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Published on: March 10, 2020
Evaluation of growth and neurodevelopment in children with congenital heart disease
Selda Polat1, Cetin Okuyaz, Olgu Hallioğlu
1Department of Pediatrics, Mersin University Faculty of Medicine, Mersin, Turkey. seldapolat2003@hotmail.com
Insights
Children with congenital heart disease (CHD) face risks in growth and development. Impaired hemodynamic status significantly impacts physical growth and neurodevelopment, highlighting the need for detailed assessments beyond routine parameters.
Area of Science:
- Pediatrics
- Cardiology
- Developmental Pediatrics
Background:
- Children with congenital heart disease (CHD) are at increased risk for delayed growth and neurodevelopmental outcomes.
- Hemodynamic status is a critical factor influencing these outcomes in pediatric patients with CHD.
Purpose of the Study:
- To evaluate physical growth parameters and neurodevelopment in children with CHD.
- To compare these parameters with healthy children.
- To examine the specific effect of hemodynamic status on growth and development in children with CHD.
Main Methods:
- A comparative study included 76 children with CHD and 51 healthy controls, aged 1-72 months.
- Children with CHD were categorized into hemodynamically impaired (HI) and hemodynamically normal (HN) groups.
- Growth parameters (weight, height, BMI, MAC, TSF) and neurodevelopment (Denver Developmental Screening Test-II) were assessed.
Main Results:
- Hemodynamically impaired children with CHD showed significantly lower mid-arm circumference (MAC) and body mass index (BMI) compared to HN and control groups.
- The HI group exhibited more failures in gross motor, fine motor, and language development compared to HN and control groups.
Conclusions:
- Hemodynamic status is crucial for the growth and neurodevelopment of children with CHD.
- Detailed assessments including BMI, MAC, TSF, and developmental screening tests are vital for identifying at-risk children with CHD.
Background:
Children with congenital heart disease are under risk of delayed growth and development. We evaluated physical growth parameters and neurodevelopment in these patients in comparison with normal children and examined the effect of hemodynamic status.
Methods:
Patients with congenital heart disease (n= 76) and healthy children (n= 51) aged 1-72 months applied to Mersin University Hospital, Mersin, Turkey were included. Patients with heart failure and those requiring intervention or surgery were classified as hemodynamically impaired (HI group, n= 30), and the others, hemodynamically normal (HN group, n= 46). Growth parameters including weight, height, body mass index (BMI), mid-arm circumference (MAC), and triceps skin fold thickness (TSF) were measured and standard deviations (SD) were determined. Functional development was assessed by Denver Developmental Screening Test-II (DDST II).
Results:
MAC and BMI values of the group with impaired hemodynamic status were significantly lower than the hemodynamically normal and control groups (MAC P < 0.05 and BMI P < 0.01). In the DDST II, the group with hemodynamic abnormality had more failures in gross motor and fine motor skills than HN group and controls (gross motor P= 0.011, P < 0.001 and fine motor P= 0.028, P= 0.001, respectively) and more failures in language development than the control group (P= 0.001).
Conclusion:
The results showed the importance of hemodynamic status in growth and neurodevelopment of children with congenital heart disease. Besides routine growth parameters, more detailed examinations such as BMI, MAC, TSF, and developmental screening tests appear useful in identifying children with cardiac disease who are under risk for delayed growth and development.
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