Catch-up growth in children after repair of Tetralogy of Fallot

Autor(es)

Carmona, Fabio ^[1] ; Hatanaka, Lucas S. ^[1] ; Barbieri, Marco A. ^[1] ; Bettiol, Heloisa ^[1] ; Toffano, Roseli B. D. ^[1] ; Monteiro, Jacqueline P. ^[1] ; Manso, Paulo H. ^[1] ; Carlotti, Ana P. C. P. ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Dept Paediat, Hosp Clin, Fac Med Ribeirao Preto, BR-14049900 Ribeirao Preto, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: CARDIOLOGY IN THE YOUNG; v. 22, n. 5, p. 507-513, OCT 2012.
• Citações Web of Science: 2

Resumo

Purpose: To evaluate the growth of children after repair of Tetralogy of Fallot, as well as the influence of residual lesions and socio-economic status. Methods: A total of 17 children, including 10 boys with a median age of 16 months at surgery, were enrolled in a retrospective cohort, in a tertiary care university hospital. Anthropometric (as z-scores), clinical, nutritional, and social data were collected. Results: Weight-for-age and weight-for-height z-scores decreased pre-operatively and recovered post-operatively in almost all patients, most markedly weight for age. Weight-for-height z-scores improved, but were still lower than birth values in the long term. Long-term height-for-age z-scores were higher than those at birth, surgery, and 3 months post-operatively. Most patients showed catch-up growth for height for age (70%), weight for age (82%), and weight for height (70%). Post-operative residual lesions (76%) influenced weight-for-age z-scores. Despite the fact that most patients (70%) were from low-income families, energy intake was above the estimated requirement for age and gender in all but one patient. There was no influence of socio-economic status on pre- and post-operative growth. Bone age was delayed and long-term-predicted height was within mid-parental height limits in 16 children (93%). Conclusion: Children submitted to Tetralogy of Fallot repair had pre-operative acute growth restriction and showed post-operative catch-up growth for weight and height. Acute growth restriction could still be present in the long term. (AU)

• Processo FAPESP: 07/05180-6 - Recuperação do crescimento em crianças submetidas à correção de Tetralogia de Fallot
• Beneficiário: Lucas Seiji Hatanaka
• Modalidade de apoio: Bolsas no Brasil - Iniciação Científica