Developmental and Psychological Concerns in Children With Complex Congenital Heart Disease: The Need for a Screening Program

IF 1.6 4区医学 Q2 PEDIATRICS

Journal of paediatrics and child health Pub Date : 2025-03-06 DOI:10.1111/jpc.70032

Ashani Mahawattege, Karina Laohachai

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引用次数: 0

Abstract

Aim

Complex congenital heart disease (CHD) is associated with adverse neurodevelopmental and psychological outcomes. Limited Australian data exist regarding these outcomes or follow-up. This cross-sectional study aims to determine the prevalence of developmental and psychological concerns in South Australian children with complex CHD and concurrent developmental or psychological healthcare utilisation.

Methods

Families of children with complex CHD aged between 3 years and 7 years 11 months undertook a series of validated screening questionnaires for development (Parents' Evaluation of Developmental Status [PEDS], Parents' Evaluation of Developmental Status—Developmental Milestones [PEDS:DM]) and mental health (Strengths and Difficulties Questionnaire [SDQ]). Demographic data, cardiac history, comorbidities, and current healthcare engagement was determined through standardised patient information questionnaires and medical records. Rates of developmental and psychological concern were determined and compared to Australian general population data.

Results

Fifty-five participants enrolled in the study. The most common cardiac diagnoses were Transposition of the Great Arteries (n = 13) and Tetralogy of Fallot (n = 11). Predictive developmental domain/s of concern were highly prevalent utilising both PEDS (57%) and PEDS:DM (70%) screening tools, exceeding Australian population rates (22%). Psychological concern (28%) also exceeded Australian population data (10%). Nearly half of participants identified to have developmental or psychological concern/s had no current general paediatric, allied health or mental health professional engagement.

Conclusions

Developmental and psychological concerns detected on screening in children with complex CHD significantly exceed Australian general population prevalence rates. Without an established screening program, a large proportion of participants did not have active follow-up, indicating the importance of routine screening.

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复杂先天性心脏病患儿的发育和心理问题：筛查计划的必要性

目的：复杂先天性心脏病（CHD）与不良的神经发育和心理结局相关。澳大利亚关于这些结果或随访的数据有限。本横断面研究旨在确定南澳大利亚州患有复杂冠心病的儿童的发展和心理问题的患病率，以及并发的发展或心理保健利用。方法：对3岁~ 7岁11个月的复杂冠心病患儿家庭进行一系列经验证的发育筛选问卷（父母发育状态评价问卷[PEDS]、父母发育状态-发育里程碑评价问卷[PEDS:DM]）和心理健康筛查问卷（优势与困难问卷[SDQ]）。通过标准化的患者信息问卷和医疗记录确定了人口统计数据、心脏病史、合并症和当前的医疗保健参与情况。确定了发育和心理问题的发生率，并与澳大利亚一般人口数据进行了比较。结果：55名参与者参加了这项研究。最常见的心脏诊断是大动脉转位（n = 13）和法洛四联症（n = 11）。使用PEDS（57%）和PEDS:DM（70%）筛查工具的预测发展领域非常普遍，超过了澳大利亚人口比率（22%）。心理担忧（28%）也超过了澳大利亚人口数据（10%）。近一半被确定有发展或心理问题的参与者目前没有普通儿科、联合健康或心理健康专业参与。结论：在复杂冠心病儿童筛查中发现的发育和心理问题明显超过澳大利亚普通人群患病率。在没有建立筛查计划的情况下，很大一部分参与者没有积极的随访，这表明常规筛查的重要性。

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

Journal of paediatrics and child health 医学-小儿科

CiteScore

2.90

自引率

5.90%

发文量

487

审稿时长

3-6 weeks

期刊介绍： The Journal of Paediatrics and Child Health publishes original research articles of scientific excellence in paediatrics and child health. Research Articles, Case Reports and Letters to the Editor are published, together with invited Reviews, Annotations, Editorial Comments and manuscripts of educational interest.