Swallowing difficulties in the different forms of food supply in congenital heart disease infants
a systematic review
DOI:
https://doi.org/10.23925/2176-2724.2023v35i1e57102Keywords:
Infant, Heart Diseases, Deglutition, Breast Feeding, Nursing BottlesAbstract
Introduction: The safest way of feeding babies with heart disease can be a challenge for the multidisciplinary team to choose. Objective: To identify the main swallowing difficulties in the different forms of feeding in infants with congenital heart disease. Methods: The guiding question was: “What are the main swallowing difficulties in the different forms of feeding in infants with congenital heart disease?”. The population was defined as infants with heart disease, considering breastfeeding as exposure of interest and bottle feeding considered a comparison group. Swallowing difficulties were considered the outcome. Articles without language restriction were selected, regardless of the year of publication until April 2019, which presented in the title, abstract or body of the article a relationship with the objective of the research and the eligibility criteria, with an observational design. After data extraction, the measurements were transformed into percentages and described in a qualitative synthesis. Results: A total of 828 articles were found, and after analysis, 11 articles were included in total. The main difficulties presented by infants with heart disease at the mother’s breast were coughing, choking, cyanosis, drop in peripheral oxygen saturation and incoordination between sucking, breathing and swallowing. The swallowing difficulties most found in the offer of the mother’s breast were: cough, choking, cyanosis, drop in saturation, incoordination between sucking-breathing-swallowing, fatigue, oral leakage, prolonged feeding time, inadequate lip sealing, inadequate nipple grip, and altered cervical auscultation. Conclusion: Infants with heart disease have swallowing difficulties both in the mother’s breast and in the bottle, with a higher frequency of presentations of difficulties being observed with the bottle.
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Mitchell SC,Korones SB,Berendes HW. Congenital Heart Disease in 56,109 Births: Incidence and Natural History. American Heart Association, Dallas – Texas.1997; 323-332. doi:10.1161/01.cir.43.3.323.
Belo WA, Oslame GB, Neves EB. Clinical and hospital profile of children with congenital heart disease. Cad. Saúdecolet. 2016; 24(2); 216-220. doi: 10.1590/1414-462X201600020258.
Hoffmann JIE, Kaplan S. The Incidence of Congenital Heart Disease. Journal of the American College of Cardiology, Los Angeles – California. 2002; 39 (12); 1890-1900. doi: 10.1016/s0735-1097(02)01886-7.
Palladino RRR, Machado FP, Cunha MC. Recomendações fonoaudiológicas para mães de bebês cardiopatas: algumas reflexões. Distúrbios Comun. São Paulo. 2015; 27(3); 621-628.
Cappellesso VR, Aguiar AP. Cardiopatias congênitas em crianças e adolescentes: caracterização clínico-epidemiológica em um hospital infantil de Manaus-AM. O Mundo da Saúde, São Paulo. 2017; 41(2); 144-153.doi: 10.15343/0104-7809.20174102144153.
Monteiro FPM, Araujo TL, Lopes MVO, Chaves DBR, Beltrão BA, Costa AGS. Estado nutricional de crianças com cardiopatias congênitas. Rev. Latino-Am. Enfermagem; Ribeirão Preto. 2012; 20(6): 1024-27. doi:10.1590/S0104-11692012000600003.
Lefton-Greif MA. Pediatric Dysphagia. Phys Med RehabilClin N Am. 2008; 19(4): 837-51.doi:10.1016/j.pmr.2008.05.007.
Souza PC, Gigoski VS, Etges CL, Barbosa LR. Achados da avaliação clínica da deglutição em lactentes cardiopatas pós-cirúrgicos. CoDAS. 2018; 30(1): 1-8.doi: 10.1590/2317-1782/20182017024.
Darrow, D; Harley, CM. Evaluation of swallowing disorders in children. Dysphagia in children, adults and geriatrics, Virginia. 1998; 31(3): 405-418.doi: 10.1016/s0030-6665(05)70061-x.
Hiorns MP, Ryan MM. Current practice in pediatric videofluoroscopy. Pediatric Radiology. London. 2006;36(9): 911-9.doi: 10.1007/s00247-006-0124-3.
Higgins JPT, Sally G. Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0. 2011.
Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PloS Med. 2009. 1; 6(7): e1000097. doi: 10.1371/journal.pmed.1000097.
Bai A, Shukla VK, Bak G, Wells G. Quality Assessment Tools Project Report. Ottawa: CanadianAgency for Drugsand Technologies in Health. 2012. 13: 45-57. doi: 10.1016/S1697-2600(13)70007-3.
