Details:

Alternative Title:
J Pediatr
Personal Author:
Razzaghi, Hilda ; Oster, Matthew ; Reefhuis, Jennita
Razzaghi, Hilda ; Oster, Matthew ; Reefhuis, Jennita Less -
Description:
Objective

To assess the extent of long-term morbidity in children with congenital heart disease (CHD).

Study Design

We used data from the 1997–2011 National Health Interview Survey to study long-term outcomes in children aged 0–17 years with CHD. Parents were asked whether their child was diagnosed with CHD. We assessed comorbidities including autism/autism spectrum disorders (ASD); healthcare utilization including number of emergency room visits; and daily life aspects including number of days of school missed. These outcomes were compared for children with and without reports of CHD using odds ratios and chi-squared statistics.

Results

Our study included 420 children with and 180,048 children without reports of CHD; with no significant differences in age and sex. The odds of reporting worse health and greater than 10 days of school/daycare missed in the last year were three times as high for children with CHD compared to children without CHD. Children aged 2–17 with CHD were more likely than children without CHD to have had a diagnosis of ASD (crude odds ratio [OR]: 4.6, 95% confidence interval [CI]: 1.9–11.0), or intellectual disability (OR: 9.1, 95% CI: 5.4–15.4). The prevalence of emergency room, home, and doctors' visits were significantly higher in children with CHD compared to those without CHD.

Conclusions

Reported adverse outcomes were higher in children with congenital heart disease. These findings, particularly those regarding neurodevelopmental outcomes, may be helpful for parents, healthcare providers, and others in assessing the specific needs of children and teenagers with CHD.


Subjects:
[+]
Adolescent Attention Deficit Disorder With Hyperactivity Child Child, Preschool Comorbidity Cross-Sectional Studies Female Follow-Up Studies Health Status Indicators Health Surveys Heart Defects, Congenital Humans Infant Intellectual Disability Learning Disabilities Male Patient Acceptance Of Health Care Prevalence Prognosis
Source:
J Pediatr. 166(1):119-124.
Pubmed ID:
25304924
Pubmed Central ID:
PMC4378575
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Name as Subject:
National Health Interview Survey (U.S.)
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:7c4c27cadce7550eba7c2d6ddbf667a3f98c5c258d78fe75ad2a7a86de60e589
Download URL:
https://stacks.cdc.gov/view/cdc/30348/cdc_30348_DS1.pdf
File Type:

Supporting Files

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