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J Clin Psychol Med Settings. 2019 Mar 8. doi: 10.1007/s10880-019-09613-7. [Epub ahead of print]

Developmental Outcome in Infants with Cardiovascular Disease After Cardiopulmonary Resuscitation: A Pilot Study.

Author information

1
Department of Congenital Heart Disease - Paediatric Cardiology, German Heart Centre Berlin, Augustenburger Platz, 13353, Berlin, Germany.
2
Department of Congenital Heart Disease - Paediatric Cardiology, German Heart Centre Berlin, Augustenburger Platz, 13353, Berlin, Germany. Pfitzer@dhzb.de.
3
Berlin Institute of Health (BIH), Berlin, Germany. Pfitzer@dhzb.de.
4
DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany. Pfitzer@dhzb.de.
5
Berlin Institute of Health (BIH), Berlin, Germany.
6
DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.
7
Department of Paediatric Cardiology, Charité - Universitaetsmedizin Berlin, Berlin, Germany.

Abstract

Unfavorable neurological outcome in children after cardiopulmonary resuscitation in infancy is frequent. However, few studies have investigated the development of these patients using comprehensive developmental tests and the feasibility of the Bayley Scales of Infant Development, 3rd Edition (BSID-III) has not been reported for this population. In this cross-sectional pilot study, we assessed the cognitive, language, and motor development in infants after cardiopulmonary resuscitation of ≥ 5 min with the BSID-III at the age of 12 or 24 months, depending on recruitment age. For analysis, 11 patients with in-hospital (n = 8) and out-of-hospital (n = 3) cardiac arrest were included. BSID-III results could not be quantified in three patients because of visual/hearing and/or motor impairment. In patients with quantifiable scores, 50.0% scored average in composite BSID-III scores, while the other 50.0% showed developmental delays, scoring distinctly below average. We conclude that the BSID-III is feasible for developmental assessment in the majority of the study population, but the use of instruments suitable for hearing/visually impaired and/or severely disabled infants is crucial to avoid biased results. Accurate characterization of developmental deficits is important to facilitate early identification and therapy of deficits.

KEYWORDS:

Bayley Scales of Infant Development; Cardiopulmonary resuscitation; Congenital heart disease; Developmental assessment; Neurological outcome

PMID:
30850900
DOI:
10.1007/s10880-019-09613-7

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