Perioperative energy expenditure in children with congenital heart disease / 国际儿科学杂志

ABSTRACT

Congenital heart disease(CHD)is the most common congenital developmental defects in chil-dren,with an incidence ranging from 0.3% to 1% in China.Activity energy expenditure and food specific dy-namic effects caused by chronic continuous hypoxia can increase energy expenditure in children with congenital heart disease.Human body component changes and heart failure could also result in energy consumption in-crease,together with feeding deficiency due to oral sensory disorders and disrupted swallowing function,which lead to the increased incidence of malnutrition in children(up to 50%).Surgical trauma and related treatments will make significant metabolism change to the perioperative CHD children,and there has been a high prevalence of deteriorating nutritional status among them.Too much or too little perioperative energy intake are both unfa-vorable to children's clinical outcomes.Therefore,this study intends to review the influence factors of perinatal energy metabolism in children with CHD,to provide evidences of perioperative clinical nutritional support of children with CHD.