Cognitive development of children and adolescents after correction of transposition of great vessels

BACKGROUND: To study the effect of transposition of the great arteries on later cognitive functioning.

PATIENTS: Twentyeight children and adolescents underwent psychometric testing 3.5 to 13.7 years following operation.

METHODS: A battery of intelligence, attention and visual memory tasks as well as the Draw-a-Man-Test were administered. Parents completed standardized questionnaires on developmental milestones.

RESULTS: Both, mean verbal (93 +/- 15) and performance IQs (97 +/- 21) were normal. The length of interval between operation and psychologic test but not age at repair was a significant predictor of intelligence quotient. Half of the children (9/18) showed attention deficits, 7/11 (64%) were identified as suspect of brain dysfunction. Performance on the Draw-a-Man-Test disclosed 12 (43%) as slightly mentally retarded.

CONCLUSIONS: (1) Cognitive functions in children with TGA are more impaired than suggested by the results of intelligence tests. (2) Psychological and neurologic follow-up should be mandatory from early on. (3) Previous studies have overestimated children's intelligence due to unrecognized changes of test norms.

Medienart:

Artikel

Erscheinungsjahr:

1995

Erschienen:

1995

Enthalten in:

Zur Gesamtaufnahme - volume:207

Enthalten in:

Klinische Padiatrie - 207(1995), 2 vom: 03. März, Seite 68-72

Sprache:

Deutsch

Weiterer Titel:

Kognitive Entwicklung von Kindern und Jugendlichen nach Korrektur einer Transposition der grossen Gefässe

Beteiligte Personen:

Jedlicka-Köhler, I [VerfasserIn]
Sinko-Sanz, K [VerfasserIn]
Schlemmer, M [VerfasserIn]
Wimmer, M [VerfasserIn]

Themen:

Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 21.06.1995

Date Revised 10.12.2019

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM075147777