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Article: Postnatal growth in Southern Chinese children with symptomatic congenital heart disease

TitlePostnatal growth in Southern Chinese children with symptomatic congenital heart disease
Authors
KeywordsCongenital heart disease
Ethnicity
Gender differences
Growth retardation
Haemodynamic disturbances
Nutritional influences
Surgical intervention
Issue Date2000
PublisherFreund Publishing House, Ltd. The Journal's web site is located at http://www.freundpublishing.com/Journal_Pediatric_Endocrinology_Metabolism/JPEMprev.htm
Citation
Journal Of Pediatric Endocrinology And Metabolism, 2000, v. 13 n. 4, p. 387-401 How to Cite?
AbstractMany Western children with congenital heart disease (CHD) show significant growth retardation. In this study postnatal growth was examined in Chinese children with symptomatic CHD in Hong Kong, in relation to their diagnosis and the time of surgery. 363 children of four years old or younger, who were admitted at Grantham Hospital, Hong Kong, in 1994 and 1995, were subdivided into six diagnostic categories and categorised into cyanotic and acyanotic groups. While a reduced birth weight SDS was present in 18% of patients, at the time of operation approximately 40% of them had subnormal weight and height values. Girls were more impaired in weight and weight-for- height than boys (-1.90 SDS vs -1.52 SDS, and -0.90 SDS vs -0.46 SDS, respectively). Children with acyanotic lesions were more affected in growth than those with cyanotic lesions, but they were also operated on at an older age than children in the latter group. Left to right shunt and common intracardiac mixing were particularly associated with wasting; transposition of the great arteries and pulmonary outflow tract obstruction with stunting; while children with left ventricular outflow obstruction revealed a proportional growth retardation in weight and height. Age at operation did not seem to have an independent effect on postnatal growth in children with CHD. As with Western children, growth retardation is a common feature in Chinese children with symptomatic cardiac defects. Haemodynamics, age at operation and nutritional influences are discussed as potential aetiologic factors.
Persistent Identifierhttp://hdl.handle.net/10722/80156
ISSN
2015 Impact Factor: 0.912
2015 SCImago Journal Rankings: 0.493
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorJacobs, EGJen_HK
dc.contributor.authorLeung, MPen_HK
dc.contributor.authorKarlberg, JPen_HK
dc.date.accessioned2010-09-06T08:03:03Z-
dc.date.available2010-09-06T08:03:03Z-
dc.date.issued2000en_HK
dc.identifier.citationJournal Of Pediatric Endocrinology And Metabolism, 2000, v. 13 n. 4, p. 387-401en_HK
dc.identifier.issn0334-018Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/80156-
dc.description.abstractMany Western children with congenital heart disease (CHD) show significant growth retardation. In this study postnatal growth was examined in Chinese children with symptomatic CHD in Hong Kong, in relation to their diagnosis and the time of surgery. 363 children of four years old or younger, who were admitted at Grantham Hospital, Hong Kong, in 1994 and 1995, were subdivided into six diagnostic categories and categorised into cyanotic and acyanotic groups. While a reduced birth weight SDS was present in 18% of patients, at the time of operation approximately 40% of them had subnormal weight and height values. Girls were more impaired in weight and weight-for- height than boys (-1.90 SDS vs -1.52 SDS, and -0.90 SDS vs -0.46 SDS, respectively). Children with acyanotic lesions were more affected in growth than those with cyanotic lesions, but they were also operated on at an older age than children in the latter group. Left to right shunt and common intracardiac mixing were particularly associated with wasting; transposition of the great arteries and pulmonary outflow tract obstruction with stunting; while children with left ventricular outflow obstruction revealed a proportional growth retardation in weight and height. Age at operation did not seem to have an independent effect on postnatal growth in children with CHD. As with Western children, growth retardation is a common feature in Chinese children with symptomatic cardiac defects. Haemodynamics, age at operation and nutritional influences are discussed as potential aetiologic factors.en_HK
dc.languageengen_HK
dc.publisherFreund Publishing House, Ltd. The Journal's web site is located at http://www.freundpublishing.com/Journal_Pediatric_Endocrinology_Metabolism/JPEMprev.htmen_HK
dc.relation.ispartofJournal of Pediatric Endocrinology and Metabolismen_HK
dc.subjectCongenital heart diseaseen_HK
dc.subjectEthnicityen_HK
dc.subjectGender differencesen_HK
dc.subjectGrowth retardationen_HK
dc.subjectHaemodynamic disturbancesen_HK
dc.subjectNutritional influencesen_HK
dc.subjectSurgical interventionen_HK
dc.titlePostnatal growth in Southern Chinese children with symptomatic congenital heart diseaseen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0334-018X&volume=13&issue=4&spage=387&epage=401&date=2000&atitle=Postnatal+Growth+in+Southern+Chinese+Children+with+Symptomatic+Congenital+Heart+Diseaseen_HK
dc.identifier.emailKarlberg, JP: jpekarl@hkucc.hku.hken_HK
dc.identifier.authorityKarlberg, JP=rp00400en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid10776993-
dc.identifier.scopuseid_2-s2.0-0034038439en_HK
dc.identifier.hkuros54399en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034038439&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume13en_HK
dc.identifier.issue4en_HK
dc.identifier.spage387en_HK
dc.identifier.epage401en_HK
dc.identifier.isiWOS:000086402500006-
dc.publisher.placeIsraelen_HK
dc.identifier.scopusauthoridJacobs, EGJ=7201382540en_HK
dc.identifier.scopusauthoridLeung, MP=7201944800en_HK
dc.identifier.scopusauthoridKarlberg, JP=7005218406en_HK

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