ERA

Download the full-sized PDF of Functional outcomes after neonatal open cardiac surgery: comparison of survivors of the Norwood staged procedure and the arterial switch operationDownload the full-sized PDF

Analytics

Share

Permanent link (DOI): https://doi.org/10.7939/R37C5Q

Download

Export to: EndNote  |  Zotero  |  Mendeley

Communities

This file is in the following communities:

Nursing, Faculty of

Collections

This file is in the following collections:

Chronicity

Functional outcomes after neonatal open cardiac surgery: comparison of survivors of the Norwood staged procedure and the arterial switch operation Open Access

Descriptions

Author or creator
Alton, G.
Rempel, G.
Robertson, C.
Newburn-Cook, C.
Norris, C.M.
Additional contributors
Subject/Keyword
Early childhood developmnt
Hypoplastic left heart syndrome
Congenital cardiac disease
Transposition of the great arteries
Adaptive behaviour
Functional outcomes
Type of item
Journal Article (Published)
Language
English
Place
Time
Description
Background: Improvements in long-term survival of children undergoing the Norwood staged procedure and the arterial switch operation have resulted in the need to prepare these at-risk children for each stage of their developmental trajectory, including school readiness. This study describes and compares functional outcomes following the Norwood staged procedure and arterial switch operations. Methods: This prospective inception cohort study comprised a sample of 73 children (71% boys) who had the Norwood staged procedure (n = 28) or the arterial switch operation (n = 45) at the age of 6 weeks or younger at the Stollery Children's Hospital, Edmonton, Alberta, between 2002 and 2005. We excluded children who had chromosomal abnormalities or cerebral palsy. When children were 18-24 months of age, parents completed the Adaptive Behavioral Assessment System II. Standard scores for the domains are mean 100, standard deviation (15); skill area scaled scores, 10 (3). Student's t-test with Bonferonni correction was used to compare groups. Results: This population has greater than four times the number of children delayed on the General Adaptive Composite than the normative group. Functional outcomes were similar in the two groups other than those of home living (Norwood: 8.8 (2.8) compared with arterial switch: 11.2 (3.1), t = 3.389, p = 0.001) and self-care (Norwood: 5.9 (3.5) versus arterial switch: 8.1 (2.6), t = 3.140, p = 0.002). Conclusion: These survivors are at increased risk for delayed functional abilities. Self-care, necessary for independence and confidence as children reach school age, was particularly low in the Norwood group. Reasons for low self-care abilities require further study.
Date created
2010
DOI
doi:10.7939/R37C5Q
License information
Rights
© 2010 Cambridge University Press. This version of this article is open access and can be downloaded and shared. The original author(s) and source must be cited.
Citation for previous publication
Alton G, Rempel G, Robertson C, Newburn-Cook C, Norris CM. (2010). Functional outcomes after neonatal open cardiac surgery: comparison of survivors of the Norwood staged procedure and the arterial switch operation. Cardiology in the Young, 20(6), 668-675. doi:10.1017/S1047951110000971.
Source
Link to related item

File Details

Date Uploaded
Date Modified
2014-04-24T22:30:44.650+00:00
Audit Status
Audits have not yet been run on this file.
Characterization
File format: pdf (PDF/A)
Mime type: application/pdf
File size: 87641
Last modified: 2015:10:12 11:52:01-06:00
Filename: CY_20_2010_668.pdf
Original checksum: f2a12a898cb9a2da931d1ab816f43986
Well formed: true
Valid: true
File title: Functional outcomes after neonatal open cardiac surgery: comparison of survivors of the Norwood staged procedure and the arterial switch operation
File author: Gwen Y. Alton, Gwen R. Rempel, Charlene M. T. Robertson, Christine V. Newburn-Cook, Colleen M. Norris
Page count: 8
Activity of users you follow
User Activity Date