Congenital Heart Disease and Impacts on Child Development

Mariana Alievi Mari, Marcelo Matos Cascudo, João Carlos Alchieri, Mariana Alievi Mari, Marcelo Matos Cascudo, João Carlos Alchieri

Abstract

Objective: To evaluate the child development and evaluate a possible association with the commitment by biopsychosocial factors of children with and without congenital heart disease.

Methods: Observational study of case-control with three groups: Group 1 - children with congenital heart disease without surgical correction; Group 2 - children with congenital heart disease who underwent surgery; and Group 3 - healthy children. Children were assessed by socio-demographic and clinical questionnaire and the Denver II Screening Test.

Results: One hundred and twenty eight children were evaluated, 29 in Group 1, 43 in Group 2 and 56 in Group 3. Of the total, 51.56% are girls and ages ranged from two months to six years (median 24.5 months). Regarding the Denver II, the children with heart disease had more "suspicious" and "suspect/abnormal" ratings and in the group of healthy children 53.6% were considered with "normal" development (P≤0.0001). The biopsychosocial variables that were related to a possible developmental delay were gender (P=0.042), child's age (P=0.001) and income per capita (P=0.019).

Conclusion: The results suggest that children with congenital heart disease are likely to have a developmental delay with significant difference between children who have undergone surgery and those awaiting surgery under clinical follow-up.

References

    1. Martorell G. In: O desenvolvimento da criança: do nascimento à adolescência. Bueno D, Pizzato R, translators. Porto Alegre: McGraw-Hill; 2014.
    1. Martins MF, Costa JS, Saforcada ET, Cunha MD. Quality of the environmental and associated factors: a pediatric study in Pelotas, Rio Grande do Sul, Brazil. Cad Saúde Pública. 2004;20(3):710–718.
    1. Gianotti A. Efeitos psicológicos das cardiopatias congênitas. São Paulo: Lemos Editorial; 1996.
    1. Pinto Jr VC, Daher CV, Sallum FS, Jatene MB, Croti AU. The situation of congenital heart surgeries in Brazil. Rev Bras Cir Cardiovasc. 2004;19(2):III–IVI.
    1. Monteiro MC. Um coração para dois: a relação mãe-bebê cardiopata. Rio de Janeiro: Pontifícia Universidade Católica do Rio de Janeiro; 2003. Dissertação de Mestrado.
    1. Rufo-Campos M, Rojas-Pérez I, Gómez-de Terreros M, Grueso-Montero J, Álvarez-Madrid A, Gómez-de Terreros I, et al. Estado psiconeurológico de los recién nacidos afectados de cardiopatía congénita antes de Su intervención. Rev Neurol. 2003;37(8):705–710.
    1. Frankenburg WK, Dodds J, Archer P, Shapiro H, Bresnick B. The Denver II: a major revision and restandardization of the Denver Developmental Screening Test. Pediatrics. 1992;89(1):91–97.
    1. Quintana AM, Wottrich SH, Camargo VP, Cherer EQ, Ries PK. Lutos e lutas: reestruturações familiares diante do câncer em uma criança/ adolescente. Psychol Argum. 2011;29(65):143–154.
    1. Romano BW. Abordagem psicológica da criança cardiopata. In: Romano BW, editor. Psicologia e cardiologia: encontros possíveis. São Paulo: Casa do Psicólogo; 2001. pp. 47–60.
    1. Mattos SS, Croti UA, Pinto Jr VC, Aiello VD. Terminologia. In: Croti UA, Mattos SS, Pinto Jr VC, Aiello VD, editors. Cardiologia e cirurgia cardiovascular pediátrica. São Paulo: Roca; 2008. pp. 1–7.
    1. Forbes JM, Visconti KJ, Hancock-Friesen C, Howe RC, Bellinger DC, Jonas RA. Neurodevelopmental outcome after congenital heart surgery: results from an institutional registry. Circulation. 2002;106(12) Supp 1:I95–102.
    1. Weinberg S, Kern J, Weiss K, Ross G. Developmental screening of children diagnosed with congenital heart defects. Clin Pediatr (Phila) 2001;40(9):497–501.
    1. Zielinsky PR, Assad RS. In: Cardiologia e cirurgia cardiovascular pediátrica. Croti UA, Mattos SS, Pinto Jr VC, Aiello VD, editors. São Paulo: Roca; 2008. pp. 51–84.
    1. Damas BGB, Ramos CA, Rezende MA. Necessidade de informação a pais de crianças portadoras de cardiopatia congênita. Rev Bras Crescimento Desenvolvimento Hum. 2009;19(1):103–113.
    1. Bueno GCV. Crenças e significados atribuídos pelos cuidadores ao tratamento de crianças com cardiopatias congênitas. Campinas: Universidade Estadual de Campinas; 2011. Dissertação de Mestrado.
    1. Vieira MEB, Ribeiro FV, Formiga CKMR. Principais instrumentos de avaliação do desenvolvimento da criança de zero a dois anos de idade. Rev Movimenta. 2009;2(1):23–31.
    1. Rodrigues OMPR. Escalas de desenvolvimento infantil e o uso com bebês. Educ Rev. 2012;43:81–100.
    1. Polat S, Okuyaz C, Hallioglu O, Mert E, Makharoblidze K. Evaluation of growth and neurodevelopment in children with congenital heart disease. Pediatr Int. 2011;53(3):345–349.
    1. Rock TS, Guardiola A, Piva JP, Ricachinevski CP, Nogueira A. Neuropsychomotor development before and after open-heart surgery in infants. Arq Neuropsiquiatr. 2009;67(2B):457–462.
    1. Brito CM, Vieira GO, Costa MC, Oliveira NF. Neuropsychomotor development: the Denver scale for screening cognitive and neuromotor delays in preschoolers. Cad Saúde Pública. 2011;27(7):1403–1414.
    1. Pilz EM, Schermann LB. Environmental and biological determinants of neuropsychomotor development in a sample of children in Canoas/ RS. Cien Saude Colet. 2007;12(1):181–190.
    1. Ozkan M, Senel S, Arslan EA, Karacan CD. The socioeconomic and biological risk factors for developmental delay in early childhood. Eur J Pediatr. 2012;171(12):1815–1821.
    1. Sapienza G, Pedromônico MRM. Risco, proteção e resiliência no desenvolvimento da criança e do adolescente. Psicol Estudo. 2005;10(2):209–216.
    1. Quiceno JM, Alpi SV. Resiliencia y características sociodemográficas en enfermos crónicos. Psicol Caribe. 2012;29(1):87–104.
    1. Oliveira GF, Dantas FDC, Fonsêca PN. O impacto da hospitalização em crianças de 1 a 5 anos de idade. Rev SBPH. 2004;7(2):37–54.

Source: PubMed

Sponsorer og samarbeidspartnere

Medisinsk tilstand

Legemiddelintervensjoner

3
Abonnere