Kognitive Entwicklung von Kindern und Jugendlichen nach Korrektur einer Transposition der großen Gefäße

Jedlicka-Köhler, Ilse; Sinko-Sanz, Konstanze; Schlemmer, M; Wimmer, M

doi:10.1055/s-2008-1046514

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…They found no evidence of a detrimental effect of older age at operation in these children, as assessed by neuropsychological measures. Jedlicka-Kö hler et al [19] reported that the length of interval between operation and psychological testing, but not age of repair, was a significant predictor of intellectual functioning. O'Dougherty et al [5] stressed the importance of using multiple medical risk factors in assessing the risk potential of congenital heart disease children.…”

Section: Discussionmentioning

confidence: 99%

“…In view of our results (deep hypothermic circulatory arrest appeared to be a predictor of long-term behavioural/emotional problems), we agree with the conclusion of Oates et al However, care should be taken when drawing firm conclusions since in our study the duration of deep hypothermic circulatory arrest and rate of cooling were not documented in a reliable manner. Several investigators have reported on the psychosocial sequelae of risk factors such as duration of pregnancy, hypoxia and age at surgical repair [1,5,7,18,19] . In a longitudinal study Weisglas-Kuperus et al [18] found that parents of very low birth weight children with a gestational age <36 weeks reported significantly more CBCL-Internalizing problems when their children were 3·5 years of age, than parents of a comparison group.…”

Section: Discussionmentioning

confidence: 99%

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Prediction of behavioural and emotional problems in children and adolescents with operated congenital heart disease

Utens

Verhulst²,

Duivenvoorden³

et al. 1998

European Heart Journal

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AimsThe aim of the present study was to determine which medical variables were predictors of long-term behavioural/ emotional outcome after surgical correction for congenital heart disease in infancy and childhood. MethodsThe Child Behavior Checklist (CBCL) was used to predict parent-reported behavioural/emotional problems in 125 10-15 year-old congenital heart disease children from: (1) biographical status (2) medical history (3) heart surgery (4) short-term post-operative course and (5) number of heart operations and (6) extra cardiac concomitant anomalies. ResultsHigher CBCL total problem scores at follow-up were associated with a greater number of heart operations and deep hypothermic circulatory arrest (<22 ).'Internalizing problems' were associated with a greater number of heart operations, deep hypothermic circulatory arrest, a short gestational age, low systemic oxygen saturation, and older age at surgical repair. 'Externalizing problems' were associated with a greater number of heart operations only. ConclusionSeveral medical variables were significant predictors and can be used to identify those congenital heart disease children who are at risk of long-term behavioural/emotional maladjustment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prediction of behavioural and emotional problems in children and adolescents with operated congenital heart disease

Utens

Verhulst²,

Duivenvoorden³

et al. 1998

European Heart Journal

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“…Some of them were conducted only preoperatively, most studies were executed short‐term after surgery, and only a few studies were conducted longitudinally (pre‐ and postoperatively with an interval between assessment). Several studies had methodological drawbacks, such as the restriction to only one cardiac diagnostic group, only cyanotic patients, patients operated upon with older techniques, or small sample sizes (Aldén, Gilljam, & Gillberg, 1998; Gomelsky, Holden, Ellerbeck, & Brenner, 1998; Jedlicka‐Köhler, Sinko‐Sanz, Schlemmer, & Wimmer, 1995; Kramer, Awiszus, Sterzel, Van Halteren, & Classen, 1989; Wright & Nolan, 1994). This hampers the possible generalization of findings.…”

mentioning

confidence: 99%

Long‐term intellectual functioning and school‐related behavioural outcomes in children and adolescents after invasive treatment for congenital heart disease

