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Abstract Congenital heart diseases (CHDs) are the most common birth defects with an incidence of approximately 6-8 in 1,000 live births. Malnutrition is defined as a state of poor nutrition and failure of growth. Failure of growth exists when weight or weight for height, is less than 2 standard deviations below the mean for sex and age, weight is less than the third centile, or weight for age has a z value of less than -2.0. The concept of ―prehabilitation,‖ essentially preparing the patient for the upcoming insult and major metabolic stress, has gained momentum and is of keen interest in many surgical circles. Prehabilitation program was prepared and applied on 40 patients (group A who received nutrition 2 weeks before surgery and group B who received nutrition 1 week before surgery) inside the postoperative pediatric CICU. Data gained from the 40 patients was statistically studied The results were as follows; postoperative complications and mortality were statistically lower in group A, furthermore, postoperative weight gain duration of mechanical ventilation, length of hospital stay showed significant difference between both groups.Many of recent studies carried out for the pediatric patients in the CICU have similar results to our study. Some other studies have better results than our study. We concluded that the nutritional and other clinical outcomes as well as fate of the patients was markedly improved after application of the prehabilitation nutritional program. from our results, we recommend that nutrition delivered to the patients in the ICU should be guided by prehabilitation program and that the regular assessment of the nutritional status of the patients clinically and laboratory. |