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Follow-up in patients with congenital cardiac disease more complex than haemodynamic assessment

Published online by Cambridge University Press:  21 January 2005

Per Morten Fredriksen ,
Anne Marit Mengshoel ,
Aina Frydenlund ,
Øystein Sørbye  and
Erik Thaulow
Per Morten Fredriksen
Affiliation:
Physiotherapy Department, Rikshospitalet University Hospital, Oslo, Norway
Anne Marit Mengshoel
Affiliation:
Section of Health Science, Faculty of Medicine, University of Oslo, Oslo, Norway
Aina Frydenlund
Affiliation:
Section of Child and Adolescent Psychiatry, Psychiatric Division, Ullevål University Hospital, Oslo, Norway
Øystein Sørbye
Affiliation:
Sogn Centre for Child and Adolescent Psychiatry, Section of Child and Adolescent Psychiatry, Psychiatric Division, Ullevål University Hospital, Oslo, Norway
Erik Thaulow
Affiliation:
Paediatric Heart Section, Children's Clinic, Rikshospitalet University Hospital, Oslo, Norway
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Abstract

The objective of the study was to assess behavioural and emotional problems, as well as physical capacity, in children and adolescents with congenital cardiac disease. From the database of Paediatric Heart Section, Children's Clinic, Rikshospitalet University Hospital, Oslo, Norway, we identified 430 patients whose parents received questionnaires using the Child Behaviour Check-List. The response rate was 75.8%. In addition, the parents received a questionnaire focusing on special issues with regard to physical activity. Parents of children and adolescents with congenital cardiac diseases reported significantly more behavioural problems than did a reference population and boys were scored higher compared to girls. Analysis showed a significant impact of physical capacity on the score representing total problems, as well as scores for externalising and internalising behaviour. Compared to a reference population, parents of children and adolescents with congenital cardiac disease score their children higher on most scales when rated using the Child Behaviour Check-List. The type of diagnosis did not affect the scores reflecting the total problem. The main factor of impact on behavioural problems was, as evaluated by the parents, the physical capacity of the children.

Keywords

Child Behaviour Check-Listphysical capacitycongenital heart diseasechildrenadolescents
Type
Original Article
Information
Cardiology in the Young , Volume 14 , Issue 4 , August 2004 , pp. 373 - 379
Copyright
© 2004 Cambridge University Press

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