Neurocognitive Development and Behavioral Outcome of 2-Year-Old Children with Univentricular Heart
| Autor: | Eero Jokinen, Leena Mildh, Riina Puosi, Anne Sarajuuri, Ilkka P. Mattila, Marit Korkman, Tuula Lönnqvist |
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| Rok vydání: | 2011 |
| Předmět: |
Heart Defects
Congenital Male medicine.medical_specialty Pediatrics Developmental Disabilities Heart Ventricles Child Behavior Disorders Neuropsychological Tests 030204 cardiovascular system & hematology Severity of Illness Index Bayley Scales of Infant Development Hypoplastic left heart syndrome 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Severity of illness medicine Cognitive development Humans Language Development Disorders Child Behavior Checklist Neurologic Examination Chi-Square Distribution General Neuroscience Neuropsychology Infant medicine.disease Cardiac surgery Psychiatry and Mental health Clinical Psychology Child Preschool Female Neurology (clinical) Cognition Disorders Psychology Neurocognitive |
| Zdroj: | Journal of the International Neuropsychological Society. 17:1094-1103 |
| ISSN: | 1469-7661 1355-6177 |
| DOI: | 10.1017/s135561771100110x |
| Popis: | Recent advances in the treatment of children with severe congenital heart defects, such as hypoplastic left heart syndrome (HLHS) and other forms of univentricular heart (UVH), have significantly improved their survival rates. However, these children are at risk for various neurodevelopmental deficits. The aim of the present study was to assess cognitive development, expressive language, and behavior in 30-month-old children with univentricular heart. The participants were 22 children with HLHS, 14 with UVH, and 41 healthy control subjects. The Bayley Scales of Infant Development II, MacArthur Communicative Development Inventories, and Child Behavior Checklist were used for assessments. The results revealed that children with HLHS exhibited a significantly lower mean mental development index, more delays in expressive language functions, and more behavioral problems than did the control children. Two children with HLHS (9%) had mental development indexes below 50, indicating significantly delayed performance. The children with UVH differed from the control children with respect to their lower mean mental development index. These findings suggest that at the age of 30 months, neurodevelopmental deficits are especially prevalent in children with HLHS. Thus, early developmental screening, intervention, and neuropsychological follow-up until school age is recommended particularly for the children with HLHS. (JINS, 2011,17, 1094–1103) |
| Databáze: | OpenAIRE |
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