Pediatric Cardiology and Congenital Cardiovascular Disease

Biography

Biography: Veronique Diane

Abstract

Objectives: To evaluate the child development and evaluate a possible association with the commitment by bio-psychosocial factors of children with congenital heart disease and those without the infection.

Methods: This research is an observational case-control study comparing the development of children with and without heart disease, categorized in three groups. Group 1(G1): children 0-10years of age both male and female genders with congenital heart disease awaiting surgery; Group 2 (G2): children of age 0-10years of both genders who have undergone at least one surgical procedure for congenital heart disease correction between 6 months and 1 year before the application of the instruments of this study; Group 3 (G3): Children 0-10 years, healthy and both genders. As instruments, we used a bio- psychosocial data questionnaire that includes social, demographic, psychological and clinical factors, and a development screen test divided into four fields of functions i.e. personal-social, fine-motor-adaptive, language and gross motor.

Results: Ninety six children were evaluated, 19 (22.66%) belonging to the G1 (preoperative children with heart disease), 32 (33.59%) in Group 2 (postoperative children with heart disease) and 45 (43.75%) in G3 (healthy children). Of the total, 55.56% are girls and age ranged from 2 months to 10 years. The children with heart disease had more suspicious and abnormal ratings and in the group of healthy children 53.6% were considered with normal development (P≤0.0001). The biopsychosocial variables that were related to a possible developmental delay were gender (P=0.042), child's age (P=0.001) and income per capita (P=0.019).

Conclusion: The results suggest that children with congenital heart disease are likely to have a developmental delay with significant difference between children who have undergone surgery and those awaiting surgery under clinical follow-up.