Impact of congenital heart surgery on quality of life in children and adolescents with surgically corrected Ventricular Septal Defect, Tetralogy of Fallot, and Transposition of the Great Arteries

Holst, Line Marie; Kronborg, Jonas Rønne; Idorn, Lars; Bjerre, Jesper Vandborg; Vejlstrup, Niels; Juul, Klaus; Ravn, Hanne Berg

doi:10.1017/s1047951119001604

Cited by 13 publications

(19 citation statements)

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“…36 We have recently investigated the quality of life in children with CHD and found that all three subgroups of CHD had decreased quality of life scores compared with healthy controls. 37 A clear association between clinical range of attentiondeficit/hyperactivity disorder symptoms load and lower quality of life scores was seen in all sub-scores in the Tetralogy of Fallot group, and to some degree a similar association was seen in the Transposition of Great Arteries group. These findings are in line with other studies 38,39 and highlight the importance of early identification and treatment of attention-deficit/hyperactivity disorder in CHD, in order to improve quality of life for these children and their families.…”

Section: Discussionmentioning

confidence: 73%

Attention-deficit/hyperactivity disorder symptoms in children with surgically corrected Ventricular Septal Defect, Transposition of the Great Arteries, and Tetralogy of Fallot

et al. 2020

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AbstractBackground:Children with complex CHD are at risk for psychopathology such as severe attention-deficit/hyperactivity disorder symptoms after congenital heart surgery.Objective:The aim of this study was to investigate if children with Ventricular Septal Defect, Transposition of Great Arteries, or Tetralogy of Fallot have an increased occurrence of attention-deficit/hyperactivity disorder symptoms compared with the background population and to investigate differences between the three CHDs in terms of occurrence and appearance of attention-deficit/hyperactivity disorder symptoms.Method:A national register-based survey was conducted, including children aged 10–16 years with surgically corrected CHDs without genetic abnormalities and syndromes. The Attention-Deficit/Hyperactivity Disorder-Rating Scale questionnaires were filled in by parents and school teachers.Results:In total, 159 out of 283 questionnaires were completed among children with CHDs and compared with age- and sex-matched controls. Children with CHDs had significantly increased inattention scores (p = 0.009) and total attention-deficit/hyperactivity disorder scores (p = 0.008) compared with controls. Post hoc analyses revealed that children with Tetralogy of Fallot had significantly higher inattention scores compared with children both with Ventricular Septal Defect (p = 0.043) and controls (p = 0.004).Conclusion:Attention-deficit/hyperactivity disorder symptoms and inattention symptoms were significantly more frequent among children aged 10–16 years with CHDs, in particular in children with corrected Tetralogy of Fallot.

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Section: Discussionmentioning

confidence: 73%

Attention-deficit/hyperactivity disorder symptoms in children with surgically corrected Ventricular Septal Defect, Transposition of the Great Arteries, and Tetralogy of Fallot

et al. 2020

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“…According to Varni et al [ 24 ] and Huang et al [ 39 ], who identified cut-offs for patient-reported and parent-reported generic QoL, the majority of our patients (75%) and their parents (mothers: 61–80%; fathers: 74–84%) reported high levels of generic QoL, above the clinical cut-offs. These QoL levels may reflect the medical advances in screening and care for CHD in recent decades [ 40 , 41 ]. Indeed, to date, over 90% of children with a CHD are expected to survive more than 30 years after the first cardiac surgery [ 3 , 10 , 40 – 42 ].…”

Section: Discussionmentioning

confidence: 99%

“…These QoL levels may reflect the medical advances in screening and care for CHD in recent decades [ 40 , 41 ]. Indeed, to date, over 90% of children with a CHD are expected to survive more than 30 years after the first cardiac surgery [ 3 , 10 , 40 – 42 ]. In addition to this, our patients and their parents are involved in a multidisciplinary standardized follow-up care.…”

