International Journal of Nutrition and Dietetics

The International Journal of Nutrition and Dietetics is a peer-reviewed publication that covers original research articles in Nutritional Sciences, Food Sciences, Food Chemistry, and Dietetics. It focuses on various topics including medical nutrition therapy, public health nutrition, biotechnology, food environment and sustainability, plant-based diets and foods, maternal and child nutrition, malnutrition, food choice and insecurity, food service systems, leadership and management, and dietetics education. The journal also encourages papers on Nutrition Epidemiology and Global Nutritional problems, as well as survey articles on topics like Obesity, Diabetes, and Dietetics Education.

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EARLY NUTRITIONAL INTERVENTION USING THE NUTRITION CARE PROCESS IN A POSTOPERATIVE TETRALOGY OF FALLOT PATIENT: A CASE REPORT

Authors

  • Shivangi Verma
  • Araveti Sumana

Keywords:

hospital malnutrition, nutritional screening, nutritional monitoring and evaluation, nutrition care process, Tetralogy of Fallot

DOI:

https://doi.org/10.17654/2347527725003

Abstract

Hospital-acquired malnutrition is a critical concern, particularly among patients with chronic conditions like Tetralogy of Fallot (TOF). This case report describes the nutritional management of a 20-year-old male patient with severe undernutrition (BMI 15.1 kg/m2) admitted postoperatively for bleeding following TOF correction surgery. Early nutritional screening using the Malnutrition Universal Screening Tool (MUST) guided a multidisciplinary intervention incorporating high-calorie, high-protein diets, oral nutritional supplements (ONS), and culturally appropriate vegetarian options. Enteral feeding was initiated via Ryles tube feeding and progressively transitioned to oral intake with structured diet progression over six days, supporting clinical recovery. The patient demonstrated significant clinical improvement, including feeding tolerance, extubating, and transition to oral intake. This case underscores the importance of early nutritional assessment, individualized nutrition care planning, and gradual diet advancement in optimizing outcomes for malnourished cardiac patients. Integration of standardized nutritional protocols into routine hospital care can enhance recovery and reduce complications in high-risk populations.

Received: June 18, 2025
Accepted: July 18, 2025

References

[1] J. P. Allard, H. Keller, K. N. Jeejeebhoy, M. Laporte, D. R. Duerksen, L. Gramlich, H. Payette, P. Bernier, E. Vesnaver, B. Davidson, A. Teterina and W. Lou, Malnutrition at hospital admission-contributors and effect on length of stay, Journal of Parenteral and Enteral Nutrition 40(4) (2016), 487-497.

https://doi.org/10.1177/0148607114567902.

[2] S. Anghel, K. W. Kerr, A. F. Valladares, K. M. Kilgore and S. Sulo, Identifying patients with malnutrition and improving use of nutrition interventions: A quality study in four US hospitals, Nutrition (Burbank, Los Angeles County, Calif.) (2021), 91-92. 111360.

https://doi.org/10.1016/j.nut.2021.111360.

[3] F. Bellanti, A. Lo Buglio, S. Quiete and G. Vendemiale, Malnutrition in hospitalized old patients: screening and diagnosis, clinical outcomes, and management, Nutrients 14(4) (2022), Article 4.

https://doi.org/10.3390/nu14040910.

[4] A. R. Cass and K. E. Charlton, Prevalence of hospital-acquired malnutrition and modifiable determinants of nutritional deterioration during inpatient admissions: A systematic review of the evidence, Journal of Human Nutrition and Dietetics 35(6) (2022), 1043-1058. https://doi.org/10.1111/jhn.13009.

[5] R. Cortes, A. M. Yañez, L. Capitán-Moyano, A. Millán-Pons and M. Bennasar-Veny, Evaluation of different screening tools for detection of malnutrition in hospitalised patients, J. Clin. Nurs. 33(12) (2024), 4759-4771.

https://doi.org/10.1111/jocn.17170.

[6] R. Cortés-Aguilar, N. Malih, M. Abbate, S. Fresneda, A. Yañez and M. Bennasar-Veny, Validity of nutrition screening tools for risk of malnutrition among hospitalized adult patients: A systematic review and meta-analysis, Clinical Nutrition 43(5) (2024), 1094-1116. https://doi.org/10.1016/j.clnu.2024.03.008.

[7] M. S. Horenstein, J. Diaz-Frias and M. Guillaume, Tetralogy of Fallot, StatPearls Publishing, 2025. http://www.ncbi.nlm.nih.gov/books/NBK513288/

[8] J. F. B. Inciong, A. Chaudhary, H. S. Hsu, R. Joshi, J. M. Seo, L. V. Trung, W. Ungpinitpong and N. Usman, Hospital malnutrition in northeast and southeast Asia: A systematic literature review, Clinical Nutrition ESPEN 39 (2020), 30-45.

https://doi.org/10.1016/j.clnesp.2020.06.001.

[9] M. Lorente, M. J. Azpiroz, P. Guedes, R. Burgos, A. Lluch and L. Dos, Nutrition, dietary recommendations, and supplements for patients with congenital heart disease, International Journal of Cardiology Congenital Heart Disease 12 (2023), 100449. https://doi.org/10.1016/j.ijcchd.2023.100449.

[10] D. Monov and N. Molodozhnikova, Biochemical parameters as a tool to assess the nutritional status of patients with amyotrophic lateral sclerosis, Front. Neurol. 14 (2024), 1258224. https://doi.org/10.3389/fneur.2023.1258224.

[11] C. Naughton, R. Simon, T. J. White, M. de Foubert, H. Cummins and D. Dahly, Mealtime and patient factors associated with meal completion in hospitalised older patients: An exploratory observation study, Journal of Clinical Nursing 30(19-20) (2021), 2935-2947. https://doi.org/10.1111/jocn.15800.

[12] C. Baldwin, Oral Nutrition Support to Prevent and Treat Undernutrition, M. Hickson, S. Smith and K. Whelan, eds., Advanced Nutrition and Dietetics in Nutrition Support, Wiley-Blackwell, 2018, Chapter 4.3.

https://doi.org/10.1002/9781118993880.ch4.3.

[13] A. Skipper, Applying the Nutrition Care Process: Nutrition Diagnosis and Intervention, 29(6) (2007).

[14] I. M. Y. van Vliet, A. W. Gomes-Neto, M. F. C. de Jong, H. Jager-Wittenaar and G. J. Navis, High prevalence of malnutrition both on hospital admission and predischarge, Nutrition 77 (2020), 110814.

https://doi.org/10.1016/j.nut.2020.110814.

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Published

2025-08-02

Issue

Vol. 11 (2025)

Section

Articles

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How to Cite

EARLY NUTRITIONAL INTERVENTION USING THE NUTRITION CARE PROCESS IN A POSTOPERATIVE TETRALOGY OF FALLOT PATIENT: A CASE REPORT. (2025). International Journal of Nutrition and Dietetics, 11, 29-36. https://doi.org/10.17654/2347527725003

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