Early Determinants of Adverse Motor Outcomes in Preschool Children with a Critical Congenital Heart Defect.

Autor: Sprong MCA; Center of Child Development, Exercise and Physical Literacy, Wilhelmina Children's Hospital, University Medical Center Utrecht, KG 02.056.0, P.O. Box 85090, 3508 AB Utrecht, The Netherlands., Huijgen BCH; Department of Psychology, Faculty of Behavioral and Social Sciences, University of Groningen, 9712 TS Groningen, The Netherlands., de Vries LS; Department of Neonatology, Wilhelmina Children's Hospital, University Medical Center Utrecht, 3508 AB Utrecht, The Netherlands., Talacua H; Department of Pediatric Cardiology, Wilhelmina Children's Hospital, University Medical Center Utrecht, 3508 AB Utrecht, The Netherlands., van Loon K; Division of Anaesthesiology, Intensive Care and Emergency Medicine, University Medical Center Utrecht, 3508 AB Utrecht, The Netherlands., Eijsermans RMJC; Center of Child Development, Exercise and Physical Literacy, Wilhelmina Children's Hospital, University Medical Center Utrecht, KG 02.056.0, P.O. Box 85090, 3508 AB Utrecht, The Netherlands., Nijman J; Pediatric Intensive Care Unit, Wilhelmina Children's Hospital, University Medical Center Utrecht, 3508 AB Utrecht, The Netherlands., Breur JMPJ; Department of Pediatric Cardiology, Wilhelmina Children's Hospital, University Medical Center Utrecht, 3508 AB Utrecht, The Netherlands., van Brussel M; Center of Child Development, Exercise and Physical Literacy, Wilhelmina Children's Hospital, University Medical Center Utrecht, KG 02.056.0, P.O. Box 85090, 3508 AB Utrecht, The Netherlands., Slieker MG; Department of Pediatric Cardiology, Wilhelmina Children's Hospital, University Medical Center Utrecht, 3508 AB Utrecht, The Netherlands.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2022 Sep 16; Vol. 11 (18). Date of Electronic Publication: 2022 Sep 16.
DOI: 10.3390/jcm11185464
Abstrakt: Neurodevelopmental disabilities are common in infants with critical congenital heart disease (CCHD). A prospective, longitudinal cohort study was conducted to establish the prevalence and early determinants of adverse motor outcomes in infants who underwent cardiac surgery with cardiopulmonary bypass before six months of age. Motor development was assessed in 147 preschoolers using the Movement Assessment Battery for children-II. Although the majority displayed an average motor development, 22% of preschool children with CCHD deteriorated in their motor developmental score compared to their previous assessment at 18 months, especially in those with an aortic arch anomaly (AAA) (35%). Individual stability over time appeared to be moderate and the number of children with a motor delay increased, up to 20% in children with AAA. Motor development up to 42 months was best predicted by gestational age, cardio pulmonary bypass time, aortic cross clamp time, number of heart catheterizations up to 18 months and early motor outcomes. The increase in number of preschool children with a motor delay underlines the importance of longitudinal screening of motor skills in children with CCHD at risk for adverse motor outcomes. Offering early interventions may protect their current and future cardiovascular health as motor development is an independent predictor of exercise capacity, physical activity and participation in daily living.
Competing Interests: The authors have no conflict of interest to disclose.
Databáze: MEDLINE
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