Kayla Prezelski, Daniel Villarreal Acha, Tuong-Vi Cindy Ngo, Caitlin Wilson, Vania Thrasher, Kandi Trevino, Cortney Van't Slot, Rami R Hallac, James R Seaward, Alex A Kane
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引用次数: 0
摘要
目标:开设生长与喂养门诊(GFC):唇裂和/或腭裂(CL/P)患者的生长与喂养门诊(GFC)侧重于围绕喂养常规进行早期干预:本研究评估了 GFC 提供的术前喂养干预的效果:地点:三级学术中心:本研究评估了由GFC护理的CL/P患者和对照组CL/P患者。主要结果测量指标:以在唇裂修复时体重达到正常值的体重不足患者人数作为主要结果测量指标:结果:在 GFC 组和对照组中,25% 的 CL/P 患者体重不足(以 WFA Z 分数为准)。体重不足的 GFC 患者接受的门诊就诊次数更多(P P = .0187):这项研究表明,GFC 提供的多学科护理能够针对风险最高的患者进行术前营养干预,从而使唇裂修复时体重正常的患者比例增加了一倍。这些结果为多学科团队护理唇裂婴儿可显著改善疗效的论断提供了客观证明。
A Dedicated Multidisciplinary Growth and Feeding Clinic for Infants with Cleft Lip and/or Palate Demonstrates Need for Intervention.
Objective: A Growth and Feeding Clinic (GFC) focused on early intervention around feeding routines in patients with cleft lip and/or palate (CL/P) was implemented.
Design: This study assessed the effect of preoperative feeding interventions provided by the GFC.
Setting: Tertiary academic center.
Methods: This study evaluated patients with CL/P who were cared for by the GFC and a control group of patients with CL/P. Weight-for-age (WFA) Z-score of less than -2.00 was used as a cutoff to classify patients who were underweight during the preoperative period.
Main outcome measure: The number of underweight patients who were able to reach normal weight by the time of their cleft lip repair was used as the primary outcome measure.
Results: Within both the GFC and control groups, 25% of patients with CL/P were underweight as determined by WFA Z-score. GFC patients who were underweight received more clinic visits (P < .001) and GFC interventions (P < .001) compared to GFC patients who were normal weight. At the time of cleft lip surgery, 64.1% of GFC underweight patients were normal weight compared to 31.8% of control group underweight patients (P = .0187).
Conclusion: This study showed that multidisciplinary care provided by the GFC was able to target preoperative nutritional interventions to the highest-risk patients, resulting in double the percentage of patients who were of normal weight at the time of their cleft lip repair. These results provide objective proof supporting the assertion that multidisciplinary team care of the infant with cleft leads to measurable improvement in outcomes.
期刊介绍:
The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.