAZ) than non-TF patients (P = 0.007) through the age of 6 years. Longitudinal height was not affected by TF status (P = 0.15). In a subanalysis of Norwood patients, TF patients had lower WAZ at initial hospital discharge despite longer LOS. TF patients had diminished WAZ after adjusting for complications, interstage hospitalizations, and timing of subsequent operations.

conclusionsIn this single-center study, patients with SVCD requiring TF at discharge from initial surgical palliation had diminished WAZ at discharge and on long-term follow-up, despite controlling for other identifiable risk factors. Further investigation is needed to understand the mechanisms underlying this phenomenon and to risk stratify infants who go home on TF.

Indexed as

Body HeightCardiac Surgical ProceduresChild DevelopmentEnteral NutritionGastrostomyJejunostomyWeight GainAge FactorsBody Mass IndexChildChild, PreschoolFemaleHeart Defects, CongenitalHeart VentriclesHumansInfantgrowthNorwoodsingle ventricletube-assisted feeds

Identifiers

PMID31917526
PMCPMC9784686

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Registered trials

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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.