Konjenital kalp hastalarında ameliyat öncesi beslenme durumunun ameliyat sonrası mortalite ve morbidite ile ilişkisi

Öz

Amaç: Bu çalışma konjenital kalp hastalığı nedeniyle ameliyat edilecek çocuk hastaların preoperatif beslenme durumu ile postoperatif morbidite ve mortalite arasındaki ilişkisini saptamak amacıyla planlanmıştır. Gereç ve Yöntemler: Çalışmaya konjenital kalp hastalığı nedeniyle ameliyat edilmek üzere hastaneye yatırılan 36 çocuk (3-60 ay) hasta dahil edilmiştir. Ameliyat öncesi hastaların beslenme durum değerlendirmesinde triseps deri kıvrım kalınlığı (TDKK) ölçümleri kullanılmıştır. Operasyon sonrası hastaların yoğun bakımda kalış süreleri, mekanik ventilatörde kalış süreleri, inotrop gereksinimleri ve süreleri ile 30 günlük mortalite kaydedilmiştir. Bulgular: Preoperatif dönemde hastaların %8.3’ünün TDKK Z-skor değerleri <-1 SD altında; %66.7’sinin ise -1 ile +1 SD arasında saptanmıştır. Preoperatif dönemde ölçülen triseps deri kıvrım kalınlığı ile ekstübasyon süresi (p=0.523), yoğun bakım kalış süresi (p=0.551), inotrop alma süresi (p=0.889) ve 30 günlük mortalite (p>0.05) arasında istatistiksel açıdan anlamlı fark bulunmamıştır. Sonuçlar: Konjenital kalp hastalığı olan çocuk hastalarda preoperatif beslenme durum ile postoperatif morbidite ve mortalite arasında anlamlı bir ilişki saptanmamıştır.

Anahtar Kelimeler

• Triseps deri kıvrım kalınlığı
• Beslenme durumu
• Konjenital kalp hastalığı

The relationship between preoperative nutritional status with postoperative mortality and morbidity in congenital heart patients

Öz

Aim: This study aimed to determine the relationship between preoperative nutritional status and postoperative mortality and morbidity in pediatric patients undergoing congenital heart surgery. Material and Methods: The study enrolled 36 pediatric patients, aged between 3 and 60 months, who were hospitalized for congenital heart surgery. Nutritional status assessment involved measuring the triceps skinfold thickness (TSFT) prior to surgery. The investigation focused on establishing associations between the provided preoperative data and various postoperative outcomes, including duration of Intensive Care Unit (ICU) stay, mechanical ventilator requirements, inotrope usage, and 30-day mortality.” Results: In the preoperative period, 8.3% of the patients were below <-1 SD; 66.7% of them were found to be between -1 and +1 SD according to TSFT Z-score charts. There was no statistically significant correlation between preoperative triceps skinfold thickness Z score and extubation time (p=0.523), intensive care unit stay (p=0.551), inotrope intake duration (p=0.889) and 30-day mortality (p>0.05). Conclusion: No significant correlation was found between preoperative nutritional status and postoperative morbidity and mortality in pediatric patients.

Anahtar Kelimeler

• Triceps skinfold thickness
• Nutritional status
• Congenital heart disease

Kaynakça

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