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OC18 - Neurodevelopmental outcomes following congenital heart surgery
Eleni Syrgani1,2, Konstantinos Petsios1,2
1National Kapodistrian University of Athens.
Insights
Children with congenital heart disease (CHD) face increased risks of neurodevelopmental delay, impacting development, academics, and adult transition. Early screening and intervention are crucial for optimizing outcomes.
Area of Science:
- Pediatric Cardiology
- Neurodevelopmental Pediatrics
- Chronic Disease Management
Background:
- Congenital heart disease (CHD) significantly impacts central nervous system function and neurodevelopment.
- Understanding these impacts is crucial for long-term patient well-being.
Purpose of the Study:
- To critically evaluate existing literature on neurodevelopmental outcomes after congenital heart surgery.
- To synthesize current knowledge on the challenges faced by children with CHD.
Main Methods:
- Systematic review of 28 articles.
- Literature search conducted across PubMed, Scopus, and CINAHL databases.
- Focus on studies published after the year 2000.
Main Results:
- Neurodevelopmental morbidities negatively affect early childhood, academic performance, and adult transition.
- Impairments range from cognitive deficits and social interaction difficulties to communication, attention, and executive function challenges.
- The severity of neurodevelopmental issues often correlates with CHD complexity.
Conclusions:
- Children with CHD exhibit a higher risk for neurodevelopmental delay.
- Regular screening, evaluation, and follow-up are essential.
- Timely interventions are critical for optimizing overall development in this population.
Unlabelled:
Theme: Complex health care and chronic disease management.
Introduction:
Congenital heart disease (CHD) may have a very important impact on central nervous system function and neurodevelopment.
Purpose:
Critical evaluation of literature concerning the neurodevelopmental outcomes following congenital heart surgery.
Methods:
Systematic review of 28 articles published after 2000 in PubMed, Scopus and CINAHL.
Results:
Neurodevelopment morbidities can have a negative impact on early childhood development, academic performance and later transition to adulthood. The spectrum of neurodevelopment impairment is wide, depending on the complexity of CHD and it is characterized by mild cognitive impairment, impaired social interaction, and impairments in core communication skills, including pragmatic language, as well as inattention, impulsive behavior and impaired executive function. A number of important determinants are presented.
Conclusions:
Children with CHD are at increased risk for neurodevelopmental delay. Screening and evaluation of neurodevelopmental delay, along with regular follow up, are essential steps to guide appropriate interventions to optimize their overall development.
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