OBJECTIVE: To describe developmental and functional outcomes of children with congenital heart defects (CHDs) at school entry after open heart surgery. STUDY DESIGN: Infants with CHDs who underwent surgical repair in infancy were recruited and assessed prospectively for developmental progress. At 5 years of age (64.2 +/- 11.3 months), 94 subjects were evaluated in a blind fashion by using a variety of standardized measures. RESULTS: Mean IQ scores were in the low average range (90-94). Receptive language was in the average range (103.6 +/- 14.4). Behavioral difficulties were common (27.1%), with internalizing problems being more frequent. Functional limitations in socialization (93.0 +/- 17.1), daily living skills (94.6 +/- 16.4), communication (90.0 +/- 14.1), and adaptive behavior (92.1 +/- 15.8) were noted in 11% to 17% of children. With the Functional Independence Measure for Children, 20% to 22% of subjects were more dependent than their peers in self-care and social cognition, although few (4.5%) had mobility restrictions. Predictors of developmental and functional limitations included: abnormal postoperative neurologic examination, microcephaly, deep hypothermic circulatory arrest time, palliation, acyanotic heart lesion, age at surgery, and maternal education. CONCLUSIONS: After infant open-heart surgery, children with CHDs may exhibit a range of developmental difficulties at school entry that enhances risk for learning challenges and decreased social participation.
OBJECTIVE: To describe developmental and functional outcomes of children with congenital heart defects (CHDs) at school entry after open heart surgery. STUDY DESIGN:Infants with CHDs who underwent surgical repair in infancy were recruited and assessed prospectively for developmental progress. At 5 years of age (64.2 +/- 11.3 months), 94 subjects were evaluated in a blind fashion by using a variety of standardized measures. RESULTS: Mean IQ scores were in the low average range (90-94). Receptive language was in the average range (103.6 +/- 14.4). Behavioral difficulties were common (27.1%), with internalizing problems being more frequent. Functional limitations in socialization (93.0 +/- 17.1), daily living skills (94.6 +/- 16.4), communication (90.0 +/- 14.1), and adaptive behavior (92.1 +/- 15.8) were noted in 11% to 17% of children. With the Functional Independence Measure for Children, 20% to 22% of subjects were more dependent than their peers in self-care and social cognition, although few (4.5%) had mobility restrictions. Predictors of developmental and functional limitations included: abnormal postoperative neurologic examination, microcephaly, deep hypothermic circulatory arrest time, palliation, acyanotic heart lesion, age at surgery, and maternal education. CONCLUSIONS: After infant open-heart surgery, children with CHDs may exhibit a range of developmental difficulties at school entry that enhances risk for learning challenges and decreased social participation.
Authors: Nathalie H P Claessens; Pim Moeskops; Andreas Buchmann; Beatrice Latal; Walter Knirsch; Ianina Scheer; Ivana Išgum; Linda S de Vries; Manon J N L Benders; Michael von Rhein Journal: Pediatr Res Date: 2016-07-19 Impact factor: 3.756
Authors: Nobuyuki Ishibashi; Joseph Scafidi; Akira Murata; Ludmila Korotcova; David Zurakowski; Vittorio Gallo; Richard A Jonas Journal: Circulation Date: 2012-01-12 Impact factor: 29.690
Authors: Nicole A Stieber; Stephanie Gilmour; Angela Morra; Jacqueline Rainbow; Stacy Robitaille; Glen Van Arsdell; Brian W McCrindle; Barbara E Gibson; Patricia E Longmuir Journal: Pediatr Cardiol Date: 2011-11-25 Impact factor: 1.655
Authors: Cynthia M Ortinau; Caitlin K Rollins; Ali Gholipour; Hyuk Jin Yun; Mackenzie Marshall; Borjan Gagoski; Onur Afacan; Kevin Friedman; Wayne Tworetzky; Simon K Warfield; Jane W Newburger; Terrie E Inder; P Ellen Grant; Kiho Im Journal: Cereb Cortex Date: 2019-07-22 Impact factor: 5.357
Authors: Tiffany Riehle-Colarusso; Andrew Autry; Hilda Razzaghi; Coleen A Boyle; William T Mahle; Kim Van Naarden Braun; Adolfo Correa Journal: Pediatrics Date: 2015-08-17 Impact factor: 7.124
Authors: M Rosario Porcayo-Mercado; Gloria A Otero-Ojeda; F Bernardo Pliego-Rivero; Dalia M Aguirre-Pérez; Josefina Ricardo-Garcell Journal: J Clin Psychol Med Settings Date: 2013-03
Authors: Janet S Soul; Richard L Robertson; David Wypij; David C Bellinger; Karen J Visconti; Adré J du Plessis; Barry D Kussman; Lisa A Scoppettuolo; Frank Pigula; Richard A Jonas; Jane W Newburger Journal: J Thorac Cardiovasc Surg Date: 2009-04-10 Impact factor: 5.209