Child neurodevelopment and mental health after surgical ventricular septal defect repair: risk and protective factors

Developmental Medicine and Child Neurology
Anna EichlerOliver Kratz

Abstract

This case-control study examined the long-term consequences of surgical correction for ventricular septal defect (VSD; the most common congenital heart defect) in infancy. It assessed children who had undergone VSD surgery and the factors related to maternal conditions, surgery, and hospital stay. Thirty-nine children (23 females, 16 males; age range 6y 1mo-9y 7mo [mean 7y 4mo, SD 1y]) with repaired isolated, non-syndromic, non-genetic VSD were compared with 39 typically developing children (22 females, 17 males; age range 6y-9y 2mo [mean 7y 3mo, SD 10mo]). The children completed behavioural tests of neurodevelopment and a quality of life (QoL) questionnaire. Mothers rated children's emotional/behavioural symptoms and QoL. Measures of maternal parenting behaviour and psychopathology were treated as moderators. Affected children showed reduced language skills (p=0.002) unless mothers reported high parenting behaviour subscale scores (p=0.04). Children's anxiety symptoms were elevated when mothers had anxiety symptoms (p=0.01). Longer hospital stay was associated with lower intelligence (p=0.003) and psychomotor scores (p=0.006). Longer scars predicted elevated child anxiety (p=0.008), and age at surgery and QoL were inversely re...Continue Reading

References

Aug 14, 2003·The Journal of Pediatrics·Jane W NewburgerGil Wernovsky
Sep 13, 2005·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Lutz Goldbeck, Juliane Melches
Apr 4, 2006·The Journal of Thoracic and Cardiovascular Surgery·Jonathan R KaltmanJ William Gaynor
Sep 9, 2006·Neuropsychology Review·M MiattonG Vingerhoets
Sep 12, 2006·Heart & Lung : the Journal of Critical Care·Stephen Lawoko, Joaquim J F Soares
Dec 22, 2006·Journal of Pediatric Psychology·Petra A KarsdorpBarbara J M Mulder
Mar 27, 2007·The Annals of Thoracic Surgery·Hedwig H Hövels-GürichMarie-Christine Seghaye
May 22, 2007·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·U Ravens-SiebererM Erhart
Jul 16, 2008·Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie·Jan Frölich, Manfred Döpfner
Feb 17, 2009·Pediatric Neurology·Annette MajnemerChristo Tchervenkov
May 15, 2013·Pediatric Reports·Giovanna PerriconeFrancesco De Luca
Jul 27, 2015·Research in Developmental Disabilities·Iemke SarrechiaDaniël De Wolf
Apr 20, 2016·Archives of Disease in Childhood·Jarle JortveitHenrik Holmstrøm
Oct 14, 2016·SpringerPlus·Matt S HicksUNKNOWN Western Canadian Complex Pediatric Therapies Follow-up Group

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Related Papers

Developmental Medicine and Child Neurology
Elaine M Clarke, Catherine Adams
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
G Bol-RaapAd J J C Bogers
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Goris Bol RaapAd J J C Bogers
© 2022 Meta ULC. All rights reserved