Cognitive function in toddlers with congenital heart disease: The impact of a stimulating home environment.


Journal

Infancy : the official journal of the International Society on Infant Studies
ISSN: 1532-7078
Titre abrégé: Infancy
Pays: United States
ID NLM: 100890607

Informations de publication

Date de publication:
01 2021
Historique:
received: 17 03 2020
revised: 27 08 2020
accepted: 26 10 2020
pubmed: 20 11 2020
medline: 15 12 2021
entrez: 19 11 2020
Statut: ppublish

Résumé

Infants born with congenital heart disease (CHD) are at increased risk of neurodevelopmental difficulties in childhood. The extent to which perioperative factors, cardiac physiology, brain injury severity, socioeconomic status, and home environment influence early neurodevelopment is not clear. Sixty-nine newborns with CHD were recruited from St Thomas' Hospital. Infants underwent presurgical magnetic resonance imaging on a 3-Tesla scanner situated on the neonatal unit. At 22 months, children completed the Bayley Scales of Infant and Toddler Development-3rd edition and parents completed the cognitively stimulating parenting scale to assess cognitive stimulation at home. Level of maternal education and total annual household income were also collected. Hospital records were reviewed to calculate days on the intensive care unit post-surgery, time on bypass during surgery, and days to corrective or definitive palliative surgical intervention. In the final analysis of 56 infants, higher scores on the cognitively stimulating parenting scale were associated with higher cognitive scores at age 22 months, correcting for gestational age at birth, sex, and maternal education. There were no relationships between outcome scores and clinical factors; socioeconomic status; or brain injury severity. Supporting parents to provide a stimulating home environment for children may promote cognitive development in this high-risk population.

Identifiants

pubmed: 33210418
doi: 10.1111/infa.12376
pmc: PMC7894304
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

184-199

Subventions

Organisme : Wellcome Trust
ID : WT 203148/Z/16/Z
Pays : United Kingdom
Organisme : British Heart Foundation
ID : FS/15/55/31649
Pays : United Kingdom
Organisme : Department of Health
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/K006355/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/L011530/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/N026063/1
Pays : United Kingdom

Informations de copyright

© 2020 The Authors. Infancy published by Wiley Periodicals LLC on behalf of International Congress of Infant Studies.

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Auteurs

Alexandra F Bonthrone (AF)

Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.

Andrew Chew (A)

Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.

Christopher J Kelly (CJ)

Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.

Leeza Almedom (L)

Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.

John Simpson (J)

Paediatric Cardiology Department, Evelina London Children's Healthcare, London, UK.

Suresh Victor (S)

Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.

A David Edwards (AD)

Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.

Mary A Rutherford (MA)

Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.

Chiara Nosarti (C)

Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

Serena J Counsell (SJ)

Centre for the Developing Brain, School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.

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Classifications MeSH