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Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model
Published on: May 26, 2023
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Neurodevelopmental Outcomes after Congenital Heart Disease Surgery in Infancy: A 2-Year Serial Follow-Up
Kyeong Joo Song1, Min Gi Kim1, Eun Jae Ko1
1Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea.
Children (Basel, Switzerland)
|October 23, 2021
Summary
Infants undergoing cardiac surgery often experience developmental delays. Early screening and rehabilitation are crucial for improving neurodevelopmental outcomes in these vulnerable children.
Area of Science:
- Pediatric Cardiology
- Neurodevelopmental Pediatrics
- Neonatal Surgery
Background:
- Infants undergoing cardiac surgery face risks of neurodevelopmental challenges.
- Assessing neurodevelopmental status is critical for early intervention planning.
Purpose of the Study:
- To evaluate the neurodevelopmental status of infants post-cardiac surgery.
- To identify factors influencing neurodevelopmental outcomes in this population.
Main Methods:
- Retrospective analysis of 108 infants who had cardiac surgery before age one.
- Utilized Bayley Scales of Infant Development II for neurodevelopmental assessment.
- Analyzed patients based on syndrome presence and brain lesions.
Main Results:
- Mean Mental Developmental Index (MDI) and Psychomotor Developmental Index (PDI) showed no significant change between evaluations.
- Over half of the patients exhibited developmental delay in both assessment periods.
- Syndromes, brain lesions, and gestational age impacted developmental delay severity.
Conclusions:
- No significant change in neurodevelopmental status was observed between evaluation periods.
- Developmental delays are prevalent in infants post-cardiac surgery.
- Early screening and rehabilitation interventions are essential for improving neurodevelopmental trajectories.
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