Neurosciences Program, Alberta Children's Hospital, 28 Oki Drive NW, Calgary, AB, T3B 6A8, Canada.
Department of Pediatrics, University of Calgary, Calgary, Canada.
Pediatr Cardiol. 2024 Mar;45(3):483-490. doi: 10.1007/s00246-023-03367-8. Epub 2024 Jan 12.
Congenital heart disease (CHD) is one of the most common congenital birth defects. As surgical and interventional techniques have improved, the mortality has been greatly reduced and the focus has shifted to quality of life and long-term outcomes. The impact of CHD on development and cognition is becoming increasingly recognized. However, more research is needed to understand how children with CHD perform across various cognitive and intellectual domains. This study explored the performance of children with CHD on the newest version of the Wechsler Intelligence Scale for Children compared to normative controls. Children with CHD performed more poorly than normal controls across all indices and most subtests with large effect sizes. Additionally, we explored the patterns of impairment across indices and subtests, as well as the relationships between heard disease variables and WISC-V performance. Block design, Digit Span, and Similarities were the most commonly impaired scores in children with CHD, while Symbol Search, Picture Span, Figure Weights, and Vocabulary were least likely to be impaired.
先天性心脏病（CHD）是最常见的先天性出生缺陷之一。随着外科和介入技术的进步，死亡率大大降低，人们的关注点转向了生活质量和长期预后。CHD 对发育和认知的影响正日益受到认识。然而，为了了解 CHD 患儿在各种认知和智力领域的表现，还需要更多的研究。本研究探讨了 CHD 患儿在韦氏儿童智力量表最新版上的表现与正常对照组相比的情况。CHD 患儿在所有指标和大多数子测试中的表现均比正常对照组差，且具有较大的效应量。此外，我们还探讨了各指标和子测试中损伤的模式，以及听力疾病变量与 WISC-V 表现之间的关系。在 CHD 患儿中，积木设计、数字跨度和相似性是最常见的受损分数，而符号搜索、图片跨度、图形重量和词汇最不可能受损。
