Microcephaly is associated with impaired educational development in children with congenital heart disease
ObjectivesThis study aims to evaluate the school careers of patients with congenital heart disease (CHD) and microcephaly.MethodsAn exploratory online survey was conducted on patients from a previous study on somatic development in children with CHD in 2018 (n = 2818). A total of 750 patients partic...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.917507/full |
| _version_ | 1798028468540145664 |
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| author | Constanze Pfitzer Constanze Pfitzer Constanze Pfitzer Laura K. Sievers Alina Hütter Hashim-Abdul Khaliq Martin Poryo Felix Berger Felix Berger Felix Berger Ulrike M. M. Bauer Ulrike M. M. Bauer Paul C. Helm Paul C. Helm Katharina R. L. Schmitt Katharina R. L. Schmitt |
| author_facet | Constanze Pfitzer Constanze Pfitzer Constanze Pfitzer Laura K. Sievers Alina Hütter Hashim-Abdul Khaliq Martin Poryo Felix Berger Felix Berger Felix Berger Ulrike M. M. Bauer Ulrike M. M. Bauer Paul C. Helm Paul C. Helm Katharina R. L. Schmitt Katharina R. L. Schmitt |
| author_sort | Constanze Pfitzer |
| collection | DOAJ |
| description | ObjectivesThis study aims to evaluate the school careers of patients with congenital heart disease (CHD) and microcephaly.MethodsAn exploratory online survey was conducted on patients from a previous study on somatic development in children with CHD in 2018 (n = 2818). A total of 750 patients participated in the online survey (26.6%). This publication focuses on 91 patients (12.1%) diagnosed with CHD and microcephaly who participated in the new online survey.ResultsMicrocephaly was significantly associated with CHD severity (p < 0.001). Microcephalic patients suffered from psychiatric comorbidity two times as often (67.0%) as non-microcephalic patients (29.8%). In particular, the percentage of patients with developmental delay, intellectual debility, social disability, learning disorder, or language disorder was significantly increased in microcephalic CHD patients (p < 0.001). A total of 85.7% of microcephalic patients and 47.6% of non-microcephalic patients received early interventions to foster their development. The school enrollment of both groups was similar at approximately six years of age. However, 89.9% of non-microcephalic but only 51.6% of microcephalic patients were enrolled in a regular elementary school. Regarding secondary school, only half as many microcephalic patients (14.3%) went to grammar school, while the proportion of pupils at special schools was eight times higher. Supportive interventions, e.g., for specific learning disabilities, were used by 52.7% of microcephalic patients and 21.6% of non-microcephalic patients.ConclusionPatients with CHD and microcephaly are at high risk for impaired educational development. Early identification should alert clinicians to provide targeted interventions to optimize the developmental potential. |
| first_indexed | 2024-04-11T19:09:44Z |
| format | Article |
| id | doaj.art-5d077169a8fe4cdbaacb1c5fe6de29b9 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-11T19:09:44Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-5d077169a8fe4cdbaacb1c5fe6de29b92022-12-22T04:07:40ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-10-01910.3389/fcvm.2022.917507917507Microcephaly is associated with impaired educational development in children with congenital heart diseaseConstanze Pfitzer0Constanze Pfitzer1Constanze Pfitzer2Laura K. Sievers3Alina Hütter4Hashim-Abdul Khaliq5Martin Poryo6Felix Berger7Felix Berger8Felix Berger9Ulrike M. M. Bauer10Ulrike M. M. Bauer11Paul C. Helm12Paul C. Helm13Katharina R. L. Schmitt14Katharina R. L. Schmitt15Department of Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, GermanyBerlin Institute of Health (BIH), Berlin, GermanyDZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, GermanyDepartment of Internal Medicine I., Christian-Albrechts-University and University Hospital Schleswig-Holstein, Kiel, GermanyDepartment of Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, GermanyDepartment of Pediatric Cardiology, Saarland University Medical Center, Homburg, GermanyDepartment of Pediatric Cardiology, Saarland University Medical Center, Homburg, GermanyDepartment of Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, GermanyDZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, GermanyDepartment of Pediatric Cardiology, Charite – Universitaetsmedizin Berlin, Berlin, GermanyNational Register for Congenital Heart Defects, Berlin, GermanyCompetence Network for Congenital Heart Defects, Berlin, GermanyNational Register for Congenital Heart Defects, Berlin, GermanyCompetence Network for Congenital Heart Defects, Berlin, GermanyDepartment of Congenital Heart Disease/Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, GermanyDZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, GermanyObjectivesThis study aims to evaluate the school careers of patients with congenital heart disease (CHD) and microcephaly.MethodsAn exploratory online survey was conducted on patients from a previous study on somatic development in children with CHD in 2018 (n = 2818). A total of 750 patients participated in the online survey (26.6%). This publication focuses on 91 patients (12.1%) diagnosed with CHD and microcephaly who participated in the new online survey.ResultsMicrocephaly was significantly associated with CHD severity (p < 0.001). Microcephalic patients suffered from psychiatric comorbidity two times as often (67.0%) as non-microcephalic patients (29.8%). In particular, the percentage of patients with developmental delay, intellectual debility, social disability, learning disorder, or language disorder was significantly increased in microcephalic CHD patients (p < 0.001). A total of 85.7% of microcephalic patients and 47.6% of non-microcephalic patients received early interventions to foster their development. The school enrollment of both groups was similar at approximately six years of age. However, 89.9% of non-microcephalic but only 51.6% of microcephalic patients were enrolled in a regular elementary school. Regarding secondary school, only half as many microcephalic patients (14.3%) went to grammar school, while the proportion of pupils at special schools was eight times higher. Supportive interventions, e.g., for specific learning disabilities, were used by 52.7% of microcephalic patients and 21.6% of non-microcephalic patients.ConclusionPatients with CHD and microcephaly are at high risk for impaired educational development. Early identification should alert clinicians to provide targeted interventions to optimize the developmental potential.https://www.frontiersin.org/articles/10.3389/fcvm.2022.917507/fullmicrocephalycongenital heart diseaseeducationschoolsupportive interventionsdevelopment |
| spellingShingle | Constanze Pfitzer Constanze Pfitzer Constanze Pfitzer Laura K. Sievers Alina Hütter Hashim-Abdul Khaliq Martin Poryo Felix Berger Felix Berger Felix Berger Ulrike M. M. Bauer Ulrike M. M. Bauer Paul C. Helm Paul C. Helm Katharina R. L. Schmitt Katharina R. L. Schmitt Microcephaly is associated with impaired educational development in children with congenital heart disease Frontiers in Cardiovascular Medicine microcephaly congenital heart disease education school supportive interventions development |
| title | Microcephaly is associated with impaired educational development in children with congenital heart disease |
| title_full | Microcephaly is associated with impaired educational development in children with congenital heart disease |
| title_fullStr | Microcephaly is associated with impaired educational development in children with congenital heart disease |
| title_full_unstemmed | Microcephaly is associated with impaired educational development in children with congenital heart disease |
| title_short | Microcephaly is associated with impaired educational development in children with congenital heart disease |
| title_sort | microcephaly is associated with impaired educational development in children with congenital heart disease |
| topic | microcephaly congenital heart disease education school supportive interventions development |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.917507/full |
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