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Evaluation of Neurological and Auditory Development in Children with Congenital Heart Disease using Essence Q
Asadollah Tanasan1, Fatemeh Eghalian1, Helen Behmanesh2
1Department of Pediatrices, Hamadan University of Medical Sciences, Hamedan, Iran.
Insights
Congenital Heart Disease (CHD) survivors face neurodevelopmental challenges. The Essence Q questionnaire effectively screens for these issues, identifying hyperactivity and behavioral disorders in children with CHD, despite normal hearing tests.
Area of Science:
- Pediatric Cardiology
- Neurodevelopmental Pediatrics
- Audiology
Background:
- Increased survival rates in children with Congenital Heart Disease (CHD) necessitate focus on neurodevelopmental outcomes.
- Neurodevelopmental disorders are a growing concern in pediatric populations with CHD.
Purpose of the Study:
- To evaluate neurodevelopmental status in children with CHD using the Essence Q questionnaire.
- To assess hearing function using Otoacoustic Emission (OAE) and Auditory Brainstem Response (ABR) in children with CHD.
- To identify risk factors associated with neurodevelopmental delay in this cohort.
Main Methods:
- A prospective, cross-sectional study involving 53 children diagnosed with CHD.
- Audiological assessments included OAE and ABR.
- Neurodevelopmental evaluation utilized the Essence Q questionnaire administered to parents.
Main Results:
- The study included 36 boys and 17 girls with a mean age of 26.98 months.
- High prevalence of hyperactivity (73.58%) and behavioral disorders (86.79%) was observed.
- All participants exhibited normal OAE and ABR hearing test results, indicating no hearing impairment.
Conclusions:
- Developmental delay in the first year, genetic conditions, and seizure history significantly influenced Essence Q scores.
- The Essence Q questionnaire is a reliable tool for screening neurodevelopmental issues in children with CHD.
- Factors like prematurity and ventilation did not significantly impact Essence Q scores in this study.
Objectives:
The progress of cardiac surgery in children and the increase in the survival of children with Congenital Heart Disease (CHD) has led to consider another issue called a neurodevelopmental disorder. In this study, 53 children with CHD were evaluated in terms of development with the Essence Q questionnaire, Otoacoustic Emission (OAE), and Auditory Brainstem Response (ABR) regarding these patients' hearing and risk factors. The Essence Q scores were also examined.
Materials & Methods:
In this prospective, cross-sectional study, the researchers included 53 children diagnosed with CHD. Initially, each child underwent ABR and OAE tests. Subsequently, data on potential risk factors associated with neurodevelopmental delay were collected. A trained project associate administered the Essence Q questionnaire, using parents' information as a guide. Following data collection, this study proceeded with an in-depth analysis of the information.
Results:
Thirty-six boys (67.92%) and 17 girls (32.08%) with CHD were included in the study. The mean age of children was 26.9810.64 months. The mean Essence Q score for boys was 7.482.57. Moreover, the average score for girls was 2.23 8.11. According to this questionnaire, 39 patients (73.58%) had hyperactivity disorder, 46 patients (86.79%) had behavioral disorders, and ten patients (16.98%) had a motor delay. Unlike previous studies, all patients had normal OAE and ABR hearing.
Conclusion:
This study demonstrated that factors such as developmental delay in the first year, a known genetic disease, and a history of seizures significantly impacted the Essence Q score. However, elements like prematurity, the use of ventilation, abnormalities on the dorsum, and the number of days post-surgery did not significantly affect the Essence Q score. Essence Q can be a reliable tool in screening for neurodevelopment in children with CHD.
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