NUTRITIONAL STATUS IN CHILDREN WITH CONGENITAL HEART DISEASE IN DR M DJAMIL HOSPITAL PADANG 2017
Prima Prima,Gustina Lubis,Didik Hariyanto,Nice Rachmawati
Bagian Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Andalas
Background : Malnutrition has been recognized as common systemic complications of congenital heart disease (CHD). The global prevalence of CHD related malnutrition varies widely from 27% up to 90.4%. Study in Jakarta in 2009 got the prevalence of undernutrition in CHD children was 51.1%, with 22.3% severe malnutrition. This study was aimed to identify the nutritional characteristics in children suffering from CHD in Dr. M. Djamil Hospital Padang.
Material : A retrospective study of children with CHD from patient’s medical records treated from January to December 2017. Diagnosis of congenital heart disease was obtained based on echocardiography and nutritional status was established by using WHO charts for children younger than 5 years and CDC 2000 for children aged over 5 year.
Results : We had total 50 cases with 70% were aged 1-59 months and 52% of them were male. Thirty-six patients were acyanotic and 14 patients with cyanotic lesions. Wasted patients were 84% and stunted were 74%. Prevalence of undernutrition in children with CHD was 30%, and 24% patient with severe malnutrition. There are only 7 cases (14%) has been done the surgery. Weight was affected more than length in acyanotic (60% vs 48%). But in cyanotic, weight and length affected equally (24% vs 24%). Eleven of 36 (30,5%) acyanotic patients are with undernutrition and 10 of 36 (27,7%) are severe malnutrition. In cyanotic, patients with mild malnutrition and severe malnutrition are equally 3 out of 11 (27,2%).
Conclusions : Children with CHD have risk suffering from malnutrition. It is essential to monitor growth and to give adequate nutrition support to improve growth in patient with CHD.