Congenital Heart Disease and Impacts on Child Development

Abstract

Objective:To evaluate the child development and evaluate a possible association with the commitment by biopsychosocial factors of children with and without congenital heart disease.Methods:Observational study of case-control with three groups: Group 1 - children with congenital heart disease without surgical correction; Group 2 - children with congenital heart disease who underwent surgery; and Group 3 - healthy children. Children were assessed by socio-demographic and clinical questionnaire and the Denver II Screening Test.Results:One hundred and twenty eight children were evaluated, 29 in Group 1, 43 in Group 2 and 56 in Group 3. Of the total, 51.56% are girls and ages ranged from two months to six years (median 24.5 months). Regarding the Denver II, the children with heart disease had more "suspicious" and "suspect/abnormal" ratings and in the group of healthy children 53.6% were considered with "normal" development (P≤0.0001). The biopsychosocial variables that were related to a possible developmental delay were gender (P=0.042), child's age (P=0.001) and income per capita (P=0.019).Conclusion:The results suggest that children with congenital heart disease are likely to have a developmental delay with significant difference between children who have undergone surgery and those awaiting surgery under clinical follow-up.

Growth, Development, and Quality of Life in Children with Congenital Heart Disease Children

“…In our study, the cyanotic showed the poor quality of life than acyanotic heart disease children; it supposed to be related to the difference in cognitive and nutritional status. Therefore, a multidisciplinary approach should be applied for early identification of those impairments to offer the best opportunity for treatment that may allow the child to reach the fullest potential in adulthood and minimize the negative impact on the quality of life and parents should be more aware and responsive to the development and nutrition aspect of their child [27].…”

Tolerability and Effects of the Use of Energy‐Enriched Infant Formula After Congenital Heart Surgery: A Randomized Controlled Trial

“…Congenital heart disease (CHD) represents a public health issue due to its high incidence of 9/1000 live births . Undernutrition may occur in up to 90% of these patients and may be related to poorer surgical and neurological outcomes . Nutrition recovery may take several months to occur after surgery, and there is evidence that these children may not recover stature, remaining shorter in height than expected…”

“…1 Undernutrition may occur in up to 90% of these patients 2 and may be related to poorer surgical and neurological outcomes. 3,4 Nutrition recovery may take several months to occur after surgery, and there is evidence that these children may not recover stature, remaining shorter in height than expected. 5 The complexity of this group of patients often causes insecurity when beginning the diet and also frequent interruptions in feeding, which will contribute to a lower energy supply.…”

Rehabilitación cardíaca en el infante y adolescente con cardiopatía congénita corregida

“…Las intervenciones en rehabilitación cardiaca pueden minimizar los efectos negativos a nivel motor y en la capacidad funcional, al igual que fomentar y hacer que el ambiente del infante o del adolescente sea favorable al desarrollo de sus habilidades. (Mari, Cascudo, & Alchieri , 2016)…”