Kaitlyn Easson1, Noémi Dahan-Oliel2, Charles Rohlicek3, Sossy Sahakian4, Marie Brossard-Racine5, Barbara Mazer6, Patricia Riley7, Désirée B Maltais8, Line Nadeau8, Sean Hatzigeorgiou9, Norbert Schmitz10, Annette Majnemer11. 1. Research Institute of the McGill University Health Centre, Montreal, Québec, Canada; Department of Neurology and Neurosurgery, Faculty of Medicine, McGill University, Montreal, Québec, Canada. 2. School of Physical and Occupational Therapy, McGill University, Montreal, Québec, Canada; Shriners Hospitals for Children, Montreal, Québec, Canada. 3. Department of Cardiology, Montreal Children's Hospital, Montreal, Québec, Canada. 4. Research Institute of the McGill University Health Centre, Montreal, Québec, Canada. 5. Research Institute of the McGill University Health Centre, Montreal, Québec, Canada; Department of Neurology and Neurosurgery, Faculty of Medicine, McGill University, Montreal, Québec, Canada; School of Physical and Occupational Therapy, McGill University, Montreal, Québec, Canada; Department of Pediatrics, Division of Child Neurology, McGill University, Montreal, Québec, Canada. 6. School of Physical and Occupational Therapy, McGill University, Montreal, Québec, Canada. 7. Department of Pediatrics, Montreal Children's Hospital, Montreal, Québec, Canada. 8. Department of Rehabilitation, Université Laval, Québec City, Québec, Canada. 9. Department of Physiology, McGill University, Montreal, Québec, Canada. 10. Department of Psychiatry, McGill University, Montreal, Québec, Canada. 11. Research Institute of the McGill University Health Centre, Montreal, Québec, Canada; School of Physical and Occupational Therapy, McGill University, Montreal, Québec, Canada; Department of Pediatrics, Division of Child Neurology, McGill University, Montreal, Québec, Canada. Electronic address: annette.majnemer@mcgill.ca.
Abstract
OBJECTIVE: To compare cognitive, motor, behavioral, and functional outcomes of adolescents born with a congenital heart defect (CHD) and adolescents born preterm. STUDY DESIGN: Adolescents (11-19 years old) born with a CHD requiring open-heart surgery during infancy (n = 80) or born preterm ≤29 weeks of gestational age (n = 128) between 1991 and 1999 underwent a cross-sectional evaluation of cognitive (Leiter International Performance Scale-Revised), motor (Movement Assessment Battery for Children-II), behavioral (Strengths and Difficulties Questionnaire), and functional (Vineland Adaptive Behavior Scale-II) outcomes. Independent samples t tests and Pearson χ2 or Fisher exact tests were used to compare mean scores and proportions of impairment, respectively, between groups. RESULTS: Adolescents born with a CHD and adolescents born preterm had similar cognitive, motor, behavioral, and functional outcomes. Cognitive deficits were detected in 14.3% of adolescents born with a CHD and 11.8% of adolescents born preterm. Motor difficulties were detected in 43.5% of adolescents born with a CHD and 50% of adolescents born preterm. Behavioral problems were found in 23.7% of adolescents in the CHD group and 22.9% in the preterm group. Functional limitations were detected in 12% of adolescents born with a CHD and 7.3% of adolescents born preterm. CONCLUSIONS: Adolescents born with a CHD or born preterm have similar profiles of developmental deficits. These findings highlight the importance of providing long-term surveillance to both populations and guide the provision of appropriate educational and rehabilitation services to better ameliorate long-term developmental difficulties.
OBJECTIVE: To compare cognitive, motor, behavioral, and functional outcomes of adolescents born with a congenital heart defect (CHD) and adolescents born preterm. STUDY DESIGN: Adolescents (11-19 years old) born with a CHD requiring open-heart surgery during infancy (n = 80) or born preterm ≤29 weeks of gestational age (n = 128) between 1991 and 1999 underwent a cross-sectional evaluation of cognitive (Leiter International Performance Scale-Revised), motor (Movement Assessment Battery for Children-II), behavioral (Strengths and Difficulties Questionnaire), and functional (Vineland Adaptive Behavior Scale-II) outcomes. Independent samples t tests and Pearson χ2 or Fisher exact tests were used to compare mean scores and proportions of impairment, respectively, between groups. RESULTS: Adolescents born with a CHD and adolescents born preterm had similar cognitive, motor, behavioral, and functional outcomes. Cognitive deficits were detected in 14.3% of adolescents born with a CHD and 11.8% of adolescents born preterm. Motor difficulties were detected in 43.5% of adolescents born with a CHD and 50% of adolescents born preterm. Behavioral problems were found in 23.7% of adolescents in the CHD group and 22.9% in the preterm group. Functional limitations were detected in 12% of adolescents born with a CHD and 7.3% of adolescents born preterm. CONCLUSIONS: Adolescents born with a CHD or born preterm have similar profiles of developmental deficits. These findings highlight the importance of providing long-term surveillance to both populations and guide the provision of appropriate educational and rehabilitation services to better ameliorate long-term developmental difficulties.
Authors: K Fontes; F Courtin; C V Rohlicek; C Saint-Martin; G Gilbert; K Easson; A Majnemer; A Marelli; M M Chakravarty; M Brossard-Racine Journal: AJNR Am J Neuroradiol Date: 2020-07-23 Impact factor: 3.825
Authors: Kaitlyn Easson; Guillaume Gilbert; Charles V Rohlicek; Christine Saint-Martin; Maxime Descoteaux; Sean C L Deoni; Marie Brossard-Racine Journal: Hum Brain Mapp Date: 2022-04-12 Impact factor: 5.399
Authors: Dorcas N Magai; Eirini Karyotaki; Agnes M Mutua; Esther Chongwo; Carophine Nasambu; Derrick Ssewanyana; Charles R Newton; Hans M Koot; Amina Abubakar Journal: PLoS One Date: 2020-04-24 Impact factor: 3.240