Tregay J, Brown K, Crowe S, Bull C, Knowles R, Wray J. “I was so worried about every drop of milk” – feeding problems at home are a significant concern for parents after major heart surgery in infancy. Matern Child Nutr. 2017;13(2). doi: 10.1111/mcn.12302.
Clemente C, Barnes J, Shinebourne E, Stein A. Are infant behavioural feeding difficulties associated with congenital heart disease?.ChildCare Health Dev. 2001; 27(1): 47-59. doi: 10.1046/j.1365-2214.2001.00199.x.
Jadcherla SR, Vijayapal AS, Leuthner S. Feeding abilities in neonates with congenital heart disease: a retrospective study. J Perinatol. 2009; 29(2): 112-8. doi: 10.1038/jp.2008.136.
Pereira KR, Levy DS. Avaliação de deglutição em lactentes portadores de cardiopatia congênita: série de casos. Porto Alegre: Universidade Federal do Rio Grande do Sul. 2012.
Almeida TM, Germini MFCA, Magnoni D, Souza A. Intervenção fonoaudiológica em criança com cardiopatia congênita: Relato de caso. Ver SocCardiol Estado de São Paulo. 2013;23(2 Supl A): 9-12.
Marino B, O‘Brien P, LoRe H. Oxygen Saturations During Breast and Bottle Feedings in Infants With Congenital Heart Disease. J PediatrNurs. 1995; 10(6): 360-4.doi: 10.1016/S0882-5963(05)80033-8.
Miranda VG, Souza PC, Etges CL, Barbosa LR. Parâmetros cardiorrespiratórios em bebês cardiopatas: variações durante a alimentação.CoDAS. 2019;3(2). doi:10.1590/2317-1782/20182018153.
Pereira KR, Firpo C, Gasparin M, Teixeira AR, Dornelles S, Bacaltchuk T, et al. Evaluation of Swallowing in Infants with Congenital Heart Defect. Int Arch Otorhinolaryngol, Rio de Janeiro. 2015. 55-60. doi: 10.1055/s-0034-1384687
Rickman R. Breastfeeding infants with congenital heart disease. Monografia (Nutrição) –Acadêmico, Philadelphia. 2017.
Fronteira I. Estudos Observacionais na Era da Medicina Baseada na Evidência: Breve Revisão Sobre a Sua Relevância, Taxonomia e Desenhos. Acta Médica Portuguesa. 2013; 26(2). 161-170.
Fraga DF, Pereira KR, Dornelles S, Olchik MR, Levy DS. Avaliação da deglutição em lactentes com cardiopatia congênita e síndrome de Down: estudo de casos. Rev. CEFAC. 2015; 17(1),277-285. doi: 10.1590/1982-0216201514613.
Paula A, Botelho I, Silva AA, Rezende JMM, Farias C, Mendes L. Avaliação da disfagia pediátrica através da videoendoscopia da deglutição. Rev. Bras. Otorrinolaringol. São Paulo. 2002; 68(1). doi: 10.1590/S0034-72992002000100016.
Furkim AM, Santini CRQ. Disfagias Orofaríngeas. v.1. Pró-Fono. 1999. 223-268.
Barbosa LR, Gomes E, Fischer GB. Sinais clínicos de disfagia em lactentes com bronquiolite viral aguda. Rev. Paul. Pediatr. 2014; 32(3). doi: 10.1590/0103-0582201432302.
Silva MHA, Fujinaga CI, Leite AM, Silva AA, Junior MLC, Scochi CGS. Efeitos da sucção à mamadeira e ao seio materno em bebês prematuros. Rev Rene, Fortaleza. 2011; 12(1): 81-7. doi: 10.15253/2175-6783.20110001000011.
Pandovani AR, Moraes DP, Sassi FC, Andrade CRF. Avaliação clínica da deglutição em unidade de terapia intensiva. CoDAS. 2013; 25(1).1-7.
Hernandez A,Bianchini E. Swallowing Analyses of Neonates and Infants in Breastfeeding and Bottle-feeding: Impact on Videofluoroscopy Swallow Studies. Int Arch Otorhinolaryngol. 2019; 23 (3). doi:10.1055/s-0039-1677753.
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Copyright (c) 2023 Nayara Bertozo Mendes Silva, Vanessa Souza Gigoski de Miranda, Lisiane De Rosa Barbosa
This work is licensed under a Creative Commons Attribution 4.0 International License.
