Article ; Online: Predictive value of General Movements Assessment for developmental delay at 18 months in children with complex congenital heart disease.
2023 Volume 188, Page(s) 105916
Abstract: Background: Infants with complex congenital heart disease are at increased risk of impaired fetal brain growth, brain injury, and developmental impairments. The General Movement Assessment (GMA) is a valid and reliable tool to predict cerebral palsy (CP) ...
Abstract | Background: Infants with complex congenital heart disease are at increased risk of impaired fetal brain growth, brain injury, and developmental impairments. The General Movement Assessment (GMA) is a valid and reliable tool to predict cerebral palsy (CP), especially in preterm infants. Predictive properties of the GMA in infants with complex congenital heart disease (CCHD) are unknown. Aim: To evaluate predictive properties of the GMA to predict developmental outcomes, including cerebral palsy (CP), at 18-months corrected age (CA) in children with CCHD undergoing heart surgery in the first month of life. Methods: A prospective cohort of 56 infants with CCHD (35 males, 21 females) was assessed with GMA at writhing age (0-6 weeks CA) and fidgety age (7-17 weeks CA) and the Bayley Scales of Infant Development at 18 months. GMA focused on markedly reduced GM-variation and complexity (definitely abnormal (DA) GM-complexity) and fidgety movements. Predictive values of GMA for specific cognitive, language and motor delay (composite scores <85th percentile) and general developmental delay (delay in all domains) were calculated at 18 months. Results: At fidgety age, all infants had fidgety movements and no child was diagnosed with CP. DA GM-complexity at fidgety age predicted general developmental delay at 18 months (71 % sensitivity, 90 % specificity), but predicted specific developmental delay less robustly. DA GM-complexity at writhing age did not predict developmental delay, nor did it improve prediction based on DA GM-complexity at fidgety age. Conclusions: In infants with CCHD and fidgety movements, DA GM-complexity at fidgety age predicted general developmental delay. |
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MeSH term(s) | Infant ; Male ; Female ; Infant, Newborn ; Humans ; Infant, Premature ; Cerebral Palsy/diagnosis ; Prospective Studies ; Movement ; Heart Defects, Congenital/diagnosis ; Heart Defects, Congenital/surgery |
Language | English |
Publishing date | 2023-12-08 |
Publishing country | Ireland |
Document type | Journal Article |
ZDB-ID | 752532-1 |
ISSN | 1872-6232 ; 0378-3782 |
ISSN (online) | 1872-6232 |
ISSN | 0378-3782 |
DOI | 10.1016/j.earlhumdev.2023.105916 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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