Elevated risk for developmental disabilities in children with congenital heart defects
© 2023 The Authors. Birth Defects Research published by Wiley Periodicals LLC..
BACKGROUND: This study examined risk for developmental disabilities in preschool-aged children with a congenital heart defect (CHD) at the population level.
METHODS: Statewide birth, birth defects, and preschool developmental disability records were integrated. The final sample included 1,966,585 children (51.0% male). Children were grouped by type(s) of CHD: critical CHD, noncritical CHD, atrial septal defect, or no major birth defects (groups were mutually exclusive).
RESULTS: Children with a CHD (any type) were at increased risk for developmental disability (any type) (RR 2.08, 95% CI 2.03-2.14, P < .001). Children in the critical CHD, noncritical CHD, and atrial septal defect groups were at increased risk for developmental delay, intellectual disability, language impairment, other health impairment, and any disability. Children in the atrial septal defect group were at increased risk for autism spectrum disorder and speech impairment. For all CHD groups, risk was greatest for other health impairment and intellectual disability.
CONCLUSIONS: Increased risk for developmental disabilities was identified for children with less severe CHDs as well as for children with more severe (critical) CHDs. All children with CHDs should be closely monitored so that appropriate interventions can be initiated as early as possible to maximize learning outcomes.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:115 |
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| Enthalten in: |
Birth defects research - 115(2023), 18 vom: 01. Nov., Seite 1708-1722 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Delgado, Christine [VerfasserIn] |
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| Links: |
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| Themen: |
Atrial septal defect |
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| Anmerkungen: |
Date Completed 03.11.2023 Date Revised 12.11.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/bdr2.2246 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM361788932 |
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| 245 | 1 | 0 | |a Elevated risk for developmental disabilities in children with congenital heart defects |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023 The Authors. Birth Defects Research published by Wiley Periodicals LLC. | ||
| 520 | |a BACKGROUND: This study examined risk for developmental disabilities in preschool-aged children with a congenital heart defect (CHD) at the population level | ||
| 520 | |a METHODS: Statewide birth, birth defects, and preschool developmental disability records were integrated. The final sample included 1,966,585 children (51.0% male). Children were grouped by type(s) of CHD: critical CHD, noncritical CHD, atrial septal defect, or no major birth defects (groups were mutually exclusive) | ||
| 520 | |a RESULTS: Children with a CHD (any type) were at increased risk for developmental disability (any type) (RR 2.08, 95% CI 2.03-2.14, P < .001). Children in the critical CHD, noncritical CHD, and atrial septal defect groups were at increased risk for developmental delay, intellectual disability, language impairment, other health impairment, and any disability. Children in the atrial septal defect group were at increased risk for autism spectrum disorder and speech impairment. For all CHD groups, risk was greatest for other health impairment and intellectual disability | ||
| 520 | |a CONCLUSIONS: Increased risk for developmental disabilities was identified for children with less severe CHDs as well as for children with more severe (critical) CHDs. All children with CHDs should be closely monitored so that appropriate interventions can be initiated as early as possible to maximize learning outcomes | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, U.S. Gov't, P.H.S. | |
| 650 | 4 | |a atrial septal defect | |
| 650 | 4 | |a birth defects | |
| 650 | 4 | |a developmental delay | |
| 650 | 4 | |a early intervention | |
| 650 | 4 | |a intellectual disability | |
| 650 | 4 | |a screening | |
| 700 | 1 | |a Ullery, Mary Anne |e verfasserin |4 aut | |
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| 700 | 1 | |a Kirby, Russell S |e verfasserin |4 aut | |
| 700 | 1 | |a Duclos, Chris |e verfasserin |4 aut | |
| 700 | 1 | |a Lowry, Joseph |e verfasserin |4 aut | |
| 700 | 1 | |a Salemi, Jason L |e verfasserin |4 aut | |
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