Neurodevelopmental Status of Children Aged 6-30 Months with Congenital Heart Disease.
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Date
2015-11
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Abstract
Background: Children with congenital heart diseases (CHD) are
considered to be at high-risk for neurodevelopmental delay, but
scant Indian data are available.
Objective: To evaluate the neurodevelopmental status of children
with CHD.
Methods: We enrolled consecutive children aged 6-30 months
with echocardiographically-confirmed CHD between June 2013
and January 2014. Children with clinically recognizable genetic
syndromes or disorders; visual and/or hearing deficits, and
microcephaly; and post-cardiac surgery children were excluded.
Development was assessed by Developmental Assessment
Scale for Indian Infants (DASII) and Developmental delay defined
as Development Quotient (DQ) <70 in either the mental or motor
scale.
Results: 75 children (53 males) with CHD were enrolled.
Acyanotic CHD was seen in 51 children (VSD in 47%), and
Tetralogy of Fallot was the commonest cyanotic CHD (25%).
Developmental delay was seen in 25% of these children, more in
the motor domain (48%) than in mental (12%). Mean motor and
mental DQ in acyanotic CHD was 77 and 84, respectively; and 65
and 85, respectively in cyanotic CHD. Mean motor DQ was
significantly less than mental DQ in both acyanotic and cyanotic
CHD children (P=0.048).
Conclusion: Children with CHD are at an increased risk for
developmental delay. Periodic surveillance, screening and
evaluation should be instituted in them for early identification and
appropriate interventions to enhance later academic, behavioral,
psycho-social and adaptive function.
Description
Keywords
Congenital heart defects, Developmental disabilities, Intervention, Neurodevelopmental delay, Outcome, Surveillance
Citation
Lata Kusum, Mishra Devendra, Mehta Vimal, Juneja Monica. Neurodevelopmental Status of Children Aged 6-30 Months with Congenital Heart Disease. Indian Pediatrics. 2015 Nov; 52(11): 957-960.