Section: Discussionmentioning

confidence: 99%

“…For example, Marino and colleagues [ 26 ], using the Pediatric Cardiac Quality of Life Inventory, found that different CHD population groups obtained a particular QoL score range based on the disease severity and the medical, catheter-based, and surgical therapy required. This correlation between QoL and the severity of CHD seems to be particularly true with regard to the physical dimension of QoL [ 11 , 18 , 19 , 40 , 48 , 52 , 53 ]. Indeed, children with a CHD may suffer from an impaired physical capacity (e.g., unpleasant feeling of dyspnoea, related to muscular deconditioning or restrictive lung function [ 54 ]); thus, according to these studies, we may speculate that UVH patients reported lower levels of QoL on physical dimensions due to their clinical history (they have undergone more operations during their life—at least three surgical steps—and are forced to take drugs lifetime).…”

Section: Discussionmentioning

confidence: 99%

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Health-related quality of life in Italian children and adolescents with congenital heart diseases

Amodeo

Ragni

Calcagni

et al. 2022

BMC Cardiovasc Disord

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Background Congenital heart disease (CHD) is the most common congenital anomaly at birth, affecting approximately 1% of live births. In recent decades great medical and surgical advances have significantly increased life expectancy, shifting healthcare professionals' and researchers’ interests in patients' Quality of Life (QoL). The main aims of our study were to evaluate generic and condition-specific QoL in a group of Italian children and adolescents with CHD and their parents and examine the level of agreement and directional disagreement between child/adolescent and parents reports on generic and condition-specific QoL. Methods A cross-sectional study was designed with CHD children and adolescents and their parents referred to the Cardiology Department of “Bambino Gesù” Children’s Hospital. The PedsQL scale was used, including generic (PedsQL 4.0) and cardiac-specific modules (PedsQL 3.0) were administered to patients and caregivers. A Kruskal–Wallis test was used to compare generic and cardiac module scores between patients with different ages, CHD diagnoses, and between patients who underwent surgery interventions and/or are currently taking cardiac medications. Results 498 families were enrolled in this study. On average, patients reported a good level of generic and condition-specific QoL, as well as their mothers and fathers. Children aged between 5–7 years old reported lower generic and cardiac-specific total QoL levels than children aged 8–12 years and adolescents (13–18 years). With regard to the agreement, patient-parent agreement on condition-specific QoL ranged from 25 to 75% while on generic QoL, it ranged from 19 to 76%. The highest percentage of disagreement between parents and children was found in patients aged 5–7 years old, both for condition-specific and generic QoL rates. Conclusions Our study contributed to the growing body of knowledge on QoL in CHD, emphasizing the need for these families to receive support from multidisciplinary standardized care, including psychological consultations and support.

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“…Therefore, the damage at school leads to single and social losses, affecting their current and future QoL. 24 …”

Section: Discussionmentioning

confidence: 99%

Sense of coherence and quality of life in adolescents with heart disease

Coutinho

Araújo

Lyra

et al. 2022

Rev. paul. pediatr.

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Objective: The aim of this study was to assess the association between the Sense of Coherence (SoC) and Quality of Life (QoL) in adolescents with heart disease. Methods: A cross-sectional study was carried out with 164 adolescents with congenital or valvular heart disease, aged between 10 and 18 years, treated in a referral center in the city of Recife – Brazil. The information collected contains census data, type of heart disease, economic status identified according to the Brazilian Criteria for Economic Classification (ABEP), as well as an evaluation of the SoC and the QoL. Results: The SoC (50.09) and QoL (72.23) exhibited high average scores. The SoC was positively correlated with all dimensions of the QoL scale (p<0.001). The social and school dimensions, respectively, presented the highest and lowest scores. The linear regression analysis revealed that the SoC influenced the school and emotional dimensions. Conclusions: This study demonstrates that the SoC is a protective factor in the life of adolescents. This factor helps on the improvement of perception of QoL and on successfully dealing with daily adversities and chronic stress.

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Impact of congenital heart surgery on quality of life in children and adolescents with surgically corrected Ventricular Septal Defect, Tetralogy of Fallot, and Transposition of the Great Arteries

Cited by 13 publications

References 34 publications

Attention-deficit/hyperactivity disorder symptoms in children with surgically corrected Ventricular Septal Defect, Transposition of the Great Arteries, and Tetralogy of Fallot

Attention-deficit/hyperactivity disorder symptoms in children with surgically corrected Ventricular Septal Defect, Transposition of the Great Arteries, and Tetralogy of Fallot

Health-related quality of life in Italian children and adolescents with congenital heart diseases

Sense of coherence and quality of life in adolescents with heart disease

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