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Neurodevelopmental Status of Children with Congenital Heart Disease

Thaslima K , Thaslima K.* , Sunil Mhaske**

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Indian Journal of Trauma and Emergency Pediatrics 8(2):p 99-102, May-August 2016. | DOI: http://dx.doi.org/10.21088/ijtep.2348.9987.8216.10

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Abstract

 Background: As improved treatments for congenital heart disease (CHD) have increased life expectancy, neurodevelopmental impairments have been observed in many survivors. These impairments include developmental delays, difficulty in school, and challenges living independently. Understanding the causes of these impairments and minimizing their impact are important goals to allow survivors to have the best possible quality of life. Aim and Objectives: To evaluate the developmental status of children with congenital heart disease. Materials and Methods: The study type is a observational type time bound study. Congenital heart disease confirmed by echocardigraphy in children aged 6­30months were included in the study. Children with genetic disorders, post cardiac surgery children were excluded. Methods: We enrolled consecutive children aged 6­30 months with echocardiographically­confirmed CHD. Children with clinically recognizable genetic syndromes or disorders; visual and/or hearing deficits, and microcephaly; and postcardiac surgery children were excluded. Development was assessed by Developmental Assessment Scale for Indian Infants (DASII) and Developmental delay defined as Development Quotient (DQ) <70 in either the mental or motor scale. Results: The study was analysed using appropriate statistical tests. Both cyanotic and acyanotic congenital heart disease were seen in children. Both conditions showed children had developmental delay. Gross motor delay was present in 62% children and fine motor in 56% of children. Conclusion: Children having congenital heart disease are more prone to 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.


Keywords: Congenital Heart Defect; Neurodevelopmental Delay; Outcome.

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DOI: http://dx.doi.org/10.21088/ijtep.2348.9987.8216.10

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