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Published on: May 5, 2018
Developmental screening of children diagnosed with congenital heart defects
1Department of Pediatrics, The New York Presbyterian Hospital, NY 10021, USA.
Insights
Children with congenital heart disease (CHD) face higher risks of developmental delays. Early intervention is crucial for those with significant CHD, as developmental screening identified delays in many. Early evaluation is recommended for these children.
Area of Science:
- Pediatric Cardiology
- Developmental Pediatrics
- Child Health
Background:
- Congenital heart disease (CHD) is associated with an increased risk of developmental delays in children compared to typically developing peers.
- Children with CHD often require medical interventions, which may impact their neurodevelopmental outcomes.
Purpose of the Study:
- To assess the developmental status of children under six years old with congenital heart disease.
- To compare developmental screening results between children with CHD requiring intervention and those without.
Main Methods:
- Developmental screening using the Denver II was performed on 64 children diagnosed with CHD.
- Children were categorized based on whether their CHD required surgical or catheter intervention.
Main Results:
- Children with CHD requiring surgical or catheter intervention showed significantly lower rates of normal developmental screening (46%) compared to those without (86%).
- Approximately 34% of children with more severe CHD were referred for early intervention services.
Conclusions:
- Children with hemodynamically significant CHD are at a higher risk for developmental delays.
- Early developmental evaluation is essential for children with significant CHD to facilitate timely intervention and support.
Abstract:
Children with congenital heart disease (CHD) are more likely than normal children to have developmental delays. The development of 64 children with CHD less than 6 years old was screened with the Denver II. Thirty-five of the 64 children had CHD that required surgical or catheter intervention. These 35 children were significantly less likely than other children with CHD to be normal on developmental screening (46% vs 86%, respectively). Thirty-four percent of children with more severe CHD were referred for early intervention. As research shows the efficacy of early intervention, results indicate the need for early developmental evaluation of children with CHD of hemodynamic significance.
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