Peculiarities of physical development and neurodevelopmental status of children of first year of life with congenital heart diseases
DOI: 10.22138/2500-0918-2018-15-4-540-554
E.V. Saperova, I.V. Vahlova
Urals State Medical University, Yekaterinburg, Russian Federation
Abstract. The aim of the study was to evaluate of the level of physical development and neurodevelopmental status of children with congenital heart defects (CHD) during the first year of life. Materials and methods. We conducted the prospective analysis of the clinical and anamnestic data of 114 children of the first year of life. The main study group included 61 children with CHD. The control group comprised 53 children without СHD, I-IIA group of health. All patients were divided into 3 subgroups according to the type and severity of the CHD. Results. We identified, that children with CHD demonstrated low length and weight during the first year of life, in comparison with control group. Children with severe acyanotic CHD had the lowest length and weight index. Children with severe CHD demonstrated the lowest weight (р<0,05) and index of annual growth of weight (p<0,001), in comparison with children with mild and moderate CHD and control group (р<0,05). Symptoms of protein-energy deficiency were detected in almost half of the children with CHD (47,9%) and significantly prevailed in children with severe acyanotic defects in comparison with cyanotic (p<0,02). We showed, that children with severe CHD demonstrated a lower neurodevelopmental status in the first half of life compared with children with mild and moderate CHD (p<0,005) and control group (р<0,001). The most frequent neurological delay was observed in terms of active speech and general movements and was predominant in the group of children with severe cyanotic CHD. Conclusion. The results of our assessment are important for developing algorithms for monitoring children with CHD in a pediatric outpatient clinic.
Keywords: children of the first year of life, congenital heart diseases, neurodevelopment outcomes, physical development
Received 28.04.2018
For citation:
Saperova E.V., Vahlova I.V. Peculiarities of physical development and neurodevelopmental status of children of first year of life with congenital heart diseases. Vestn. Ural. Med. Akad. Nauki. = Journal of Ural Medical Academic Science. 2018, Vol. 15, no. 4, pp. 540–554. DOI: 10.22138/2500-0918-2018-15-4-540-554 (In Russ)
REFERENCES
1. Federal Clinical Recommendations for the Provision of Medical Care to Children with Congenital Heart Diseases. 2015 [In Russ.]. URL: http://www.pediatr-russia.ru/sites/default/files/file/kr_vps.pdf (Available from: 24.02.2018).
2. Saperova E.V., Vahlova I.V. Congenital Heart Diseases in Children: Incidence, Risk Factors, Mortality. Current pediatrics. 2017;16(2):126-133 (In Russ.). DOI:10.15690/vsp.v16i2. 1713.
3. Klajnman Ch., Seri I. Hemodynamics and cardiosurgery/ translation from English; K.S. Shvedova, V.A. Kokorina, A.A. Kuprjashova ed. — M.: Logosfera, 2015. — 512 s (In Russ.).
4. Gaynor J.W., Stopp C, Wypij D., Andropoulos D. B., Atallah J., Atz A. M. et al. Neurodevelopmental outcomes after cardiac surgery in infancy. Pediatrics. 2015 May; 135(5): 816–825. DOI:10.1542/peds.2014-3825.
5. Нasybulina G.M., Kocheva N.O, Sannikova N.E., Vahlova I.V., Babina R.T. Evaluation of the physical development of children in the Sverdlovsk region from 0 to 16 years: Methodological recommendations.– Ekaterinburg: UGMU, 2002. – 83 s (In Russ.).
6. Al'bickij V.Ju., Alekseeva E.I., Akoev Ju.S., Antonova E.V. et al. guide to outpatient polyclinic pediatrics / A.A. Baranov ed. — 3rd ed. — M.: GJeOTAR-Media, 2009. – 592 s (In Russ.).
7. Hoffman J. I. E., Kaplan S. The Incidence of Congenital Heart Disease. Journal of the American College of Cardiology. 2002;39(12):1890-1900.
Authors
Irina V. Vahlova
Dr. Sci. (Med.), Professor, Head of the Department of hospital pediatrics
Vachlova-61@mail.ru
Ekaterina V. Saperova
Graduate student of the Department of hospital pediatrics; Pediatrician, pediatric cardiologist
Vev12345@gmail.com
Ural State Medical University
620028, Russian Federation, Yekaterinburg, Repina St, 3
