Neonatal visual assessment in congenital heart disease: A pilot study

M. Feldmann, C. Hagmann, V. Bernet, W. Knirsch, B. Latal
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Abstract

Abstract This study assessed neonatal visual maturity in infants with congenital heart disease (CHD) and its predictive value for neurodevelopmental outcomes. Neonates with CHD underwent a standardized visual assessment before and after cardiopulmonary bypass surgery. Visual maturity was rated as normal versus abnormal by means of normative reference data. Twelve-month neurodevelopment was assessed with the Bayley-III. Twenty-five healthy controls served as the reference group. Neonatal visual assessment was performed in five neonates with CHD preoperatively and in 24 postoperatively. Only postoperative assessments were considered for further analysis. Median [IQR] age at assessment was 27.0 [21.5, 42.0] days of life in postoperative neonates with CHD and 24.0 [15.0, 32.0] in controls. Visual performance was within reference values in 87.5% in postoperative CHD versus 90.5% in healthy controls (p = 1.0). Visual maturity was not predictive of neurodevelopment at 12 months. These results demonstrate the limited feasibility and predictive value of neonatal visual assessments in CHD.
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先天性心脏病新生儿视力评估:一项初步研究
本研究评估先天性心脏病(CHD)患儿新生儿视觉成熟度及其对神经发育结局的预测价值。冠心病新生儿在体外循环手术前后进行了标准化的视力评估。通过规范的参考数据将视觉成熟度分为正常和异常。用Bayley-III评估12个月的神经发育。25名健康对照者作为参照组。对5例冠心病新生儿术前和24例术后进行新生儿视力评估。仅考虑术后评估进行进一步分析。评估时的中位[IQR]年龄为冠心病新生儿术后27.0[21.5,42.0]天,对照组为24.0[15.0,32.0]天。术后冠心病患者的视觉表现在参考值范围内的比例为87.5%,而健康对照组为90.5% (p = 1.0)。视觉成熟度不能预测12个月时的神经发育。这些结果表明新生儿视力评估在冠心病诊断中的可行性和预测价值有限。
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