{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T02:26:19Z","timestamp":1792203979773,"version":"4.4.0"},"reference-count":30,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2015,12,16]],"date-time":"2015-12-16T00:00:00Z","timestamp":1450224000000},"content-version":"unspecified","delay-in-days":15,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["journals.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951115002474_abs1\" sec-type=\"intro\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The optimal perioperative feeding strategies for neonates with CHD are unknown. In the present study, we describe the current feeding practices across a multi-institutional cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951115002474_abs2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Inclusion criteria for this study were as follows: all neonates undergoing cardiac surgery admitted to the cardiac ICU for \u2a7e24 hours preoperatively between October, 2013 and July, 2014 in the Pediatric Cardiac Critical Care Consortium registry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951115002474_abs3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The cohort included 251 patients from eight centres. The most common diagnoses included the following: hypoplastic left heart syndrome (17%), coarctation\/aortic arch hypoplasia (18%), and transposition of the great arteries (22%); 14% of the patients were &lt;37weeks of gestational age. The median total hospital length of stay was 21 days (interquartile range (IQR) 14\u201335) and overall mortality was 8%. Preoperative feeding occurred in 133 (53%) patients. The overall preoperative feeding rates across centres ranged from 29 to 79%. Postoperative feeds started on median day 2 (IQR 1\u20134); for patients with hypoplastic left heart syndrome postoperative feeds started on median day 4. Postoperative feeds were initiated in 89 (35%) patients before extubation (range across centres: 21\u201361%). The median cardiac ICU discharge feeding volume was 108 cc\/kg\/day, varying across centres. The mean discharge weight was 280 g above birth weight, ranging from +100 to 430 g across centres. A total of 110 (44%) patients had discharge feeding tubes, ranging from 6 to 80% across centres, and 40\/110 patients had gastrostomy\/enterostomy tubes placed. In addition, eight (3.2%) patients developed necrotising enterocolitis \u2013 three preoperatively and five postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951115002474_abs4\" sec-type=\"conclusion\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this cohort, neonatal feeding practices and outcomes appear to vary across diagnostic groups and institutions. Only half of the patients received preoperative enteral nutrition; almost half had discharge feeding tubes. Multi-institutional collaboration is necessary to determine feeding strategies associated with best clinical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951115002474","type":"journal-article","created":{"date-parts":[[2015,12,16]],"date-time":"2015-12-16T09:56:52Z","timestamp":1450259812000},"page":"1593-1601","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":72,"title":["Perioperative feeding management of neonates with CHD: analysis of the Pediatric Cardiac Critical Care Consortium (PC\n                    <sup>4<\/sup>\n                    ) registry"],"prefix":"10.1017","volume":"25","author":[{"given":"Jeffrey A.","family":"Alten","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie 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