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Attention difficulties and physical dysfunction common in children with complex congenital malformations: a study of

A-M Kassa1,2, M Dahl1, M Strinnholm3

  • 1Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Acta Paediatrica (Oslo, Norway : 1992)
|September 7, 2018
PubMed

Insights

Preschool children with VACTERL (vertebral defects, anorectal malformations, cardiac defects, tracheo-oesophageal fistula, renal and limb malformations) often experience attention difficulties and physical dysfunction, requiring school support.

Area of Science:

  • Pediatric Health
  • Developmental Pediatrics
  • Surgical Congenital Anomalies

Background:

  • Limited knowledge exists regarding the neurodevelopmental and physical functioning of children diagnosed with VACTERL association.
  • Early identification of potential challenges is crucial for providing timely support to affected children.

Purpose of the Study:

  • To evaluate the neurodevelopmental and physical function in Swedish preschool children with VACTERL association.
  • To determine the need for additional educational support for these children upon school entry.

Main Methods:

  • Children aged 5-7 with VACTERL association were recruited from a pediatric surgical center.
  • Neurodevelopmental function was assessed using intelligence, attention tests, and psychological observation.
  • Physical function was evaluated through parental interviews and examinations, with data extracted from medical records.

Main Results:

  • All children assessed had intelligence within the normal range.
  • Eight children exhibited attention difficulties, necessitating school adjustments; two were diagnosed with ADHD.
  • All participants presented with physical dysfunctions impacting daily nutrition, bowel, or bladder functions.

Conclusions:

  • Attention difficulties and physical dysfunction are prevalent in preschool-aged children with VACTERL association.
  • These children require specific support and accommodations when transitioning to the school environment.
Abstract

Keywords:
Attention difficultiesComorbiditiesCongenital malformationsNeurodevelopmental functionPhysical dysfunction

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