Academic proficiency in children after early congenital heart disease surgery

Sarah B. Mulkey, Christopher J. Swearingen, Maria S. Melguizo, Rachel N. Reeves, Jacob A. Rowell, Neal Gibson, Greg Holland, Adnan T. Bhutta, Jeffrey R. Kaiser

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Children with early surgery for congenital heart disease (CHD) are known to have impaired neurodevelopment; their performance on school-age achievement tests and their need for special education remains largely unexplored. The study aimed to determine predictors of academic achievement at school age and placement in special education services among early CHD surgery survivors. Children with CHD surgery at <1 year of age from January 1, 1998 to December 31, 2003, at the Arkansas Children's Hospital were identified. Out-of-state births and infants with known genetic and/or neurologic conditions were excluded. Infants were matched to an Arkansas Department of Education database containing standardized assessments at early school age and special-education codes. Predictors for achieving proficiency in literacy and mathematics and the receipt of special education were determined. Two hundred fifty-six children who attended Arkansas public schools and who had surgery as infants were included; 77.7 % had either school-age achievement-test scores or special-education codes of mental retardation or multiple disabilities. Scores on achievement tests for these children were 7-13 % lower than those of Arkansas students (p < 0.01). They had an eightfold increase in receipt of special education due to multiple disabilities [odds ratio (OR) 10.66, 95 % confidence interval (CI) 4.23-22.35] or mental retardation (OR 4.96, 95 % CI 2.6-8.64). Surgery after the neonatal period was associated with decreased literacy proficiency, and cardiopulmonary bypass during the first surgery was associated with decreased mathematics proficiency. Children who had early CHD surgery were less proficient on standardized school assessments, and many received special education. This is concerning because achievement-test scores at school age are "real-world" predictors of long-term outcomes.

Original languageEnglish (US)
Pages (from-to)344-352
Number of pages9
JournalPediatric cardiology
Volume35
Issue number2
DOIs
StatePublished - Feb 1 2014

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Special Education
Thoracic Surgery
Heart Diseases
Mathematics
Intellectual Disability
Odds Ratio
Confidence Intervals
Cardiopulmonary Bypass
Nervous System
Survivors
Parturition
Databases
Students
Education

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

Cite this

Mulkey, S. B., Swearingen, C. J., Melguizo, M. S., Reeves, R. N., Rowell, J. A., Gibson, N., ... Kaiser, J. R. (2014). Academic proficiency in children after early congenital heart disease surgery. Pediatric cardiology, 35(2), 344-352. https://doi.org/10.1007/s00246-013-0781-6
Mulkey, Sarah B. ; Swearingen, Christopher J. ; Melguizo, Maria S. ; Reeves, Rachel N. ; Rowell, Jacob A. ; Gibson, Neal ; Holland, Greg ; Bhutta, Adnan T. ; Kaiser, Jeffrey R. / Academic proficiency in children after early congenital heart disease surgery. In: Pediatric cardiology. 2014 ; Vol. 35, No. 2. pp. 344-352.
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Mulkey, SB, Swearingen, CJ, Melguizo, MS, Reeves, RN, Rowell, JA, Gibson, N, Holland, G, Bhutta, AT & Kaiser, JR 2014, 'Academic proficiency in children after early congenital heart disease surgery', Pediatric cardiology, vol. 35, no. 2, pp. 344-352. https://doi.org/10.1007/s00246-013-0781-6

Academic proficiency in children after early congenital heart disease surgery. / Mulkey, Sarah B.; Swearingen, Christopher J.; Melguizo, Maria S.; Reeves, Rachel N.; Rowell, Jacob A.; Gibson, Neal; Holland, Greg; Bhutta, Adnan T.; Kaiser, Jeffrey R.

In: Pediatric cardiology, Vol. 35, No. 2, 01.02.2014, p. 344-352.

Research output: Contribution to journalArticle

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Mulkey SB, Swearingen CJ, Melguizo MS, Reeves RN, Rowell JA, Gibson N et al. Academic proficiency in children after early congenital heart disease surgery. Pediatric cardiology. 2014 Feb 1;35(2):344-352. https://doi.org/10.1007/s00246-013-0781-6