Document Type : Original Article
Authors
1
pediatric department, faculty of medicine, Elminia university, Elminia , Egypt
2
Department of Pediatrics, Faculty of Medicine, Minia University, El-Minia, Egypt
3
Pediatric department, Faculty of Medicine, Minia University, Egypt
Abstract
Background: The impact of congenital heart disease (CHD) on neurodevelopment and cognitive functions is influenced by a variety of factors, including intrinsic, pre-operative, peri-operative, and post-operative risks. For each individual, these factors tend to accumulate and interact as the child progresses from fetal development through childhood. Strong evidence shows that school-aged children with CHD are at a higher risk of neurodevelopmental impairments, which often manifest as lower cognitive scores, difficulties with gross and fine motor skills, and challenges in adaptive behavior, when compared to their typically developing peers. Over the long term, these delays and limitations in academic achievement relative to peers are believed to significantly affect the child’s overall quality of life.
In this study we aimed to assess cognitive functions in children with CHD.
Methods: This study is a case control prospective study included 100 children their age range was 24-66 months diagnosed to have congenital heart diseases by Echocardiography, they had regular follow up visits to the Pediatric Cardiology Clinic at Minia University Children Hospital, from May 2024 to October 2024. Also, 100 apparently healthy children were recruited from children attending the General Pediatric Outpatient Clinic as a control group, their age range was 24-66 months.
All children were subjected to complete history, clinical examination and cognitive functions assessment with Stanford–Binet Intelligence Scales, Fifth Edition.
Results: this study showed that higher cognitive functions impairment was detected in children with CHD than controls.
Conclusion: Higher incidence of cognitive functions impairement was reported in children with CHD.
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