For Children With Heart Disease, a

For Children With Heart Disease, a Risk of Attention and Behavior Problems
Health & Medicine Week. (Apr. 21, 2008): p3930. From InfoTrac Health and Medical Collection 2017.
Copyright: COPYRIGHT 2008 NewsRX LLC
http://www.newsrx.com/newsletters/Health-and-Medicine-Week.html
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Schoolchildren who required surgery as infants for congenital heart disease (CHD) run a significant risk of having problems with inattention and hyperactivity, and often require remedial services in school. "These children are at risk for academic and behavior problems, and our findings reinforce how important it is to provide them with ongoing follow-up and neurodevelopmental screening," said study leader Amanda J. Shillingford, M.D., a pediatric cardiologist at The Children's Hospital of Philadelphia (see also Behavior Disorders).

The researchers, who reported their findings in the April issue of Pediatrics, studied a group of 109 children, aged five to 10, who had undergone cardiac surgery for complex congenital heart disease at Children's Hospital when they were newborns. Of that group, 53 children--nearly half of them--were receiving remedial services at school, and 15 percent were in special education classrooms.

Based on questionnaire responses from their parents and teachers, although the majority of the children with CHD scored in the normal range, the rates of high-risk scores for inattention and hyperactivity were three to four times greater than those found in the general population.

Previous studies at The Children's Hospital of Philadelphia and other centers found that school-aged children with complex CHD tended to have normal cognitive abilities but were at risk for problems in visual and motor skills, as well as impairments in speech, language and executive functioning (executive functioning refers to capacities for attention, planning, decision-making and problem-solving).

Each year, over 10,000 newborns in the U.S. have CHD severe enough to require surgery before they are one year of age. Advances in medical and surgical treatments have steadily improved survival rates for even the most complex conditions. One such condition is hypoplastic left heart syndrome, in which a severely underdeveloped left ventricle is unable to pump enough blood to the body. A series of three surgeries during the newborn and infant period is needed to correct this heart defect. Children with this and several other congenital heart conditions were included in the study.

"As survival rates have improved," said Shillingford, "the important longer-term issue is quality of life for patients and their families as they reach school age and beyond. We hope our findings will help raise awareness among parents, teachers and physicians about the children's risk of neurodevelopmental problems," Shillingford added that a next step for researchers is to conduct larger, multicenter studies, with more formalized diagnostic tools, and to develop formalized follow-up protocols for these children. Such follow-up programs are currently being designed at Children's Hospital.

Shillingford's co-authors, all from The Children's Hospital of Philadelphia, are Gil Wernovsky, M.D.; Marianne M. Glanzman, M.D.; Richard F. Ittenbach, Ph.D.; Robert J. Clancy, M.D.; and J. William Gaynor, M.D.

Results (Indonesian) 1:

Untuk anak-anak dengan penyakit jantung, risiko perhatian dan masalah perilakuKesehatan & Kedokteran minggu. (Apr. 21, 2008): p3930. Dari InfoTrac kesehatan dan medis koleksi 2017.Copyright: Hak cipta 2008 NewsRX LLChttp://www.newsrx.com/Newsletters/Health-and-Medicine-Week.htmlTeks lengkap: Anak-anak sekolah yang diperlukan operasi sebagai bayi untuk penyakit jantung bawaan (CHD) menjalankan risiko yang signifikan memiliki masalah dengan kurangnya perhatian dan hiperaktif, dan sering memerlukan perbaikan layanan di sekolah. "Anak-anak ini beresiko untuk masalah akademik dan perilaku, dan temuan kami memperkuat betapa pentingnya itu adalah untuk menyediakan mereka dengan tindak lanjut berkelanjutan dan perkembangan saraf skrining," kata studi pemimpin Amanda J. Shillingford, MD, seorang ahli jantung pediatrik di rumah sakit anak Philadelphia (Lihat juga gangguan perilaku).Para peneliti, yang melaporkan temuan mereka dalam edisi April Pediatrics, mempelajari sekelompok 109 anak, usia lima hingga 10, yang telah menjalani operasi jantung penyakit jantung bawaan kompleks di Children's Hospital ketika mereka bayi. Grup tersebut, 53 anak – hampir setengah dari mereka--menerima perbaikan layanan di sekolah, dan 15 persen berada di kelas pendidikan khusus.Berdasarkan kuesioner tanggapan dari orang tua dan guru mereka meskipun sebagian besar anak-anak dengan penyakit jantung koroner mencetak dalam kisaran normal, harga yang berisiko tinggi Skor untuk kurangnya perhatian dan hiperaktif itu tiga sampai empat kali lebih besar daripada yang ditemukan di populasi umum.Previous studies at The Children's Hospital of Philadelphia and other centers found that school-aged children with complex CHD tended to have normal cognitive abilities but were at risk for problems in visual and motor skills, as well as impairments in speech, language and executive functioning (executive functioning refers to capacities for attention, planning, decision-making and problem-solving).Each year, over 10,000 newborns in the U.S. have CHD severe enough to require surgery before they are one year of age. Advances in medical and surgical treatments have steadily improved survival rates for even the most complex conditions. One such condition is hypoplastic left heart syndrome, in which a severely underdeveloped left ventricle is unable to pump enough blood to the body. A series of three surgeries during the newborn and infant period is needed to correct this heart defect. Children with this and several other congenital heart conditions were included in the study."As survival rates have improved," said Shillingford, "the important longer-term issue is quality of life for patients and their families as they reach school age and beyond. We hope our findings will help raise awareness among parents, teachers and physicians about the children's risk of neurodevelopmental problems," Shillingford added that a next step for researchers is to conduct larger, multicenter studies, with more formalized diagnostic tools, and to develop formalized follow-up protocols for these children. Such follow-up programs are currently being designed at Children's Hospital.Shillingford's co-penulis, semua dari rumah sakit anak Philadelphia, yang Gil Wernovsky, MD; Marianne M. Glanzman, MD; Richard F. Ittenbach, Ph.D.; Robert J. Clancy, MD; dan J. William Gaynor, MD

