{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T16:43:38Z","timestamp":1782146618642,"version":"3.54.5"},"reference-count":42,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2020,8,3]],"date-time":"2020-08-03T00:00:00Z","timestamp":1596412800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951120002073_as1\"><jats:title>Objectives:<\/jats:title><jats:p>Infants with CHD requiring positive pressure ventilation via tracheostomy are especially vulnerable to malnutrition following cardiac surgery. Current post-operative feeding recommendations may overestimate the caloric needs.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002073_as2\"><jats:title>Design:<\/jats:title><jats:p>We retrospectively studied infants requiring tracheostomy after cardiac surgery. Anthropometric and nutritional data were collected, including caloric goals, weight-for-age z score, length-for-age z score, and weight-for-length z score. Changes in anthropometrics over time were compared to ascertain the impact of nutritional interventions. Data were shown as mean \u00b1 standard deviation.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002073_as3\"><jats:title>Results:<\/jats:title><jats:p>Nineteen infants with CHD required tracheostomy at 160 \u00b1 109 days (7\u2013364 days), 13 had reparative surgery, and 6 had palliative surgery for single ventricle. The indications for tracheostomy consisted of airway abnormality\/obstruction (n = 13), chronic respiratory failure (n = 7), and\/or vocal cord paresis (n = 2). Initial maintenance nutritional target was set at 100\u2013130 cal\/kg per day. Fourteen patients (73.7%) became obese (maximum weight-for-length z score: 2.59 \u00b1 0.47) under tracheostomy and gastrostomy feeding, whereas five patients did not (weight-for-length z score: 0.2 \u00b1 0.83). Eight obese patients (weight-for-length z score: 2.44 \u00b1 0.85) showed effective reduction of obesity within 6 months (weight-for-length z score: 0.10 \u00b1 0.20; p &lt; 0.05 compared with pre-adjustment) after appropriate feeding adjustment (40\u201390 cal\/kg per day). Overall mortality was high (31.6%) in this population.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951120002073_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>Standard nutritional management resulted in overfeeding and obesity in young children with CHD requiring positive pressure ventilation via tracheostomy. Optimal nutritional management in this high-risk population requires close individualised management by multidisciplinary teams.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951120002073","type":"journal-article","created":{"date-parts":[[2020,8,3]],"date-time":"2020-08-03T08:42:52Z","timestamp":1596444172000},"page":"1397-1404","source":"Crossref","is-referenced-by-count":5,"title":["Overfeeding and obesity in young children with positive pressure ventilation via tracheostomy following cardiac surgery"],"prefix":"10.1017","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8110-1388","authenticated-orcid":false,"given":"Takeshi","family":"Tsuda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David 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