Development of Weight and Height Age z-Score after Total Cavopulmonary Connection

Carlo Bilic; Helena Staehler; Carolin Niedermaier; Thibault Schaeffer; Magdalena Cuman; Paul Philipp Heinisch; Melchior Burri; Nicole Piber; Alfred Hager; Peter Ewert; Jürgen Hörer; Masamichi Ono

doi:10.1055/a-2158-1119

August 22, 2023The Thoracic and Cardiovascular SurgeonOpen Access

Development of Weight and Height Age z-Score after Total Cavopulmonary Connection

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Key Points

To evaluate somatic growth and identify factors that influence postoperative catch-up growth in patients receiving a total cavopulmonary connection.
Assessed 309 patients aged 4 years or younger who underwent total cavopulmonary connection between 1994 and 2021.
Calculated weight-for-age z-scores (WAZ) and height-for-age z-scores (HAZ) at the time of surgery and between 1 and 3 years postoperatively to determine predictors of somatic growth.
A significant catch-up growth occurred in weight-for-age z-scores following surgery, but no significant catch-up was observed in height-for-age z-scores.
Prior bidirectional cavopulmonary shunt served as a protective factor for somatic development at the time of surgery (OR: 0.30, P=0.028).
Hypoplastic left heart syndrome treated with a Norwood procedure was identified as a risk factor for impaired somatic development after surgery.

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Implication

Shows catch-up growth in weight but not height after total cavopulmonary connection in young children, indicating hypoplastic left heart syndrome impairs somatic development.

Abstract

OBJECTIVE: We aimed to analyze somatic growth of patients after total cavopulmonary connection (TCPC) as well as to identify factors influencing postoperative catch-up growth. METHODS: A total of 309 patients undergoing TCPC at 4 years old or less between 1994 and 2021 were included. Weight for age z-score (WAZ) and height for age-z-score (HAZ) at TCPC and at postoperative time between 1 and 3 years were calculated. Factors influencing somatic growth were analyzed. RESULTS: = 0.028, OR: 0.30) at TCPC. CONCLUSION: In patients undergoing TCPC at the age of 4 years or less, a significant catch-up growth was observed in WAZ after TCPC, but not in HAZ. Previous BCPS resulted to be a protective factor for a better somatic development at TCPC. HLHSs undergoing Norwood were considered as risks for somatic development after TCPC.

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Bilic et al. (2023) studied this question.

synapsesocial.com/papers/69fcf3d1f9b1bbfa2c26ff0a https://doi.org/10.1055/a-2158-1119

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Development of Weight and Height Age z-Score after Total Cavopulmonary Connection

Key Points

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Implication

Abstract

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Cite This Study

Development of Weight and Height Age z-Score after Total Cavopulmonary Connection

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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