Results (Indonesian) 2:

Untuk Anak Dengan Penyakit Jantung, Risiko Perhatian dan Perilaku Masalah
Kesehatan & Pengobatan Minggu. (21 April 2008): p3930. Dari InfoTrac Kesehatan dan Koleksi Medis 2017.
Copyright: HAK CIPTA 2008 NewsRX LLC
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Anak-anak sekolah yang membutuhkan operasi sebagai bayi untuk penyakit jantung bawaan (CHD ) menjalankan risiko yang signifikan memiliki masalah dengan kurangnya perhatian dan hiperaktif, dan sering membutuhkan layanan perbaikan di sekolah. "Anak-anak ini beresiko untuk masalah akademik dan perilaku, dan temuan kami memperkuat betapa pentingnya adalah untuk menyediakan mereka dengan terus-menerus tindak lanjut dan screening perkembangan saraf," kata pemimpin studi Amanda J. Shillingford, MD, seorang ahli jantung pediatrik di Rumah Sakit Anak Philadelphia (lihat juga Gangguan Perilaku).

para peneliti, yang melaporkan temuan mereka dalam jurnal Pediatrics edisi April, mempelajari sekelompok 109 anak, berusia lima sampai 10, yang telah menjalani operasi jantung untuk penyakit jantung bawaan yang kompleks di Rumah Sakit anak ketika mereka yang baru lahir. Dari kelompok itu, 53 anak-anak - hampir setengah dari mereka - yang menerima jasa perbaikan di sekolah, dan 15 persen berada di ruang kelas pendidikan khusus.

Berdasarkan tanggapan kuesioner dari orang tua dan guru mereka, meskipun sebagian besar anak-anak dengan CHD mencetak gol di kisaran normal, tingkat skor berisiko tinggi untuk kurangnya perhatian dan hiperaktif tiga sampai empat kali lebih besar dari yang ditemukan di populasi umum.

penelitian sebelumnya di Rumah Sakit anak Philadelphia dan pusat-pusat lainnya menemukan bahwa anak usia sekolah dengan CHD kompleks cenderung memiliki kemampuan kognitif normal, tetapi berada di risiko masalah dalam keterampilan visual dan motorik, serta gangguan dalam berbicara, bahasa dan fungsi eksekutif (fungsi eksekutif mengacu pada kapasitas untuk perhatian, perencanaan, pengambilan keputusan dan pemecahan masalah).

Setiap tahun , lebih dari 10.000 bayi yang baru lahir di Amerika Serikat memiliki PJK cukup parah memerlukan operasi sebelum mereka berusia satu tahun. Kemajuan dalam perawatan medis dan bedah telah terus membaik tingkat ketahanan hidup bahkan kondisi yang paling kompleks. Salah satu kondisi tersebut adalah hipoplasia sindrom jantung kiri, di mana ventrikel kiri sangat terbelakang tidak dapat memompa cukup darah ke tubuh. Serangkaian tiga operasi selama periode bayi baru lahir dan bayi diperlukan untuk memperbaiki cacat jantung ini. Anak-anak dengan ini dan beberapa kondisi jantung bawaan lainnya dilibatkan dalam penelitian tersebut.

"Seperti tingkat kelangsungan hidup telah meningkat," kata Shillingford, "masalah jangka panjang yang penting adalah kualitas hidup bagi pasien dan keluarga mereka saat mereka mencapai usia sekolah dan di luar. kami berharap temuan kami akan membantu meningkatkan kesadaran di antara orang tua, guru dan dokter tentang risiko anak-anak dari masalah perkembangan saraf, "Shillingford menambahkan bahwa langkah selanjutnya bagi para peneliti adalah melakukan yang lebih besar, studi multicenter, dengan lebih diformalkan alat diagnostik, dan untuk mengembangkan tindak diformalkan protokol-up untuk anak-anak ini. Program tindak lanjut seperti yang saat ini sedang dirancang di Rumah Sakit Anak.

Shillingford co-penulis, semua dari Rumah Sakit Anak Philadelphia, yang Gil Wernovsky, MD; Marianne M. Glanzman, MD; Richard F. Ittenbach, Ph.D .; Robert J. Clancy, MD; dan J. William Gaynor, MD