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Feeding dysfunction in children with single ventricle following staged palliation.

Publication ,  Journal Article
Hill, GD; Silverman, AH; Noel, RJ; Simpson, PM; Slicker, J; Scott, AE; Bartz, PJ
Published in: J Pediatr
February 2014

OBJECTIVE: To determine the prevalence of feeding dysfunction in children with single ventricle defects and identify associated risk factors. STUDY DESIGN: Patients aged 2-6 years with single ventricle physiology presenting for routine cardiology follow-up at the Children's Hospital of Wisconsin were prospectively identified. Parents of the patients completed 2 validated instruments for assessment of feeding dysfunction. Chart review was performed to retrospectively obtain demographic and diagnostic data. RESULTS: Instruments were completed for 56 patients; median age was 39 months. Overall, 28 (50%) patients had some form of feeding dysfunction. Compared with a normal reference population, patients with single ventricle had statistically significant differences in dysfunctional food manipulation (P < .001), mealtime aggression (P = .002), choking/gagging/vomiting (P < .001), resistance to eating (P < .001), and parental aversion to mealtime (P < .001). Weight and height for age z-scores were significantly lower in subjects with feeding dysfunction (-0.84 vs -0.33; P < .05 and -1.46 vs -0.56; P = .001, respectively). Multivariable analysis identified current gastrostomy tube use (P = .02) and a single parent household (P = .01) as risk factors for feeding dysfunction. CONCLUSION: Feeding dysfunction is common in children with single ventricle defects, occurring in 50% of our cohort. Feeding dysfunction is associated with worse growth measures. Current gastrostomy tube use and a single parent household were identified as independent risk factors for feeding dysfunction.

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Published In

J Pediatr

DOI

EISSN

1097-6833

Publication Date

February 2014

Volume

164

Issue

2

Start / End Page

243 / 6.e1

Location

United States

Related Subject Headings

  • Wisconsin
  • Treatment Outcome
  • Surveys and Questionnaires
  • Retrospective Studies
  • Prevalence
  • Postoperative Period
  • Pediatrics
  • Palliative Care
  • Male
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hill, G. D., Silverman, A. H., Noel, R. J., Simpson, P. M., Slicker, J., Scott, A. E., & Bartz, P. J. (2014). Feeding dysfunction in children with single ventricle following staged palliation. J Pediatr, 164(2), 243-6.e1. https://doi.org/10.1016/j.jpeds.2013.09.030
Hill, Garick D., Alan H. Silverman, Richard J. Noel, Pippa M. Simpson, Julie Slicker, Ann E. Scott, and Peter J. Bartz. “Feeding dysfunction in children with single ventricle following staged palliation.J Pediatr 164, no. 2 (February 2014): 243-6.e1. https://doi.org/10.1016/j.jpeds.2013.09.030.
Hill GD, Silverman AH, Noel RJ, Simpson PM, Slicker J, Scott AE, et al. Feeding dysfunction in children with single ventricle following staged palliation. J Pediatr. 2014 Feb;164(2):243-6.e1.
Hill, Garick D., et al. “Feeding dysfunction in children with single ventricle following staged palliation.J Pediatr, vol. 164, no. 2, Feb. 2014, pp. 243-6.e1. Pubmed, doi:10.1016/j.jpeds.2013.09.030.
Hill GD, Silverman AH, Noel RJ, Simpson PM, Slicker J, Scott AE, Bartz PJ. Feeding dysfunction in children with single ventricle following staged palliation. J Pediatr. 2014 Feb;164(2):243–6.e1.
Journal cover image

Published In

J Pediatr

DOI

EISSN

1097-6833

Publication Date

February 2014

Volume

164

Issue

2

Start / End Page

243 / 6.e1

Location

United States

Related Subject Headings

  • Wisconsin
  • Treatment Outcome
  • Surveys and Questionnaires
  • Retrospective Studies
  • Prevalence
  • Postoperative Period
  • Pediatrics
  • Palliative Care
  • Male
  • Humans