congenital heart disease Heart Defects, Congenital
Conditions
Interventions
Eligible participants will receive an early feeding and swallowing rehabilitation protocol from postoperative day 1 until the earlier of re-establishment of oral feeding or ICU discharge. The interven
otherwise, indirect swallowing training alone will be continued. Feeding screening will be repeated daily until direct swallowing training is started.
Rehabilitation
Sponsors
Tsubokura Shin
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients diagnosed with congenital heart disease by echocardiography performed by a pediatric cardiologist. Patients scheduled to undergo cardiac surgery classified as STAT mortality category 3 to 5. Patients aged 1 month or older and younger than 12 months at the time of surgery. Patients with established preoperative oral feeding of at least 50 kcal/kg/day without supplemental tube feeding or parenteral nutrition. Patients admitted to the PICU for postoperative management after surgery. Patients whose legally authorized representative provides informed consent.
Exclusion criteria
Exclusion criteria: Patients who do not undergo cardiopulmonary bypass during surgery. Patients receiving supplemental tube feeding or parenteral nutrition preoperatively. Patients with cleft lip and/or cleft palate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| duration from surgery to the re-establishment of oral feeding | — |
Secondary
| Measure | Time frame |
|---|---|
| duration from surgery to hospital discharge | — |
Contacts
Public ContactShin Tsubokura
National Center for Child Health and Development
Outcome results
None listed