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Cited by 260Congenital Heart Disease StudiesCardiovascular Conditions and TreatmentsCardiac and Coronary Surgery Techniques

The DOI matches its Crossref record; 97 of the 97 references it cites were found in a registry or an index.

A Systematic Review of Motor and Cognitive Outcomes After Early Surgery for Congenital Heart Disease

Snookes, Suzanne H., Gunn, Julia K., Eldridge, Bev J., Donath, Susan M., Hunt, Rod W., Galea, Mary P., Shekerdemian, Lara·2010·Pediatrics
DOI 10.1542/peds.2009-1959
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Abstract

CONTEXT: Brain injury is the most common long-term complication of congenital heart disease requiring surgery during infancy. It is clear that the youngest patients undergoing cardiac surgery, primarily neonates and young infants, are at the greatest risk for brain injury. Developmental anomalies sustained early in life have lifelong repercussions. OBJECTIVE: We conducted a systematic review to examine longitudinal studies of cognitive and/or motor outcome after cardiac surgery during early infancy. METHODS: Electronic searches were performed in Medline, the Cumulative Index to Nursing and Allied Health Literature (Cinahl), and Embase (1998–2008). The search strategy yielded 327 articles, of which 65 were reviewed. Eight cohorts provided prospective data regarding the cognitive and/or motor outcome of infants who had undergone surgery for congenital heart disease before 6 months of age. Two authors, Ms Snookes and Dr Gunn, independently extracted data and presented results according to 3 subgroups for age of follow-up: early development (1 to <3 years); preschool age (3–5 years); and school age (>5 to 17 years). Weighted analysis was undertaken to pool the results of studies when appropriate. RESULTS: All of the identified studies reported results of the Bayley Scales of Infant Development for children younger than the age of 3. Outcome data as reported by the Bayley Scales were combined for infants assessed at 1 year of age, revealing a weighted mean Mental Development Index of 90.3 (95% confidence interval: 88.9–91.6) and Psychomotor Development Index of 78.1 (95% confidence interval: 76.4–79.7). Additional analysis was limited by a lack of data at preschool and school age. CONCLUSIONS: With this review we identified a limited number of prospective studies that systematically addressed outcome in patients at the highest risk. These studies consistently revealed cognitive and motor delay in children after cardiac surgery during early infancy. Additional investigation is required to ascertain the consequences of such impairment during later childhood and into adult life.

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Crossref · 10.1542/peds.2009-1959

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Research works printed but not linked: 1

  1. Australian Institute of Health and Welfare, 2004, Heart, Stroke & Vascular Diseases: Australian Facts 2004

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Metadata

Authors
Snookes, S. H., Gunn, J. K., Eldridge, B. J., Donath, S. M., Hunt, R. W., Galea, M. P., & Shekerdemian, L.
Affiliations
  • Royal Children's Hospital (AU)
  • The University of Melbourne (AU)
  • Physiotherapy Department,
ORCID
Venue
Pediatrics
Publisher
American Academy of Pediatrics (AAP)
Published
2010-04-01
Volume
125
Issue
4
Pages
e818-e827
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.2009-1959
OpenAlex
W2089302746
Cited by
260
References
97
Citations by year
2026: 6 · 2025: 14 · 2024: 16 · 2023: 18 · 2022: 17 · 2021: 20 · 2020: 17 · 2019: 19 · 2018: 17 · 2017: 23 · 2016: 18 · 2015: 16 · 2014: 13 · 2013: 14 · 2012: 17
FWCI
1.66
Type
journal article
Language
en
Open access
closed
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Congenital Heart Disease Studies
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Cardiovascular Conditions and Treatments
  • Health Sciences › Medicine › Surgery › Cardiac and Coronary Surgery Techniques
Keywords
congenital heart disease, neonatal cardiac surgery, infant cardiac surgery, brain injury, cognitive outcomes, motor outcome, developmental delay, Bayley Scales of Infant Development, long-term outcomes, mental development index, psychomotor development index
MeSH terms
Age Factors, Cognition Disorders, Heart Defects, Congenital, Humans, Infant, Newborn, Longitudinal Studies, Postoperative Complications, Treatment Outcome, Motor Skills Disorders

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