A Comparison of Developmental Outcomes of Adolescent Neonatal Intensive Care Unit Survivors Born with a Congenital

Kaitlyn Easson1, Noémi Dahan-Oliel2, Charles Rohlicek3

  • 1Research Institute of the McGill University Health Centre, Montreal, Québec, Canada; Department of Neurology and Neurosurgery, Faculty of Medicine, McGill University, Montreal, Québec, Canada.

The Journal of Pediatrics
|December 12, 2018
PubMed

Insights

Adolescents with congenital heart defects (CHD) and those born preterm show similar developmental outcomes. Long-term monitoring and support are crucial for both groups to address potential difficulties.

Area of Science:

  • Developmental Pediatrics
  • Neonatology
  • Pediatric Cardiology

Background:

  • Congenital heart defects (CHD) and preterm birth are significant perinatal challenges.
  • Long-term neurodevelopmental outcomes in these populations require ongoing investigation.

Purpose of the Study:

  • To compare cognitive, motor, behavioral, and functional outcomes in adolescents with CHD versus those born preterm.
  • To identify similarities and differences in developmental trajectories between these two groups.

Main Methods:

  • Cross-sectional study of adolescents (11-19 years) born with CHD (n=80) or preterm (n=128).
  • Utilized standardized assessments: Leiter International Performance Scale-Revised (cognitive), Movement Assessment Battery for Children-II (motor), Strengths and Difficulties Questionnaire (behavioral), and Vineland Adaptive Behavior Scale-II (functional).
  • Statistical analyses included independent samples t tests and chi-square/Fisher exact tests.

Main Results:

  • No significant differences were found in overall cognitive, motor, behavioral, or functional outcomes between adolescents with CHD and preterm adolescents.
  • Prevalence of cognitive deficits: 14.3% (CHD) vs. 11.8% (preterm).
  • Prevalence of motor difficulties: 43.5% (CHD) vs. 50% (preterm).
  • Prevalence of behavioral problems: 23.7% (CHD) vs. 22.9% (preterm).
  • Prevalence of functional limitations: 12% (CHD) vs. 7.3% (preterm).

Conclusions:

  • Adolescents born with CHD and those born preterm exhibit comparable profiles of developmental deficits.
  • Emphasizes the need for sustained, long-term surveillance for both populations.
  • Highlights the importance of tailored educational and rehabilitation services to mitigate long-term developmental challenges.
Abstract

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