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Neurdevelopment and behavior after transcatheter versus surgical closure of secundum type atrial septal defect

(2015) JOURNAL OF PEDIATRICS. 166(1). p.31-38
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Abstract
Objective: To assess the neuropsychological and behavioral profiles of school-aged children treated for atrial septal defect, secundum type (ASD-II) with open-heart surgery or catheterization. Study design: Patients (n = 48; mean age, 9 years, 3 months) and a matched healthy group (mean age, 9 years, 2 months) were evaluated with a shortened intelligence scale (Wechsler Intelligence Scale for Children, third edition, Dutch version) and a developmental neuropsychological test battery (Developmental Neuropsychological Assessment, second edition, Dutch version). Parents completed behavioral checklists (Achenbach Child Behavior Checklist for Children aged 6-18). Hospitalization variables were retrieved from medical files for studying associations with long-term neurodevelopment. Results: Compared with the healthy matched controls, patients treated for ASD-II had significantly lower scores on subtasks underlying such Developmental Neuropsychological Assessment, second edition, Dutch version domains as Attention and Executive Functioning, Language, Working Memory, Sensorimotor Functioning, Social Cognition, and Visuospatial Information Processing. Only subtle differences, mainly in Visuospatial Information Processing, were found between the surgical repair and transcatheter repair groups. Socioeconomic status, longer hospital stay, and larger defect size were associated with neurocognitive outcome measures. Parents of patients reported more thought problems, posttraumatic stress problems, and lower school performance compared with parents of healthy peers. Conclusion: After treatment for ASD-II, children display a range of neuropsychologic difficulties that may increase their risk for learning problems and academic underachievement. Differences related to treatment were not found. Our results suggest that neurodevelopmental and behavioral follow-up at school age is warranted in this group.
Keywords
OUTCOMES, QUALITY-OF-LIFE, INFANTS, REPAIR, TETRALOGY, FALLOT, ENTRY, SCHOOL-AGED CHILDREN, CORRECTIVE CARDIAC-SURGERY, CONGENITAL HEART-DISEASE

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Chicago
Sarrechia, Iemke, Daniël De Wolf, Marijke Miatton, Katrien Francois, Marc Gewillig, Bart Meyns, and Guy Vingerhoets. 2015. “Neurdevelopment and Behavior After Transcatheter Versus Surgical Closure of Secundum Type Atrial Septal Defect.” Journal of Pediatrics 166 (1): 31–38.
APA
Sarrechia, I., De Wolf, D., Miatton, M., Francois, K., Gewillig, M., Meyns, B., & Vingerhoets, G. (2015). Neurdevelopment and behavior after transcatheter versus surgical closure of secundum type atrial septal defect. JOURNAL OF PEDIATRICS, 166(1), 31–38.
Vancouver
1.
Sarrechia I, De Wolf D, Miatton M, Francois K, Gewillig M, Meyns B, et al. Neurdevelopment and behavior after transcatheter versus surgical closure of secundum type atrial septal defect. JOURNAL OF PEDIATRICS. 2015;166(1):31–8.
MLA
Sarrechia, Iemke, Daniël De Wolf, Marijke Miatton, et al. “Neurdevelopment and Behavior After Transcatheter Versus Surgical Closure of Secundum Type Atrial Septal Defect.” JOURNAL OF PEDIATRICS 166.1 (2015): 31–38. Print.
@article{5718032,
  abstract     = {Objective: To assess the neuropsychological and behavioral profiles of school-aged children treated for atrial septal defect, secundum type (ASD-II) with open-heart surgery or catheterization. 
Study design: Patients (n = 48; mean age, 9 years, 3 months) and a matched healthy group (mean age, 9 years, 2 months) were evaluated with a shortened intelligence scale (Wechsler Intelligence Scale for Children, third edition, Dutch version) and a developmental neuropsychological test battery (Developmental Neuropsychological Assessment, second edition, Dutch version). Parents completed behavioral checklists (Achenbach Child Behavior Checklist for Children aged 6-18). Hospitalization variables were retrieved from medical files for studying associations with long-term neurodevelopment. 
Results: Compared with the healthy matched controls, patients treated for ASD-II had significantly lower scores on subtasks underlying such Developmental Neuropsychological Assessment, second edition, Dutch version domains as Attention and Executive Functioning, Language, Working Memory, Sensorimotor Functioning, Social Cognition, and Visuospatial Information Processing. Only subtle differences, mainly in Visuospatial Information Processing, were found between the surgical repair and transcatheter repair groups. Socioeconomic status, longer hospital stay, and larger defect size were associated with neurocognitive outcome measures. Parents of patients reported more thought problems, posttraumatic stress problems, and lower school performance compared with parents of healthy peers. 
Conclusion: After treatment for ASD-II, children display a range of neuropsychologic difficulties that may increase their risk for learning problems and academic underachievement. Differences related to treatment were not found. Our results suggest that neurodevelopmental and behavioral follow-up at school age is warranted in this group.},
  author       = {Sarrechia, Iemke and De Wolf, Dani{\"e}l and Miatton, Marijke and Francois, Katrien and Gewillig, Marc and Meyns, Bart and Vingerhoets, Guy},
  issn         = {0022-3476},
  journal      = {JOURNAL OF PEDIATRICS},
  keyword      = {OUTCOMES,QUALITY-OF-LIFE,INFANTS,REPAIR,TETRALOGY,FALLOT,ENTRY,SCHOOL-AGED CHILDREN,CORRECTIVE CARDIAC-SURGERY,CONGENITAL HEART-DISEASE},
  language     = {eng},
  number       = {1},
  pages        = {31--38},
  title        = {Neurdevelopment and behavior after transcatheter versus surgical closure of secundum type atrial septal defect},
  url          = {http://dx.doi.org/10.1016/j.jpeds.2014.08.039},
  volume       = {166},
  year         = {2015},
}

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