Attentional Dysfunction in Children After Corrective Cardiac Surgery in Infancy

Hövels-Gürich, Hedwig H.; Konrad, Kerstin; Skorzenski, Daniela; Herpertz‐Dahlmann, Beate; Messmer, Bruno J.; Seghaye, Marie-Christine

doi:10.1016/j.athoracsur.2006.10.069

Cited by 120 publications

(106 citation statements)

References 30 publications

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“…64 Although most children with complex CHD have intelligence (IQ) within the normal range, school-aged children with CHD have a higher incidence of problems with visual-spatial or visual motor integration, executive functioning, academic difficulties, inattention, and hyperactivity, even after successful cardiac surgical correction or palliation. 54,56,59,141,[195][196][197] In addition, low emotional, social, and school functioning was found in 23% of children 8 to 12 years of age with CHD. 192 In the 16-year follow-up of those children with TGA who underwent arterial switch operation who participated in the Boston Circulatory Arrest Trial, 65% received remedial academic or behavioral services.…”

Section: School-aged Child Developmental Academic and Behavioral Ismentioning

confidence: 99%

“…Recent studies have shown that children with complex CHD have a significantly increased risk for DD in the areas of intelligence, [15][16][17]47,48 academic achievement, 5,16,17,48,49 language (development, expressive and receptive), 5,15,16,48,50,51 visual construction and perception, 5,16,49,[52][53][54][55] attention, 5,6,16,49,51,56 executive functioning, 51,57 fine motor skills, 15 …”

Section: Prevalence Of Dd In the Chd Populationmentioning

confidence: 99%

“…5,15,50 Evaluation of patients with TOF who have undergone surgical repair has shown increased risk for psychosocial maladjustment (internalizing and externalizing problems) 60 and decreases in intelligence (IQ), 48 academic achievement, 48 language (expressive and receptive), 48 gross motor function, 48 oral and speech motor control functions, 72 and attention (executive control). 56 Methods of vital organ support during infant heart surgery, including CPB and DHCA, may result in cerebral macroemboli and microemboli to the central nervous system 30,73 or a period of global cerebral ischemia 74 -76 and thereby contribute to observed DDs. These central nervous system events may contribute to the presence of acute arterial ischemic strokes or cerebral venous sinus thromboses or to the increased prevalence of periventricular leukomalacia in neonates and children after surgery for CHD.…”

Section: Neonates or Infants Requiring Open Heart Surgery (Cyanotic Amentioning

confidence: 99%

“…60,64 In addition, those with TGA or TOF have an increased risk of attention dysfunction. 6,56,64,73 Considering the widespread prevalence across the various CHD physiologies, one needs to consider heightened surveillance, screening, and evaluation for behavioral problems in all children with CHD. Parents and patients may be hesitant to mention these problems during routine clinical follow-up.…”

Section: Behavioral and Psychosocial Issuesmentioning

confidence: 99%

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Neurodevelopmental Outcomes in Children With Congenital Heart Disease: Evaluation and Management

Marino¹,

Lipkin²,

Newburger³

et al. 2012

Circulation

1,305

1,156

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Background— The goal of this statement was to review the available literature on surveillance, screening, evaluation, and management strategies and put forward a scientific statement that would comprehensively review the literature and create recommendations to optimize neurodevelopmental outcome in the pediatric congenital heart disease (CHD) population. Methods and Results— A writing group appointed by the American Heart Association and American Academy of Pediatrics reviewed the available literature addressing developmental disorder and disability and developmental delay in the CHD population, with specific attention given to surveillance, screening, evaluation, and management strategies. MEDLINE and Google Scholar database searches from 1966 to 2011 were performed for English-language articles cross-referencing CHD with pertinent search terms. The reference lists of identified articles were also searched. The American College of Cardiology/American Heart Association classification of recommendations and levels of evidence for practice guidelines were used. A management algorithm was devised that stratified children with CHD on the basis of established risk factors. For those deemed to be at high risk for developmental disorder or disabilities or for developmental delay, formal, periodic developmental and medical evaluations are recommended. A CHD algorithm for surveillance, screening, evaluation, reevaluation, and management of developmental disorder or disability has been constructed to serve as a supplement to the 2006 American Academy of Pediatrics statement on developmental surveillance and screening. The proposed algorithm is designed to be carried out within the context of the medical home. This scientific statement is meant for medical providers within the medical home who care for patients with CHD. Conclusions— Children with CHD are at increased risk of developmental disorder or disabilities or developmental delay. Periodic developmental surveillance, screening, evaluation, and reevaluation throughout childhood may enhance identification of significant deficits, allowing for appropriate therapies and education to enhance later academic, behavioral, psychosocial, and adaptive functioning.

