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Neurobehavioural functioning in school-aged children with a corrected septal heart defect

Iemke Sarrechia, Marijke Miatton UGent, Daniël De Wolf UGent, Katrien Francois UGent and Guy Vingerhoets UGent (2013) ACTA CARDIOLOGICA. 68(1). p.23-30
abstract
Objective: This cross-sectional study assesses neurobehavioural consequences after surgical treatment for acyanotic congenital heart defect at the age of 5 to 12 years. Methods and results: Fifteen school-aged children who underwent surgical intervention for a septal heart defect were examined with the short form Wechsler Intelligence Scale for Children-third Edition, Dutch Version (WISC-III-NL), and a neuropsychological assessment with the Nepsy. Performances were compared to a matched healthy control group. Parents completed the Child Behaviour Checklist and were interviewed to rate the child’s cognitive and emotional functioning. Children older than eight years filled out a self-perception questionnaire. Analyses revealed significant differences between the study groups on several cognitive and behavioural domains. Estimated intelligence scores were in the average range. Domains of attention and fine motor skills, and the subtest level of language abilities, elicited significant group differences, with less favourable outcomes for the patient group. Parents of patients reported more withdrawn behaviour, social difficulties, thought problems, attentional shortcomings and lower competence for activities. These parents also indicated poor problem solving skills in everyday activities. Conclusions: Surgical patients displayed subtle neuropsychological difficulties concerning language and fine motor skills. Behavioural difficulties were common. Future research should address risk factors for adverse neurobehavioural manifestations in this patient group.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
HYPOTHERMIC CIRCULATORY ARREST, CARDIOPULMONARY BYPASS, CARDIAC-SURGERY, DISEASE, INFANCY, TETRALOGY, FALLOT, LANGUAGE, BEHAVIOR, OUTCOMES, Neuropsychology, congenital heart defect, atrial septal defect, ventricular septal defect, neurobehavioural manifestations
journal title
ACTA CARDIOLOGICA
Acta Cardiol.
volume
68
issue
1
pages
23 - 30
Web of Science type
Article
Web of Science id
000315178300004
JCR category
CARDIAC & CARDIOVASCULAR SYSTEMS
JCR impact factor
0.561 (2013)
JCR rank
118/125 (2013)
JCR quartile
4 (2013)
ISSN
0001-5385
DOI
10.2143/AC.68.1.2959628
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
3143235
handle
http://hdl.handle.net/1854/LU-3143235
date created
2013-02-26 09:38:58
date last changed
2016-12-19 15:42:27
@article{3143235,
  abstract     = {Objective: This cross-sectional study assesses neurobehavioural consequences after surgical treatment for acyanotic congenital heart defect at the age of 5 to 12 years. Methods and results: Fifteen school-aged children who underwent surgical intervention for a septal heart defect were examined with the short form Wechsler Intelligence Scale for Children-third Edition, Dutch Version (WISC-III-NL), and a neuropsychological assessment with the Nepsy. Performances were compared to a matched healthy control group. Parents completed the Child Behaviour Checklist and were interviewed to rate the child{\textquoteright}s cognitive and emotional functioning. Children older than eight years filled out a self-perception questionnaire. Analyses revealed significant differences between the study groups on several cognitive and behavioural domains. Estimated intelligence scores were in the average range. Domains of attention and fine motor skills, and the subtest level of language abilities, elicited significant group differences, with less favourable outcomes for the patient group. Parents of patients reported more withdrawn behaviour, social difficulties, thought problems, attentional shortcomings and lower competence for activities. These parents also indicated poor problem solving skills in everyday activities.
Conclusions: Surgical patients displayed subtle neuropsychological difficulties concerning language and fine motor skills. Behavioural difficulties were common. Future research should address risk factors for adverse neurobehavioural manifestations in this patient group.},
  author       = {Sarrechia, Iemke and Miatton, Marijke and De Wolf, Dani{\"e}l and Francois, Katrien and Vingerhoets, Guy},
  issn         = {0001-5385},
  journal      = {ACTA CARDIOLOGICA},
  keyword      = {HYPOTHERMIC CIRCULATORY ARREST,CARDIOPULMONARY BYPASS,CARDIAC-SURGERY,DISEASE,INFANCY,TETRALOGY,FALLOT,LANGUAGE,BEHAVIOR,OUTCOMES,Neuropsychology,congenital heart defect,atrial septal defect,ventricular septal defect,neurobehavioural manifestations},
  language     = {eng},
  number       = {1},
  pages        = {23--30},
  title        = {Neurobehavioural functioning in school-aged children with a corrected septal heart defect},
  url          = {http://dx.doi.org/10.2143/AC.68.1.2959628},
  volume       = {68},
  year         = {2013},
}

Chicago
Sarrechia, Iemke, MARIJKE MIATTON, Daniël De Wolf, Katrien Francois, and Guy Vingerhoets. 2013. “Neurobehavioural Functioning in School-aged Children with a Corrected Septal Heart Defect.” Acta Cardiologica 68 (1): 23–30.
APA
Sarrechia, I., MIATTON, M., De Wolf, D., Francois, K., & Vingerhoets, G. (2013). Neurobehavioural functioning in school-aged children with a corrected septal heart defect. ACTA CARDIOLOGICA, 68(1), 23–30.
Vancouver
1.
Sarrechia I, MIATTON M, De Wolf D, Francois K, Vingerhoets G. Neurobehavioural functioning in school-aged children with a corrected septal heart defect. ACTA CARDIOLOGICA. 2013;68(1):23–30.
MLA
Sarrechia, Iemke, MARIJKE MIATTON, Daniël De Wolf, et al. “Neurobehavioural Functioning in School-aged Children with a Corrected Septal Heart Defect.” ACTA CARDIOLOGICA 68.1 (2013): 23–30. Print.