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Growth and Intellectual Abilities of Six-Year-Old Children with Congenital Heart Disease.

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Titel: Growth and Intellectual Abilities of Six-Year-Old Children with Congenital Heart Disease.
Autoren: Heye, K.N., Rousson, V., Knirsch, W., Beck, I., Liamlahi, R., Bernet, V., Dave, H., Latal, B.
Weitere Verfasser: Heart and Brain Research Group
Publikationsjahr: 2025
Bestand: Université de Lausanne (UNIL): Serval - Serveur académique lausannois
Schlagwörter: Cardiopulmonary Bypass/methods, Child, Child Development, Preschool, Cohort Studies, Developmental Disabilities/epidemiology, Developmental Disabilities/etiology, Female, Heart Defects, Congenital/complications, Congenital/surgery, Humans, Infant, Intellectual Disability/epidemiology, Intellectual Disability/etiology, Male, Prospective Studies, Risk Factors, growth trajectories, head growth, neurodevelopmental outcome
Beschreibung: To determine growth and its relationship to IQ in children with congenital heart disease (CHD) undergoing cardiopulmonary bypass surgery within the first year of life. Prospective single-center cohort study on 143 children (91 males) with different types of CHD (29 univentricular). Children with recognized genetic disorders were excluded. Growth (weight, height, and head circumference [HC]) was assessed at birth, before surgery, and at 1, 4, and 6 years and compared with Swiss growth charts. IQ was assessed at 6 years using standardized tests. Univariate and multivariable linear regressions were performed to determine predictors of HC and IQ at 6 years. HC at birth was in the low average range (33rd percentile, P = .03), and weight (49th percentile, P = .23) and length (47th percentile, P = .06) were normal. All growth measures declined until the first surgery, with a catch-up growth until 6 years for height (44th percentile, P = .07) but not for weight (39th percentile, P = .003) or for HC (23rd percentile, P < .001). Children undergoing univentricular palliation showed poorer height growth than other types of CHD (P = .01). Median IQ at 6 years was 95 (range 50-135). Lower IQ at 6 years was independently predicted by lower HC at birth, lower socioeconomic status, older age at first bypass surgery, and longer length of intensive care unit stay. Smaller HC at birth and postnatal factors are predictive of impaired intellectual abilities at school age. Early identification should alert clinicians to provide early childhood interventions to optimize developmental potential.
Publikationsart: article in journal/newspaper
Sprache: English
ISSN: 1097-6833
Relation: The Journal of pediatrics; https://iris.unil.ch/handle/iris/85451; serval:BIB_3E47D63394D7; 000453785200006
DOI: 10.1016/j.jpeds.2018.08.060
Verfügbarkeit: https://iris.unil.ch/handle/iris/85451
https://doi.org/10.1016/j.jpeds.2018.08.060
Dokumentencode: edsbas.A8D9D2D8
Datenbank: BASE
Beschreibung
Abstract:To determine growth and its relationship to IQ in children with congenital heart disease (CHD) undergoing cardiopulmonary bypass surgery within the first year of life. Prospective single-center cohort study on 143 children (91 males) with different types of CHD (29 univentricular). Children with recognized genetic disorders were excluded. Growth (weight, height, and head circumference [HC]) was assessed at birth, before surgery, and at 1, 4, and 6 years and compared with Swiss growth charts. IQ was assessed at 6 years using standardized tests. Univariate and multivariable linear regressions were performed to determine predictors of HC and IQ at 6 years. HC at birth was in the low average range (33rd percentile, P = .03), and weight (49th percentile, P = .23) and length (47th percentile, P = .06) were normal. All growth measures declined until the first surgery, with a catch-up growth until 6 years for height (44th percentile, P = .07) but not for weight (39th percentile, P = .003) or for HC (23rd percentile, P < .001). Children undergoing univentricular palliation showed poorer height growth than other types of CHD (P = .01). Median IQ at 6 years was 95 (range 50-135). Lower IQ at 6 years was independently predicted by lower HC at birth, lower socioeconomic status, older age at first bypass surgery, and longer length of intensive care unit stay. Smaller HC at birth and postnatal factors are predictive of impaired intellectual abilities at school age. Early identification should alert clinicians to provide early childhood interventions to optimize developmental potential.
ISSN:10976833
DOI:10.1016/j.jpeds.2018.08.060