Neurobehavioral evaluation of neonates with congenital heart disease: a cohort study
Autor: | Michael D. Puchalski, Thomas A. Miller, Sarah Winter, Lloyd Y. Tani, Janine Wood, Xiaoming Sheng, Elisabeth Conradt, Nelangi M. Pinto, Whitnee Hogan, Cindy Weng |
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Rok vydání: | 2018 |
Předmět: |
Heart Defects
Congenital Male Pediatrics medicine.medical_specialty Neonatal intensive care unit Heart disease Developmental Disabilities Population Gestational Age 030204 cardiovascular system & hematology Cohort Studies 03 medical and health sciences Lethargy 0302 clinical medicine Developmental Neuroscience Risk Factors Intensive Care Units Neonatal 030225 pediatrics medicine Humans education Neurologic Examination education.field_of_study Cardiopulmonary Bypass business.industry Infant Newborn Infant Gestational age medicine.disease Pediatrics Perinatology and Child Health Cohort Female Neurology (clinical) Psychomotor Disorders Cognition Disorders Psychomotor disorder business Cohort study |
Zdroj: | Developmental Medicine & Child Neurology. 60:1225-1231 |
ISSN: | 0012-1622 |
Popis: | AIM To describe neurobehavioral patterns in neonates with congenital heart disease (CHD). METHOD A cohort study describing neurobehavioral performance of neonates with CHD requiring cardiac surgery. The neonates were evaluated preoperatively and postoperatively with the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS) and scores were compared with published normative values. Clinical factors were obtained by chart review to assess their association with behavior. The CHD NNNS score pattern was compared with previously reported profiles in other high-risk populations. RESULTS NNNS evaluations were completed on 67 neonates with CHD, resulting in 97 evaluations (50 preoperative, 47 postoperative). Compared with normative values, the cohort with CHD demonstrated decreased attention, regulation, asymmetry, stress, arousal, and excitability, along with increased non-optimal reflexes, lethargy, and need for handling (p |
Databáze: | OpenAIRE |
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