Is School Performance Impaired in children with CHD?
Presented By:
Camilla Omann, Rasmus Kristensen, Ann Tabor, J. William Gaynor, Vibeke E. Hjortdal, Camilla Nyboe
Department of Cardiothoracic & Vascular Surgery, Aarhus University Hospital, Skejby, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark; Department of Cardiothoracic Surgery, Copenhagen University Hospital, Copenhagen - Rigshospitalet, Denmark; Center of Fetal Medicine, Department of Obstetrics, Copenhagen University Hospital Rigshospitalet, Denmark; Division of Cardiothoracic Surgery, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
camillaomann@clin.au.dk
camillaomann@clin.au.dk
Overview:
Background: Children born with a congenital heart disease (CHD) have an increased risk of neurodevelopmental difficulties later in life. We do not know if children born with a simple or uncorrected CHD have school performance issues and an increased need for special education compared to healthy peers.
Method: Nationwide population-based register study
All Danish Children with CHD 1994-2012
1:10 age- and gender matched controls
Non-singletons excluded
Children with Chromosomal Syndromes excluded
Exposure: CHD
Outcome: need for special education (primary and lower secondary school)
Mediator: Preeclampsia
Results: Total population consisted of 7,559 children with CHD; 6,290 with simple- & 1,269 with complex CHD. A total of 77,046 non-CHD controls. CHD children had a higher need for special education compared to non-CHD children, OR: 2.14 (95%CI: 2.00;2.28), p < 0.001. The odds ratio was also increased when comparing children with a minor CHD to non-CHD children, OR: 1.99 (95%CI: 1.86;2.14), p<0.001. CHD children exposed to preeclampsia had a higher risk of receiving special education than CHD children unexposed to preeclampsia, OR: 1.40 (95%CI: 1.07;1.84), p=0.014.
Conclusion: School performance is impaired in children with CHD and preeclampsia worsens the performance.
Method: Nationwide population-based register study
All Danish Children with CHD 1994-2012
1:10 age- and gender matched controls
Non-singletons excluded
Children with Chromosomal Syndromes excluded
Exposure: CHD
Outcome: need for special education (primary and lower secondary school)
Mediator: Preeclampsia
Results: Total population consisted of 7,559 children with CHD; 6,290 with simple- & 1,269 with complex CHD. A total of 77,046 non-CHD controls. CHD children had a higher need for special education compared to non-CHD children, OR: 2.14 (95%CI: 2.00;2.28), p < 0.001. The odds ratio was also increased when comparing children with a minor CHD to non-CHD children, OR: 1.99 (95%CI: 1.86;2.14), p<0.001. CHD children exposed to preeclampsia had a higher risk of receiving special education than CHD children unexposed to preeclampsia, OR: 1.40 (95%CI: 1.07;1.84), p=0.014.
Conclusion: School performance is impaired in children with CHD and preeclampsia worsens the performance.
