Beyond the heart: Cognitive and verbal outcomes in Arab children with congenital heart diseases

IF 1.6 4区医学 Q4 DEVELOPMENTAL BIOLOGY Birth Defects Research Pub Date : 2024-06-24 DOI:10.1002/bdr2.2374

Latefa Ali Dardas, Iyad Al-Ammouri, Sami Sweis, Ahmad Eid, Mohammad Abid, Wei Pan

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Abstract

Background

This study investigates how congenital heart diseases (CHD) characteristics and interventions affect cognitive and verbal skills in Arab children, while also uncovering previously unexplored connections between these skills and the quality of life (QoL) scores as perceived by both children and parents.

Methods

A cross-sectional study was conducted in Jordan, involving 62 children with CHD aged 6–16. Data were collected through standardized intelligence tests (namely The Raven's Progressive Matrices Test and The Wechsler Intelligence Scale for Children) and QoL assessments.

Results

Sex, disease severity, cyanosis, CHD defect status, conducted operations, and types of interventions did not significantly influence cognitive scores. However, a significant difference was observed in Wechsler's scores between cyanotic and non-cyanotic children (p < .01) and between severe and moderate cases (p = .01). Further, a significant positive correlation was identified between Wechsler's Scores and QoL reported by parents (r = 0.33, p < .01). This correlation was particularly pronounced in the social and school functioning dimensions of QoL.

Conclusions

This study highlights the need for personalized care approaches for children with CHDs based on their individual characteristics. While cognitive abilities did not directly correlate with children's QoL reports, a significant positive correlation between verbal skills and QoL reported by parents underscores the importance of effective communication in assessing a child's overall well-being. Future research should further examine the cognitive development in this population, employing neurocognitive investigations and longitudinal studies to gain a deeper understanding of their cognitive profiles and trajectories.

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超越心脏：患有先天性心脏病的阿拉伯儿童的认知和语言能力。

背景：本研究探讨了先天性心脏病（CHD）的特点和干预措施如何影响阿拉伯儿童的认知和语言能力，同时还揭示了这些能力与儿童和家长认为的生活质量（QoL）得分之间以前未曾探讨过的联系：在约旦进行了一项横断面研究，涉及 62 名 6-16 岁患有先天性心脏病的儿童。数据通过标准化智力测验（即瑞文渐进矩阵测验和韦氏儿童智力量表）和 QoL 评估收集：结果：性别、疾病严重程度、发绀、先天性心脏病缺陷状况、进行过的手术和干预类型对认知评分没有显著影响。然而，发绀儿童与非发绀儿童的韦氏评分存在明显差异（p 结论：该研究强调了个性化治疗的必要性：本研究强调了根据患有先天性心脏病的儿童的个体特征采取个性化护理方法的必要性。虽然认知能力与儿童的 QoL 报告没有直接相关性，但言语能力与家长报告的 QoL 之间存在显著的正相关性，这强调了有效沟通在评估儿童整体福祉中的重要性。未来的研究应通过神经认知调查和纵向研究来进一步考察这一人群的认知发展，从而更深入地了解他们的认知概况和发展轨迹。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Birth Defects Research Medicine-Embryology

CiteScore

3.60

自引率

9.50%

发文量

153

期刊介绍： The journal Birth Defects Research publishes original research and reviews in areas related to the etiology of adverse developmental and reproductive outcome. In particular the journal is devoted to the publication of original scientific research that contributes to the understanding of the biology of embryonic development and the prenatal causative factors and mechanisms leading to adverse pregnancy outcomes, namely structural and functional birth defects, pregnancy loss, postnatal functional defects in the human population, and to the identification of prenatal factors and biological mechanisms that reduce these risks. Adverse reproductive and developmental outcomes may have genetic, environmental, nutritional or epigenetic causes. Accordingly, the journal Birth Defects Research takes an integrated, multidisciplinary approach in its organization and publication strategy. The journal Birth Defects Research contains separate sections for clinical and molecular teratology, developmental and reproductive toxicology, and reviews in developmental biology to acknowledge and accommodate the integrative nature of research in this field. Each section has a dedicated editor who is a leader in his/her field and who has full editorial authority in his/her area.