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| Format: | Artículo científico |
| Language: | pt |
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Sociedade Brasileira de Cirurgia Cardiovascular
2014
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| Online Access: | https://www.redalyc.org/articulo.oa?id=398941893019 |
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Table of Contents:
- Evolução pondero-estatural de crianças com cardiopatias congênitas submetidas a tratamento cirúrgico Murilo Bertazzo Peres Ulisses Alexandre Croti Moacir Fernandes de Godoy Carlos Henrique De Marchi Sírio Hassem Sobrinho Lilian Beani Airton Camacho Moscardini Domingo Marcolino Braile Medicina Growth Operation Anthropometry Child Development Congenital heart disease Objective: To evaluate the height and weight development of children with congenital heart disease undergoing surgery with the goal of determining when they reach the threshold of normal development and whether there are differences between patients with developmental pattern below the level of normality preop - eratively (z-score<-2 for the analyzed parameter) in comparison to the total group of cardiac patients. Methods: We prospectively followed up 27 children under - going operation into five time periods: preoperatively and at four subsequent outpatient appointments: 1 st month, 3 rd month, 6 th month and 12 th month after hospital discharge. The anthro - pometric parameters used were median z-score (MZ), weight (WAZ), height (HAZ), subscapular skinfold (SSFAZ), upper arm circumference (UAC) and triceps skinfold (TSFAZ). The evolu - tion assessment of the parameters was performed by analysis of variance and comparison with the general normal population from unpaired t test, both in the total group of cardiac patients, and in subgroups with preoperative parameters below the normal level (Zm<-2 ). Results: In the total group there was no significant evolution of MZ of all parameters. WAZ was statistically lower than the normal population until the 1 st month of follow-up ( P =0.028); HAZ only preoperatively ( P =0.044), SSFAZ in the first month ( P =0.015) and at 12 th month ( P =0.038), UAC and TSFAZ were always statistically equal to the general population. In patients whose development was below the level of normality, there were important variation of WAZ ( P =0.002), HAZ ( P =0.001) and UAC ( P =0.031) after the operation, and the WAZ was lower than the normal population until the 3 rd month ( P =0.015); HAZ and UAC, until the first month ( P =0.024 and P =0.039 respectively), SSFAZ, up to the 12 th month ( P =0.005), the TSFAZ only preoperatively ( P =0.011). Conclusion: The operation promoted the return to normalcy for those with heart disease in general within up to three months, but for the group of patients below normal developmental pattern of the return occurred within 12 months. 2014 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941893019 pt http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.2 Vol.29