Predictors of Postoperative Rehabilitation Therapy Following Congenital Heart Surgery

Journal of the American Heart Association
Ana Ubeda TikkanenPedro Del Nido

Abstract

Patients with congenital heart disease are at risk of motor, cognitive, speech, and feeding difficulties after cardiac surgery. Rehabilitation therapy could improve functional outcomes in this population if applied in the acute postcardiac surgical in-hospital stay. However, information on the types of acute postcardiac surgery therapy needs in children is scarce. Our goal was to describe rehabilitation therapy following congenital heart surgery and pre/intraoperative factors associated with need for therapy. This is a retrospective cohort study of patients <18 years undergoing heart surgery at our center from January 1, 2013 to January 31, 2015. Demographic, and pre-, intra-, and postoperative clinical and rehabilitation therapy (physical, occupational, speech, feeding therapy, and neurodevelopment intervention) data were collected. Need for rehabilitation therapy in the acute postoperative period, particularly following palliative repair, was the outcome variable in a multivariable logistic regression model to identify independent pre- and intraoperative factors associated with therapy. A total of 586 out of 1415 (41%) subjects received rehabilitation therapy postsurgery. Certain subgroups had increased rehabilitation therapy...Continue Reading

References

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Citations

Nov 2, 2019·Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence·Jannel M Phillips, Jennifer N Longoria
Jul 24, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Kimberly J WatkinsMark W Russell
Apr 22, 2020·British Journal of Health Psychology·Liza MortonEmmanouil Georgiadis
Oct 30, 2020·European Journal of Pediatrics·Morgane BillotteMarie-Paule Guillaume
Jun 8, 2021·Frontiers in Pediatrics·Ana Ubeda TikkanenPaul Esteso
Jul 2, 2021·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Angela LortsAntonio Amodeo
Sep 10, 2021·Cardiology in the Young·Laura CarlsonMeena Nathan

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