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Neurodevelopmental assessment of children with congenital heart diseases using Trivandrum developmental screening

Punam Uke1, Sarika Bhimrao Gaikwad1, Keerti Swarnkar2

  • 1Department of Pediatrics, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India.

Journal of Neurosciences in Rural Practice
|December 7, 2023
PubMed

Insights

Congenital heart diseases (CHDs) are linked to significant neurodevelopmental delays in children. Cyanotic congenital heart diseases (CCHDs) showed a higher proportion of delay compared to acyanotic congenital heart diseases (ACHDs).

Area of Science:

  • Pediatric Cardiology
  • Developmental Pediatrics
  • Congenital Anomalies

Background:

  • Congenital heart diseases (CHDs) are a leading cause of congenital anomalies in children.
  • CHDs are associated with a high risk of neurodevelopmental delay.
  • Early detection and management of developmental delays are crucial for improving outcomes in children with CHDs.

Purpose of the Study:

  • To determine the proportion of developmental delay in children with CHDs.
  • To compare the prevalence of developmental delay between acyanotic congenital heart disease (ACHD) and cyanotic congenital heart disease (CCHD).

Main Methods:

  • A cross-sectional study was conducted on 50 children aged 6 months to 6 years diagnosed with CHD via 2D echocardiography.
  • Children were classified into ACHD and CCHD groups.
  • Neurodevelopmental assessment was performed using the Trivandrum Development Screening Chart (TDSC).

Main Results:

  • Overall, 24 children (48%) exhibited developmental delay.
  • The proportion of delay was 22% in ACHD and 26% in CCHD.
  • Ventricular septal defect (VSD) and atrial septal defect (ASD) were the most common ACHDs identified.

Conclusions:

  • A significant proportion of children with CHDs experience neurodevelopmental delays.
  • The TDSC is a simple and effective screening tool for assessing neurodevelopmental outcomes in children with CHDs.
  • Developmental delay is more prevalent in children with CCHDs compared to ACHDs.
Abstract

Keywords:
Acyanotic congenital heart diseaseCongenital heart diseaseDevelopmental delayNeurodevelopmental assessmentTrivandrum development screening chart screening

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