{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T19:50:41Z","timestamp":1773431441157,"version":"3.50.1"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T00:00:00Z","timestamp":1689120000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951123001580_as1\"><jats:title>Introduction:<\/jats:title><jats:p>Enteral feeding prior to cardiac surgery has benefits in pre-operative and post-operative patient statuses. In 2020, to increase pre-operative feeding for single-ventricle patients prior to stage 1 palliation, an enteral feeding algorithm was created. The aim of this study is to monitor the impact of our practice change with the primary outcome of necrotising enterocolitis incidence from birth to 2 weeks following surgical intervention.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951123001580_as2\"><jats:title>Methods:<\/jats:title><jats:p>This is a single-site, retrospective cohort study including patients from 1 March, 2018 to 1 July, 2022. Variables assessed include demographics, age at cardiac surgery, primary cardiac diagnosis, necrotising enterocolitis pre-operative and 2 weeks post-operative cardiac surgery, feeding route, feeding type, volume of trophic enteral feeds, and near-infrared spectroscopy.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951123001580_as3\"><jats:title>Results:<\/jats:title><jats:p>Following implementation of a pre-operative enteral feeding algorithm, the rate of neonates fed prior to surgery increased (39.5\u201375%, p = .001). The feedings included a mean volume of 28.24 \u00b1 11.16 ml\/kg\/day, 83% fed breastmilk only, 44.4% tube fed, and 55.5% of infants had all oral feedings. Comparing enterally fed neonates and those not enterally fed, the necrotising enterocolitis incidence from birth to 2 weeks post-op was not significantly increased (p = 0.926).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951123001580_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>As a result of implementing our feeding algorithm, the frequency of infants fed prior to stage I Norwood or Hybrid surgeries increased to 75%, and there was no significant change in the incidence of necrotising enterocolitis. This study confirmed that pre-operative enteral feeds are safe and are not associated with increased incidence of necrotising enterocolitis.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951123001580","type":"journal-article","created":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T06:42:29Z","timestamp":1689144149000},"page":"364-369","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Pre-operative enteral feeding in single-ventricle CHD patients and necrotising enterocolitis risk"],"prefix":"10.1017","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9371-2302","authenticated-orcid":false,"given":"Lucy B.","family":"Pappas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori A.","family":"Erickson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy M.","family":"Ricketts","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew L.","family":"Moehlmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron M.","family":"Hahn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1922-4998","authenticated-orcid":false,"suffix":"IV","given":"John M.","family":"Daniel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,7,12]]},"reference":[{"key":"S1047951123001580_ref7","doi-asserted-by":"publisher","DOI":"10.3390\/nu13030932"},{"key":"S1047951123001580_ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-023-04810-x"},{"key":"S1047951123001580_ref12","doi-asserted-by":"publisher","DOI":"10.1177\/2150135116668833"},{"key":"S1047951123001580_ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-021-02691-1"},{"key":"S1047951123001580_ref2","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2019-0111"},{"key":"S1047951123001580_ref14","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197801000-00001"},{"key":"S1047951123001580_ref17","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1390349"},{"key":"S1047951123001580_ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-022-02837-9"},{"key":"S1047951123001580_ref6","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2019-318537"},{"key":"S1047951123001580_ref4","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11143987"},{"key":"S1047951123001580_ref20","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-010-9839-x"},{"key":"S1047951123001580_ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-014-0931-5"},{"key":"S1047951123001580_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(16)34975-6"},{"key":"S1047951123001580_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000002133"},{"key":"S1047951123001580_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2019.08.009"},{"key":"S1047951123001580_ref18","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7211691"},{"key":"S1047951123001580_ref8","doi-asserted-by":"publisher","DOI":"10.21037\/pm-20-77"},{"key":"S1047951123001580_ref1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.1107404"},{"key":"S1047951123001580_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12390"},{"key":"S1047951123001580_ref9","doi-asserted-by":"publisher","DOI":"10.1111\/chd.12177"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951123001580","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:09:47Z","timestamp":1708474187000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951123001580\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,12]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["S1047951123001580"],"URL":"https:\/\/doi.org\/10.1017\/s1047951123001580","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,12]]},"assertion":[{"value":"\u00a9 The Author(s), 2023. 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