Optimizing Neurodevelopmental Outcomes in Neonates With Congenital Heart Disease.
Journal
Pediatrics
ISSN: 1098-4275
Titre abrégé: Pediatrics
Pays: United States
ID NLM: 0376422
Informations de publication
Date de publication:
01 11 2022
01 11 2022
Historique:
accepted:
29
08
2022
entrez:
1
11
2022
pubmed:
2
11
2022
medline:
4
11
2022
Statut:
ppublish
Résumé
Neurodevelopmental impairment is a common and important long-term morbidity among infants with congenital heart disease (CHD). More than half of those with complex CHD will demonstrate some form of neurodevelopmental, neurocognitive, and/or psychosocial dysfunction requiring specialized care and impacting long-term quality of life. Preventing brain injury and treating long-term neurologic sequelae in this high-risk clinical population is imperative for improving neurodevelopmental and psychosocial outcomes. Thus, cardiac neurodevelopmental care is now at the forefront of clinical and research efforts. Initial research primarily focused on neurocritical care and operative strategies to mitigate brain injury. As the field has evolved, investigations have shifted to understanding the prenatal, genetic, and environmental contributions to impaired neurodevelopment. This article summarizes the recent literature detailing the brain abnormalities affecting neurodevelopment in children with CHD, the impact of genetics on neurodevelopmental outcomes, and the best practices for neonatal neurocritical care, focusing on developmental care and parental support as new areas of importance. A framework is also provided for the infrastructure and resources needed to support CHD families across the continuum of care settings.
Identifiants
pubmed: 36317967
pii: 189878
doi: 10.1542/peds.2022-056415L
pmc: PMC10435013
mid: NIHMS1920430
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : NHLBI NIH HHS
ID : K23 HL141602
Pays : United States
Organisme : NICHD NIH HHS
ID : P50 HD103525
Pays : United States
Informations de copyright
Copyright © 2022 by the American Academy of Pediatrics.
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