Volume 97, Issue 1 pp. 41-45

Do parental ratings on cognition reflect neuropsychological outcome in congenital heart disease?

Marijke Miatton,

Marijke Miatton

Laboratory for Neuropsychology, Department of Internal Medicine, Ghent University, Ghent, Belgium

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Daniël De Wolf,

Daniël De Wolf

Paediatric Cardiology, Department of Paediatrics, Ghent University, Ghent, Belgium

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Katrien François,

Katrien François

Paediatric Cardiac Surgery, Department of Surgery, Ghent University, Ghent, Belgium

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Evert Thiery,

Evert Thiery

Reference Centre for Refractory Epilepsy, Ghent University, Ghent, Belgium

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Guy Vingerhoets,

Guy Vingerhoets

Laboratory for Neuropsychology, Department of Internal Medicine, Ghent University, Ghent, Belgium

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Marijke Miatton,

Marijke Miatton

Laboratory for Neuropsychology, Department of Internal Medicine, Ghent University, Ghent, Belgium

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Daniël De Wolf,

Daniël De Wolf

Paediatric Cardiology, Department of Paediatrics, Ghent University, Ghent, Belgium

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Katrien François,

Katrien François

Paediatric Cardiac Surgery, Department of Surgery, Ghent University, Ghent, Belgium

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Evert Thiery,

Evert Thiery

Reference Centre for Refractory Epilepsy, Ghent University, Ghent, Belgium

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Guy Vingerhoets,

Guy Vingerhoets

Laboratory for Neuropsychology, Department of Internal Medicine, Ghent University, Ghent, Belgium

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First published: 11 December 2007

https://doi.org/10.1111/j.1651-2227.2007.00530.x

Citations: 7

Correspondence
Marijke Miatton, Laboratory for Neuropsychology, Ghent University, De Pintelaan 185, 4 K 3, B-9000 Ghent, Belgium. Tel.: +32-9-240-45-45 | Fax: +32-9-240-45-55 | Email: [email protected]

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Abstract

Aim: To describe the parental view of the cognitive skills of their child with a surgically corrected congenital heart disease (CHD) and compare it to objectified cognitive measures in children with CHD 6–12 years postoperatively.

Methods: Parents completed a questionnaire on several cognitive functions of their child. Children with CHD and healthy controls (n = 86, aged 8 years 8 months ± 1 year 6 months) underwent an abbreviated IQ-testing and a neurodevelopmental assessment.

Results: Parents of the children with CHD more frequently indicated lower sustained attention (p < 0.05), lower divided attention (p < 0.001), more problems with memory and learning skills (p < 0.05), and deficient gross motor functioning (p < 0.01) compared to the parents of healthy controls. Intellectual and neuropsychological assessment revealed a lower estimated full-scale IQ (p < 0.01), worse sensorimotor functioning (p < 0.001), and lower performances on language (p < 0.001), attention/executive functioning (p < 0.05), and memory (p < 0.05) in the CHD-group. Several items of the questionnaire were significant predictors for worse neurodevelopmental outcome.

Conclusion: Overall, the objective and subjective measures on cognitive functioning are in agreement and indicate the presence of neurocognitive deficits in children with CHD. This study endorses the accuracy and usefulness of a parental questionnaire to report on the cognitive functioning of the child and urges the investigation of neurocognitive functioning in children with CHD at follow-up.

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Volume97, Issue1

January 2008

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Do parental ratings on cognition reflect neuropsychological outcome in congenital heart disease?

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Do parental ratings on cognition reflect neuropsychological outcome in congenital heart disease?

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