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Section: School-aged Child Developmental Academic and Behavioral Ismentioning

confidence: 99%

Section: Prevalence Of Dd In the Chd Populationmentioning

confidence: 99%

Section: Neonates or Infants Requiring Open Heart Surgery (Cyanotic Amentioning

confidence: 99%

Section: Behavioral and Psychosocial Issuesmentioning

confidence: 99%

See 2 more Smart Citations

Neurodevelopmental Outcomes in Children With Congenital Heart Disease: Evaluation and Management

Marino¹,

Lipkin²,

Newburger³

et al. 2012

Circulation

1,305

1,156

View full text Add to dashboard Cite

show abstract

“…Although an increase in the diagnoses of attention deficit and hyperactivity disorder has been observed in school-age children with cardiac disease in many current studies, the thoughts of the teachers and parents are omitted especially in evaluation of academic success (19,20). The parents who observed each stage of their children were also included in our study and their answers revealed that they were more pessimistic about quality of life of their children with chronic disease.…”

mentioning

confidence: 99%

Bebeklik döneminde siyanotik kalp hastalığı nedeniyle açık kalp cerrahisi uygulanmış ergenlerde kendilik algısı ve yaşam niteliği

Yıldız¹,

Zahmacioglu²,

Koca³

et al. 2011

tpa

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Aim:To assess the quality-of-life of the teenage patients who had undergone open heart surgery because of cyanotic heart disease during their infancy together with their parents and to compare their self-perception to that of the physically healthy control group. Material and Method:This study includes 53 patients who had undergone operation for cyanotic congenital heart disease in İstanbul University, Institute of Cardiology between 1989 and 1994. The relatives and the patients were informed with a consent form approved by İstanbul University, Cerrahpaşa Medical Faculty, Clinical Studies, Ethics Commitee (Decree no. D-005, Date: 11-10-2009). Group 1 was the healthy control group (15 patients, median age: 19 years 8 months), Group 2 included patients with single ventricle who had undergone Fontan procedure (20 patients, median age: 19 years 6 months; 10 of them had tricuspid atresia, 5 of them had pulmonary atresia with intact ventricular septum, 3 of them had double inlet left ventricle, 1 of them had double outlet right ventricle, 1 of them had ventricular septal defect and pulmonary atresia), group 3 included patients who had undergone operation for congenital cyanotic heart disease (33 patients, median age: 19 years 2 months; 18 of them had transposition of the great arteries, 10 of them had tetralogy of Fallot, 2 of them had complete atrioventricular canal defect and pulmonary stenosis, 2 of them had double outlet right ventricle, 1 of them had pentalogy of Fallot). In this study, the quality of life and self perception inventories were used. The quality of life inventory was completed by patients, healthy adolescents and their parents seperately. The self perception inventory was completed only by the patients and healthy adolescents. The comparison of age and self perception scores between the groups was carried out with unidirectional analysis of variance (ANOVA) and the multicomparisons with LSD (Least Significant Difference). Since the quality of life variable did not have a normal distribution, the comparions were carried out with Kruskal-Wallis nonparametric ANOVA test and the multicomparisons were carried out with Dunn's test. Results:There was not a significant difference between the groups in terms of age and sex. In the quality of life scale (QOLS), for the replies to related questions, a significant difference was determined between the groups. The replies of group 2 and 3 about quality of life of both the children and the parents were far more negative when compared to those of the control group. When the groups were compared via multiple comparison tests, there was no significant difference between group 2 and 3. The replies of the parents regarding their children's quality of life were statistically more negative than those of their children (p<0,001). Within the self perception scale, there were significant differences in terms of social acceptance, behaviours in relationships and general self perception (p=0.03, p=0.03 and p=0.01; repectively) between group 1 and 3. The most significant dif...

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Practices in Congenital Cardiac Surgery: Pulmonary Artery Banding, Systemic to Pulmonary Artery Shunting, Cardiopulmonary Bypass, and Mechanical Ventricular Assist Devices

Louis¹,

Bryant²

2012

Pediatric Cardiovascular Medicine

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Attentional Dysfunction in Children After Corrective Cardiac Surgery in Infancy

Cited by 120 publications

References 30 publications

Neurodevelopmental Outcomes in Children With Congenital Heart Disease: Evaluation and Management

Neurodevelopmental Outcomes in Children With Congenital Heart Disease: Evaluation and Management

Bebeklik döneminde siyanotik kalp hastalığı nedeniyle açık kalp cerrahisi uygulanmış ergenlerde kendilik algısı ve yaşam niteliği

Practices in Congenital Cardiac Surgery: Pulmonary Artery Banding, Systemic to Pulmonary Artery Shunting, Cardiopulmonary Bypass, and Mechanical Ventricular Assist Devices

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