Hubungan pemakaian pipa nasogastrik terhadap kenaikan berat badan pada anak dengan Penyakit jantung bawaan asianotik

ABSTRACT

Background:

Congenital heart disease (CHD) is heart abnormality developing before birth. It is categorized into acyanotic and cyanotic. Malnutrition is a common problem in children with CHD due to increased energy needs and malabsorption. One of strategies to improve intake of  these children is nasogastric tube (NGT) use. Hence, we analyzed the correlation of NGT use with weight gain in children with acynotic CHD.

Methods:

A prospective cohort study was conducted in infants with acyanotic CHD visiting the Pediatric Outpatient Clinic of Dr. Moewardi General Hospital, Surakarta. All subjects meeting the inclusion criteria were allocated into NGT use and no NGT use groups. We measured the body weight and body length monthly for 3 months. The correlation between the variables was analysed with Chi-square test. All data were statistically analyzed with SPSS 26, and the significance level was set at p<0>

Results:

Thirty two subjects met the inclusion criteria, comprising 17 subjects with NGT and 15 subjects without NGT. However, 2 subjects in NGT group deceased due to severe infection. The correlation test obtained that the use NGT significantly correlated with weight increament, in which subjects on NGT had a greater weight gain (435 g/month)  than that of no NGT use (285 g/month) with OR  and p-value of 6.00 and 0.025, respectively.

Conclusions: In infants with acynotic CHD, the use of NGT significantly correlates with weight gain. Thus, NGT can be an effective strategy to increase weight of these infants.