Spijkerboer

Utens

Bogers

et al. 2008

British J of Dev Psycho

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In this study, long‐term intellectual functioning and school‐related behavioural outcomes were assessed in a patient sample that underwent invasive treatment for congenital heart disease (ConHD) between 1990 and 1995. The Wechsler Intelligence Scale for Children‐Revised was used to measure intellectual functioning and the Teacher's Report Form to assess teacher‐reported behavioural and emotional problems. Overall, patients had IQ scores that fell within the normal range. The total sample of ConHD children (N = 117, 7–16 years old), however, obtained significantly lower mean scores on Verbal IQ and Verbal Comprehension than reference children. When compared with same‐aged reference peers from the general population, 7–11‐year‐old ConHD children obtained significantly lower mean scores on Total IQ, Verbal IQ, Verbal Comprehension, and Perceptual Organization. In contrast, scores of 12–16‐year‐old ConHD children appeared to be significantly lower on Verbal Comprehension only and significantly higher on Performance IQ. No significant differences were found in intellectual functioning between ConHD boys and girls, nor between different diagnostic groups. The school‐related behavioural and emotional adjustment of this sample of children with treated ConHD was favourable. Overall, this sample of recently treated ConHD children, and especially children aged 7–11 years, showed poorer intellectual functioning in several areas. These findings deserve further attention.

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Long-term outcome of speech and language in children after corrective surgery for cyanotic or acyanotic cardiac defects in infancy

Hövels-Gürich

Bauer

Schnitker

et al. 2008

European Journal of Paediatric Neurology

102

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The purpose of this prospective study was to assess whether outcome of speech and language in children 5-10 years after corrective surgery for tetralogy of Fallot (TOF) or ventricular septal defect (VSD) in infancy was influenced by the preoperative condition of hypoxemia or cardiac insufficiency and whether it was associated with perioperative risk factors and neurodevelopmental outcome.A total of 35 unselected children, 19 with TOF and hypoxemia and 16 with VSD and cardiac insufficiency, operated with combined deep hypothermic circulatory arrest and low-flow cardiopulmonary bypass at mean age 0.7 ± 0.3 (mean ± standard deviation) years, underwent, at mean age 7.4 ± 1.6 years, standardized evaluation of speech and language functions. Results were compared between subgroups and related to perioperative factors, sociodemographic and neurodevelopmental status.Age at testing, socioeconomic status and history of speech and language development were not different between the subgroups. In contrast, total scores on oral and speech motor control functions (TFS) as well as on oral and speech apraxia (Mayo Test) were significantly reduced (p<0.02 to <0.05), and scores on anatomical oral structures tended to be lower (p<0.09) in the TOF group as compared to the VSD group. No differences were found for auditory word recognition and phonological awareness as assessed by the Auditory Closure subtest of the Illinois Test of Psycholinguistic Abilities and the test of auditory analysis skills, respectively. In all children, higher age at testing and better socioeconomic status were associated with better results in all domains of assessment (p<0.001 to <0.04). Consistent impairments of all oral and speech motor control functions (TFS and Mayo Test) were present in 29% of all children with a mean age of 6.5 years in contrast to 43% with normal performance and a mean age of 8.3 years. On the receptive speech tasks, only 6% scored below the normal range of their age group. TFS subscores were significantly correlated with age, bypass duration and motor function, but not correlated with socioeconomic status, duration of cardiac arrest, intelligence and academic achievement.Children with preoperative hypoxemia due to cyanotic cardiac defects in infancy are at higher risk for dysfunction in speech and language than those with cardiac insufficiency due to acyanotic heart defects. Age at testing, socioeconomic status, and duration of cardiopulmonary bypass influenced test results. Long-term outcome in speech and language functions can be considered as a sensitive indicator of overall child development after cardiac surgery.Keywords : Speech and language development ; Tetralogy of Fallot ; Ventricular septal defect ; Cardiac surgery Abbreviations : AC, auditory closure subtest of ITPA ; CPB, cardiopulmonary bypass ; DHCA, deep hypothermic cardiocirculatory arrest ; FISH, fluorescence in situ hybridization ; IQ, intelligence quotient ; ITPA, Illinois test of psycholinguistic abilities ; K-ABC, Kaufman assessment battery for childr...

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Kognitive Entwicklung von Kindern und Jugendlichen nach Korrektur einer Transposition der großen Gefäße

Cited by 6 publications

References 5 publications

Prediction of behavioural and emotional problems in children and adolescents with operated congenital heart disease

Prediction of behavioural and emotional problems in children and adolescents with operated congenital heart disease

Long‐term intellectual functioning and school‐related behavioural outcomes in children and adolescents after invasive treatment for congenital heart disease

Long-term outcome of speech and language in children after corrective surgery for cyanotic or acyanotic cardiac defects in infancy

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