Developmental outcomes after early surgery for complex congenital heart disease: a systematic review and meta-analysis.

Developmental Medicine and Child Neurology
Darlene HuisengaMijna Hadders-Algra

Abstract

(1) To systematically review the literature on developmental outcomes from infancy to adolescence of children with complex congenital heart disease (CHD) who underwent early surgery; (2) to run a meta-regression analysis on the Bayley Scales of Infant Development, Second Edition Mental Developmental Index and Psychomotor Developmental Index (PDI) of infants up to 24 months and IQs of preschool-aged children to adolescents; (3) to assess associations between perioperative risk factors and outcomes. We searched pertinent literature (January 1990 to January 2019) in PubMed, Embase, CINAHL, and PsycINFO. Selection criteria included infants with complex CHD who had primary surgery within the first 9 weeks of life. Methodological quality, including risk of bias and internal validity, were assessed. In total, 185 papers met the inclusion criteria; the 100 with high to moderate methodological quality were analysed in detail. Substantial heterogeneity in the group with CHD and in methodology existed. The outcome of infants with single-ventricle CHD was inferior to those with two-ventricle CHD (respectively: average scores for PDI 77 and 88; intelligence scores 92 and 98). Perioperative risk factors were inconsistently associated with de...Continue Reading

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Citations

Sep 12, 2020·Developmental Medicine and Child Neurology·Dawn IlardiAdam R Cassidy
Oct 24, 2020·Developmental Medicine and Child Neurology·Darlene HuisengaMijna Hadders-Algra
Oct 15, 2020·Journal of Pediatric Psychology·Meredith BishopAbigail S Robbertz
May 18, 2021·Seminars in Cardiothoracic and Vascular Anesthesia·Leah M LandsemGregory J Latham
Oct 8, 2021·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Maaike C A SprongMarco van Brussel
Aug 30, 2021·The Journal of Pediatrics·Isabelle GaudetUNKNOWN Clinique d’Investigation Neuro-Cardiaque (CINC) interdisciplinary team

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metafor
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