Abstract
Behavorial/emotional outcomes, at least nine years after surgical correction for congenital heart disease (ConHD) in childhood, were predicted by variables concerning: 1)biographical status 2)medical history 3)heart surgery 4)direct and 5)late postoperative course 6)number of previous surgeries and comorbid anomalies, using regression analysis. Parents of 144 9-15-year-old ConHD-children completed the Child Behavior Checklist (CBCL). For 115 patients complete medical data were available. The outcomes on the CBCL-total problem score and on “Externalizing” (i.e. agressive and delinquent behavior) were predicted by: number of previous surgeries and preoperative complaints (p<0.05; mult.R's resp. 0.31 and 0.28). According to parents' reports, higher total problem and externalizing scores were associated with a higher number of previous surgeries and presence of preoperative complaints. Higher internalizing scores (i.e. withdrawal, somatic complaints, anxiety/depression were associated with a higher number of previous surgeries, a shorter duration of pregnancy, systemic oxygen saturation < 80%, and having a congenital heart defect other than pulmonal stenosis (p<0.05, mult. R = 0.40).
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Utens, E., Meijboom, F., Duivenvoorden, H. et al. 232 PREDICTION OF BEHAVORIAL AND EMOTIONAL OUTCOME IN CHILDREN OPERATED UPON FOR CONGENITAL HEART DISEASE. Pediatr Res 36, 41 (1994). https://doi.org/10.1203/00006450-199407000-00232
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DOI: https://doi.org/10.1203/00006450-199407000-00232