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New Insights into the Education of Children with Congenital Heart Disease with and without Trisomy 21

Background and Objectives: Patients with congenital heart disease (CHD), especially as a concomitant syndromal disease of trisomy 21 (T21), are at risk for impaired neurodevelopment. This can also affect these patients’ education. However, there continues to be a research gap in the educational deve...

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Autores principales: Schmitt, Katharina R. L., Sievers, Laura K., Hütter, Alina, Abdul-Khaliq, Hashim, Poryo, Martin, Berger, Felix, Bauer, Ulrike M. M., Helm, Paul C., Pfitzer, Constanze
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10673200/
https://www.ncbi.nlm.nih.gov/pubmed/38004050
http://dx.doi.org/10.3390/medicina59112001
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author Schmitt, Katharina R. L.
Sievers, Laura K.
Hütter, Alina
Abdul-Khaliq, Hashim
Poryo, Martin
Berger, Felix
Bauer, Ulrike M. M.
Helm, Paul C.
Pfitzer, Constanze
author_facet Schmitt, Katharina R. L.
Sievers, Laura K.
Hütter, Alina
Abdul-Khaliq, Hashim
Poryo, Martin
Berger, Felix
Bauer, Ulrike M. M.
Helm, Paul C.
Pfitzer, Constanze
author_sort Schmitt, Katharina R. L.
collection PubMed
description Background and Objectives: Patients with congenital heart disease (CHD), especially as a concomitant syndromal disease of trisomy 21 (T21), are at risk for impaired neurodevelopment. This can also affect these patients’ education. However, there continues to be a research gap in the educational development of CHD patients and T21 CHD patients. Materials and Methods: In total, data from 2873 patients from the German National Register for Congenital Heart Defects were analyzed. The data are based on two online education surveys conducted among patients registered in the National Register for Congenital Heart Defects (2017, 2020). Results: Of 2873 patients included (mean age: 14.1 ± 4.7 years, 50.5% female), 109 (3.8%) were identified with T21 (mean age: 12.9 ± 4.4 years, 49.5% female). T21 CHD participants had a high demand for early specific interventions (overall cohort 49.1%; T21 cohort 100%). T21 CHD children more frequently attended special schools and, compared to non-trisomy 21 (nT21) CHD patients, the probability of attending a grammar school was reduced. In total, 87.1% of nT21 CHD patients but 11% of T21 CHD patients were enrolled in a regular elementary school, and 12.8% of T21 CHD patients could transfer to a secondary school in contrast to 35.5% of nT21 CHD patients. Most of the T21 CHD patients were diagnosed with psychiatric disorders, e.g., learning, emotional, or behavioral disorders (T21 CHD patients: 82.6%; nT21 CHD patients: 31.4%; p < 0.001). Conclusions: CHD patients are at risk for impaired academic development, and the presence of T21 is an aggravating factor. Routine follow-up examinations should be established to identify developmental deficits and to provide targeted interventions.
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spelling pubmed-106732002023-11-14 New Insights into the Education of Children with Congenital Heart Disease with and without Trisomy 21 Schmitt, Katharina R. L. Sievers, Laura K. Hütter, Alina Abdul-Khaliq, Hashim Poryo, Martin Berger, Felix Bauer, Ulrike M. M. Helm, Paul C. Pfitzer, Constanze Medicina (Kaunas) Article Background and Objectives: Patients with congenital heart disease (CHD), especially as a concomitant syndromal disease of trisomy 21 (T21), are at risk for impaired neurodevelopment. This can also affect these patients’ education. However, there continues to be a research gap in the educational development of CHD patients and T21 CHD patients. Materials and Methods: In total, data from 2873 patients from the German National Register for Congenital Heart Defects were analyzed. The data are based on two online education surveys conducted among patients registered in the National Register for Congenital Heart Defects (2017, 2020). Results: Of 2873 patients included (mean age: 14.1 ± 4.7 years, 50.5% female), 109 (3.8%) were identified with T21 (mean age: 12.9 ± 4.4 years, 49.5% female). T21 CHD participants had a high demand for early specific interventions (overall cohort 49.1%; T21 cohort 100%). T21 CHD children more frequently attended special schools and, compared to non-trisomy 21 (nT21) CHD patients, the probability of attending a grammar school was reduced. In total, 87.1% of nT21 CHD patients but 11% of T21 CHD patients were enrolled in a regular elementary school, and 12.8% of T21 CHD patients could transfer to a secondary school in contrast to 35.5% of nT21 CHD patients. Most of the T21 CHD patients were diagnosed with psychiatric disorders, e.g., learning, emotional, or behavioral disorders (T21 CHD patients: 82.6%; nT21 CHD patients: 31.4%; p < 0.001). Conclusions: CHD patients are at risk for impaired academic development, and the presence of T21 is an aggravating factor. Routine follow-up examinations should be established to identify developmental deficits and to provide targeted interventions. MDPI 2023-11-14 /pmc/articles/PMC10673200/ /pubmed/38004050 http://dx.doi.org/10.3390/medicina59112001 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Schmitt, Katharina R. L.
Sievers, Laura K.
Hütter, Alina
Abdul-Khaliq, Hashim
Poryo, Martin
Berger, Felix
Bauer, Ulrike M. M.
Helm, Paul C.
Pfitzer, Constanze
New Insights into the Education of Children with Congenital Heart Disease with and without Trisomy 21
title New Insights into the Education of Children with Congenital Heart Disease with and without Trisomy 21
title_full New Insights into the Education of Children with Congenital Heart Disease with and without Trisomy 21
title_fullStr New Insights into the Education of Children with Congenital Heart Disease with and without Trisomy 21
title_full_unstemmed New Insights into the Education of Children with Congenital Heart Disease with and without Trisomy 21
title_short New Insights into the Education of Children with Congenital Heart Disease with and without Trisomy 21
title_sort new insights into the education of children with congenital heart disease with and without trisomy 21
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10673200/
https://www.ncbi.nlm.nih.gov/pubmed/38004050
http://dx.doi.org/10.3390/medicina59112001
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