BACKGROUND: The newest measure of neurodevelopmental outcomes, the Bayley Scales of Infant and Toddler Development, 3rd Edition (Bayley-III), gives higher-than-expected scores for preterm infants; results after cardiac surgery are unknown. OBJECTIVES: The goal of this study was to report Bayley-III scores after cardiac surgery and compare the results with those of the Bayley Scales of Infant Development, 2nd Edition (BSID-II) on a subset of the same children. METHODS: In this prospective, inception cohort, neurodevelopmental outcome study after complex cardiac surgery in infants from 2004 to 2007, the Bayley-III was given to 110 survivors (68% boys) at a mean age of 21 months (SD: 4 months). Analysis of variance was used to compare intergroup differences. Results for both test editions on the same 25 children were compared by using paired-samples statistics. RESULTS: Mean (SD) Bayley-III mean composite scores (CSs) for 110 children were as follows: cognitive, 95.9 (14.1); language, 90.8 (18.1); and motor, 93.7 (14.2), differentiating selected cardiac surgery groups. The average difference in mean CSs was 7.4 points higher than BSID-II scores for a previous cohort from this site and 7.2 points higher than a systematic review report. Direct comparison of BSID-II and Bayley-III revealed an average difference in mean CSs of 6.1 points, similar to normative results. Mean cognitive CSs increased by 10.0 (P <.001), language by 1.4 (P = .526), and motor by 6.9 points (P = .009). CONCLUSIONS: Researchers should be careful attributing higher Bayley-III scores to changes in acute care. At-risk children who previously qualified for early developmental intervention may no longer do so. School-age longitudinal studies are needed to determine the accuracy of early developmental estimates using the Bayley-III.
BACKGROUND: The newest measure of neurodevelopmental outcomes, the Bayley Scales of Infant and Toddler Development, 3rd Edition (Bayley-III), gives higher-than-expected scores for preterm infants; results after cardiac surgery are unknown. OBJECTIVES: The goal of this study was to report Bayley-III scores after cardiac surgery and compare the results with those of the Bayley Scales of Infant Development, 2nd Edition (BSID-II) on a subset of the same children. METHODS: In this prospective, inception cohort, neurodevelopmental outcome study after complex cardiac surgery in infants from 2004 to 2007, the Bayley-III was given to 110 survivors (68% boys) at a mean age of 21 months (SD: 4 months). Analysis of variance was used to compare intergroup differences. Results for both test editions on the same 25 children were compared by using paired-samples statistics. RESULTS: Mean (SD) Bayley-III mean composite scores (CSs) for 110 children were as follows: cognitive, 95.9 (14.1); language, 90.8 (18.1); and motor, 93.7 (14.2), differentiating selected cardiac surgery groups. The average difference in mean CSs was 7.4 points higher than BSID-II scores for a previous cohort from this site and 7.2 points higher than a systematic review report. Direct comparison of BSID-II and Bayley-III revealed an average difference in mean CSs of 6.1 points, similar to normative results. Mean cognitive CSs increased by 10.0 (P <.001), language by 1.4 (P = .526), and motor by 6.9 points (P = .009). CONCLUSIONS: Researchers should be careful attributing higher Bayley-III scores to changes in acute care. At-risk children who previously qualified for early developmental intervention may no longer do so. School-age longitudinal studies are needed to determine the accuracy of early developmental estimates using the Bayley-III.
Authors: Cecilie Halling; Fergal D Malone; Fionnuala M Breathnach; Moira C Stewart; Fionnuala M McAuliffe; John J Morrison; Patrick Dicker; Fiona Manning; John David Corcoran Journal: Eur J Pediatr Date: 2015-10-21 Impact factor: 3.183
Authors: Julia Krushkal; Laura E Murphy; Frederick B Palmer; J Carolyn Graff; Thomas R Sutter; Khyobeni Mozhui; Collin A Hovinga; Fridtjof Thomas; Vicki Park; Frances A Tylavsky; Ronald M Adkins Journal: Behav Genet Date: 2014-01-23 Impact factor: 2.805
Authors: Eric M Graham; Renee' H Martin; Andrew M Atz; Kasey Hamlin-Smith; Minoo N Kavarana; Scott M Bradley; Bahaaldin Alsoufi; William T Mahle; Allen D Everett Journal: J Thorac Cardiovasc Surg Date: 2019-01-23 Impact factor: 5.209
Authors: Vann Chau; Anne Synnes; Ruth E Grunau; Kenneth J Poskitt; Rollin Brant; Steven P Miller Journal: Neurology Date: 2013-11-08 Impact factor: 9.910
Authors: Dean B Andropoulos; R Blaine Easley; Ken Brady; E Dean McKenzie; Jeffrey S Heinle; Heather A Dickerson; Lara Shekerdemian; Marcie Meador; Carol Eisenman; Jill V Hunter; Marie Turcich; Robert G Voigt; Charles D Fraser Journal: Ann Thorac Surg Date: 2012-06-29 Impact factor: 4.330