ArticleThe Journal of pediatrics2016
School-Age Test Proficiency and Special Education After Congenital Heart Disease Surgery in Infancy.
Article in The Journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Meta-regression of sulcal patterns, clinical and environmental factors on neurodevelopmental outcomes in participants with multiple CHD types.Cerebral cortex (New York, N.Y. : 1991) · 2024Pooled it
- Academic achievement and needs of school-aged children born with selected congenital anomalies: A systematic review and meta-analysis.Birth defects research · 2021Pooled it
- Social determinants of health and outcomes for children and adults with congenital heart disease: a systematic review.Pediatric research · 2021Pooled it
- Neurodevelopmental care across pediatric critical care settings: toward brain-focused critical care.European journal of pediatrics · 2026Review
- Psychological Aspects and Mental Health Risks in Children and Adolescents with Congenital Heart Defects-A Systematic Review.Diagnostics (Basel, Switzerland) · 2026Review
- School Performance and Learning Challenges in Children and Adolescents with Congenital Heart Disease.Pediatric cardiology · 2026Review
- Hippocampal morphometry is altered in infants with congenital heart disease.Brain communications · 2026Article
- The role of social determinants of health in the developing injured brain.Current opinion in pediatrics · 2025Review
- Educational Attainment and Employment Status of Adults Living With Congenital Heart Disease in the United States, CH STRONG 2016-2019.Birth defects research · 2025Article
- Educational outcomes among children with congenital heart disease compared to peers: a Scotland-wide record-linkage study of 715,850 schoolchildren.BMC pediatrics · 2024Article
- A pilot study of the utility of a hospital-based school program for pediatric patients with cardiac diagnoses.Frontiers in pediatrics · 2024Article
- Educational achievement of children with selected major congenital anomalies and associated factors: a Finnish registry-based study.European journal of public health · 2023Article
- Racial and ethnic disparities in socio-economic status, access to care, and healthcare utilisation among children with heart conditions, National Survey of Children's Health 2016-2019.Cardiology in the young · 2023Article
- School age educational outcomes of infants born with congenital diaphragmatic hernia.Birth defects research · 2023Article
- Chronic pediatric diseases and risk for reading difficulties: a narrative review with recommendations.Pediatric research · 2022Review
- Childhood Educational Outcomes of Children Born with Gastroschisis.The Journal of pediatrics · 2022Article
- Characterisation of neurodevelopmental and psychological outcomes in CHD: a research agenda and recommendations from the cardiac neurodevelopmental outcome collaborative.Cardiology in the young · 2021Article
- Article
- Can Erythropoietin Reduce Hypoxemic Neurological Damages in Neonates With Congenital Heart Defects?Frontiers in pharmacology · 2021Review
- Investigating altered brain development in infants with congenital heart disease using tensor-based morphometry.Scientific reports · 2020Article
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
Abstract
objectiveTo evaluate test proficiency and the receipt of special education services in school-age children who had undergone surgery for congenital heart disease (CHD) at age <1 year. STUDY
designData from Arkansas-born children who underwent surgery for CHD at Arkansas Children's Hospital at age <1 year between 1996 and 2004 were linked to state birth certificates and the Arkansas Department of Education longitudinal database containing achievement test scores in literacy and mathematics for grades 3-4 and special education codes. The primary negative outcome was not achieving grade-level proficiency on achievement tests. Logistic regression accounting for repeated measures was used to evaluate for associations between achieving proficiency and demographic data, maternal education, and clinical factors.
resultsA total of 362 of 458 (79%) children who underwent surgery for CHD were matched to the Arkansas Department of Education database, 285 of whom had grade 3 and/or 4 achievement tests scores. Fewer students with CHD achieved proficiency in literacy and mathematics (P < .05) compared with grade-matched state students. Higher 5-minute Apgar score, shorter duration of hospitalization, and higher maternal education predicted proficiency in literacy (P < .05). White race, no cardiopulmonary bypass, and shorter hospitalization predicted proficiency in mathematics (P < .05). Sex, gestational age, age at surgery, CHD diagnosis, and type and number of surgeries did not predict test proficiency. Compared with all public school students, more children with CHD received special education services (26.9% vs 11.6%; P < .001).
conclusionChildren with CHD had poorer academic achievement and were more likely to receive special education services than all state students. Results from this study support the need for neurodevelopmental evaluations as standard practice in children with CHD.
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