{"title":"Neurodevelopmental assessment of children with congenital heart diseases using Trivandrum developmental screening chart.","authors":"Punam Uke, Sarika Bhimrao Gaikwad, Keerti Swarnkar, Varsha Lamture, Prashant Khartade","doi":"10.25259/JNRP_46_2023","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Congenital heart diseases (CHDs) are one of the most important congenital anomalies in children which have high-risk for neurodevelopment delay. This study was conducted to determine the proportion of developmental delay in children with CHD and comparison of delay between acyanotic and cyanotic heart diseases in children.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted on children admitted in pediatric ward of rural hospital from 6 month to 6 years of age who are diagnosed with CHD by 2D ECHO and further classified into acyanotic congenital heart disease (ACHD) and cyanotic congenital heart disease (CCHD). Neurodevelopmental assessment was done using Trivandrum development screening chart (TDSC).</p><p><strong>Results: </strong>Out of total 50 children in study population, 24 children had TDSC delay, distribution as 11 (22%) ACHD and 13 (26%) CCHD. Out of 24 children in the age group of 0-3 years, 13 (54.2%) were ACHD and 11 (45.8%) were CCHD. Out of 26 children in the age group of 3-6 years, 15 (57.7%) were ACHD and 11 (42.3%) were CCHD. Among different ACHD included in the study population (0-3 years) children with ventricular septal defect (VSD) were maximum (<i>n</i> = 5) next in the decreasing order was atrial septal defect (ASD) (<i>n</i> = 3). ACHD included in the study population (3-6 years) children with VSD was maximum (<i>n</i> = 6) next in the order was ASD (<i>n</i> = 4). Proportion of delay in children with ACHD was 22% as compared to 26% in children with CCHD.</p><p><strong>Conclusion: </strong>There is a high proportion of neurodevelopmental delay in children with CHD which can be detected using TDSC which is a simple screening tool and can be used by any health-care professional without training for the assessment of neurodevelopmental outcome in these children. Delay was more in children with CCHD than ACHD.</p>","PeriodicalId":10594,"journal":{"name":"Communications of the ACM","volume":"63 1","pages":"692-697"},"PeriodicalIF":11.1000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696322/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Communications of the ACM","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25259/JNRP_46_2023","RegionNum":3,"RegionCategory":"计算机科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/8/12 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"COMPUTER SCIENCE, HARDWARE & ARCHITECTURE","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: Congenital heart diseases (CHDs) are one of the most important congenital anomalies in children which have high-risk for neurodevelopment delay. This study was conducted to determine the proportion of developmental delay in children with CHD and comparison of delay between acyanotic and cyanotic heart diseases in children.
Materials and methods: A cross-sectional study was conducted on children admitted in pediatric ward of rural hospital from 6 month to 6 years of age who are diagnosed with CHD by 2D ECHO and further classified into acyanotic congenital heart disease (ACHD) and cyanotic congenital heart disease (CCHD). Neurodevelopmental assessment was done using Trivandrum development screening chart (TDSC).
Results: Out of total 50 children in study population, 24 children had TDSC delay, distribution as 11 (22%) ACHD and 13 (26%) CCHD. Out of 24 children in the age group of 0-3 years, 13 (54.2%) were ACHD and 11 (45.8%) were CCHD. Out of 26 children in the age group of 3-6 years, 15 (57.7%) were ACHD and 11 (42.3%) were CCHD. Among different ACHD included in the study population (0-3 years) children with ventricular septal defect (VSD) were maximum (n = 5) next in the decreasing order was atrial septal defect (ASD) (n = 3). ACHD included in the study population (3-6 years) children with VSD was maximum (n = 6) next in the order was ASD (n = 4). Proportion of delay in children with ACHD was 22% as compared to 26% in children with CCHD.
Conclusion: There is a high proportion of neurodevelopmental delay in children with CHD which can be detected using TDSC which is a simple screening tool and can be used by any health-care professional without training for the assessment of neurodevelopmental outcome in these children. Delay was more in children with CCHD than ACHD.
期刊介绍：
Communications of the ACM is the leading print and online publication for the computing and information technology fields. Read by computing''s leading professionals worldwide, Communications is recognized as the most trusted and knowledgeable source of industry information for today’s computing professional.
Following the traditions of the Communications print magazine, which each month brings its readership of over 100,000 ACM members in-depth coverage of emerging areas of computer science, new trends in information technology, and practical applications, the Communications website brings topical and informative news and material to computing professionals each business day. ACM''s membership includes the IT industry''s most respected leaders and decision makers. Industry leaders have for more than 50 years used the monthly Communications of the ACM magazine as a platform to present and debate various technology implications, public policies, engineering challenges, and market trends. The Communications website continues that practice.
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