Executive function deficits in congenital heart surgical patients: prevalence and timing of presentation.

Autor:	Hasselman TE; University of Illinois at Chicago School of Medicine, Chicago, IL, USA., Marriott KT; Department of Pediatrics, OSF St Francis Medical Center, Peoria, IL, USA., Verda M; St Louis Children's Hospital, St. Louis, MO, USA., Zumpf KB; Department of Pediatrics, OSF St Francis Medical Center, Peoria, IL, USA., McGraw KE; Department of Pediatrics, OSF St Francis Medical Center, Peoria, IL, USA., Hasselman AM; Department of Pediatrics, OSF St Francis Medical Center, Peoria, IL, USA.
Jazyk:	angličtina
Zdroj:	Cardiology in the young [Cardiol Young] 2024 Oct 04, pp. 1-7. Date of Electronic Publication: 2024 Oct 04.
DOI:	10.1017/S1047951124025800
Abstrakt:	Background: Congenital heart patients undergoing congenital heart surgery in the first year of life are at high risk of having a neurodevelopmental disorder. The most common difficulties are related to executive functioning. The following questions were assessed in the current project: Are patients having congenital heart surgery after one year of life at lower risk for neurodevelopmental disorders? At what age do executive function deficits manifest? Methods: We evaluated executive function in four groups of congenital heart patients who had undergone congenital heart surgery. These groups were high-risk patients with and without a genetic syndrome associated with a neurodevelopmental disorder and low-risk patients with and without a genetic syndrome associated with a neurodevelopmental disorder. We evaluated executive function using the Behavior Rating Inventory of Executive Function - Preschool Version, Behavior Rating Inventory of Executive Function-2, and Minnesota Executive Function Scale at various ages. We compared the rates of executive function deficits in the high- and low-risk groups as well as compared that to the published norms for age. We also assessed at what age these deficits become apparent. Conclusion: We found that both high- and low-risk groups had higher levels of executive functioning deficits compared to the norms for age. The low-risk group's degree of executive function deficits appeared a little lower than the high-risk group. However, it was difficult to comment on the statistical significance. We also saw that executive function deficits often do not become apparent for many years after surgery. This finding highlights the need for continued evaluation of functioning as these kids mature.
Databáze:	MEDLINE
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