Research gaps in the neurodevelopmental assessment of children with complex congenital heart defects: a scoping review.

Autor:	Hofer J; Research Institute for Developmental Medicine, Johannes Kepler University of Linz, Linz, Austria.; Institute of Neurology of Senses and Language, Hospital of St. John of God, Linz, Austria., Blum M; Research Institute for Developmental Medicine, Johannes Kepler University of Linz, Linz, Austria., Wiltsche R; Research Institute for Developmental Medicine, Johannes Kepler University of Linz, Linz, Austria., Deluggi N; Research Institute for Developmental Medicine, Johannes Kepler University of Linz, Linz, Austria., Holzinger D; Research Institute for Developmental Medicine, Johannes Kepler University of Linz, Linz, Austria.; Institute of Neurology of Senses and Language, Hospital of St. John of God, Linz, Austria.; Institute of Linguistics, University of Graz, Graz, Austria., Fellinger J; Research Institute for Developmental Medicine, Johannes Kepler University of Linz, Linz, Austria.; Institute of Neurology of Senses and Language, Hospital of St. John of God, Linz, Austria.; Division of Social Psychiatry, University Clinic for Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria., Tulzer G; Department of Pediatric Cardiology, Children's Heart Center Linz, Kepler University Hospital, Linz, Austria., Blum G; Research Institute for Developmental Medicine, Johannes Kepler University of Linz, Linz, Austria., Oberhuber R; Research Institute for Developmental Medicine, Johannes Kepler University of Linz, Linz, Austria.; Department of Pediatric Cardiology, Children's Heart Center Linz, Kepler University Hospital, Linz, Austria.; Department of Inclusive Education, University of Education Upper Austria, Linz, Austria.
Jazyk:	angličtina
Zdroj:	Frontiers in pediatrics [Front Pediatr] 2024 May 23; Vol. 12, pp. 1340495. Date of Electronic Publication: 2024 May 23 (Print Publication: 2024).
DOI:	10.3389/fped.2024.1340495
Abstrakt:	Background: Children with congenital heart defects (CHD) are at risk for a range of developmental disabilities that challenge cognition, executive functioning, self-regulation, communication, social-emotional functioning, and motor skills. Ongoing developmental surveillance is therefore key to maximizing neurodevelopmental outcome opportunities. It is crucial that the measures used cover the spectrum of neurodevelopmental domains relevant to capturing possible predictors and malleable factors of child development. Objectives: This work aimed to synthesize the literature on neurodevelopmental measures and the corresponding developmental domains assessed in children aged 1-8 years with complex CHD. Methods: PubMed was searched for terms relating to psycho-social, cognitive and linguistic-communicative outcomes in children with CHD. 1,380 papers with a focus on complex CHD that reported neurodevelopmental assessments were identified; ultimately, data from 78 articles that used standardized neurodevelopmental assessment tools were extracted. Results: Thirty-nine (50%) of these excluded children with syndromes, and 9 (12%) excluded children with disorders of intellectual development. 10% of the studies were longitudinal. The neurodevelopmental domains addressed by the methods used were: 53% cognition, 16% psychosocial functioning, 18% language/communication/speech production, and 13% motor development-associated constructs. Conclusions: Data on social communication, expressive and receptive language, speech motor, and motor function are underrepresented. There is a lack of research into everyday use of language and into measures assessing language and communication early in life. Overall, longitudinal studies are required that include communication measures and their interrelations with other developmental domains. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2024 Hofer, Blum, Wiltsche, Deluggi, Holzinger, Fellinger, Tulzer, Blum and Oberhuber.)
Databáze:	MEDLINE
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