Evidence map›Paper›PMID 35847390›Full record

ArticleAnnals of pediatric cardiology

Neurodevelopmental outcomes in children with cyanotic congenital heart disease following open heart surgery.

Samir Shakya, Anita Saxena, Sheffali Gulati, Shyam Sunder Kothari, Sivasubramanian Ramakrishnan, Saurabh Kumar Gupta, Velayoudam Devagourou, Sachin Talwar, Palleti Rajashekar, Shobha Sharma

Open access · diamondAbstract read
In one paragraph

Article in Annals of pediatric cardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Samir ShakyaDepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Anita SaxenaDepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Sheffali GulatiChild Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Shyam Sunder KothariDepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Sivasubramanian RamakrishnanDepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Saurabh Kumar GuptaDepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Velayoudam DevagourouDepartment of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India.
Sachin TalwarDepartment of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India.
Palleti RajashekarDepartment of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India.
Shobha SharmaChild Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neurodevelopmental abnormalities are common in congenital heart disease (CHD), more so in cyanotic CHDs. Perioperative factors have been known to affect neurodevelopmental outcomes. Aim: We aimed to determine the neurodevelopmental outcomes following open-heart surgery in cyanotic CHD. Methods: In this prospective observational study, eligible infants and children ≤21 months with cyanotic CHD planned for open-heart surgery underwent preoperative neurodevelopmental assessment using Developmental Assessment Scale for Indian Infants (DASII) to look for any motor and/or mental delay. A second neurodevelopmental assessment was performed after 9 months ± 2 weeks of cardiac surgery. Follow-up DASII was conducted through interactive video conferencing in 23 of 60 patients due to COVID-19 pandemic. The univentricular and biventricular repair groups were compared in terms of their neurodevelopmental outcomes. Perioperative factors were compared between neurodevelopmental "delay" and "no delay" groups. Results: Of the 89 children enrolled, preoperative motor and mental delay were present in 29 and 24 children, respectively. Follow-up DASII could be performed in 60 children. At follow-up, motor delay was present in seven and mental delay in four children. Overall, there was a significant improvement in both motor and mental developmental quotient at follow-up. There was no significant difference in either motor or mental domains between univentricular and biventricular groups. Among the perioperative variables, only the postoperative length of stay in intensive care unit was significantly different between neurodevelopmental "delay" and "no delay" groups ( Conclusion: Neurodevelopmental delay occurred substantially among unoperated children with cyanotic CHD. The neurodevelopmental status improved significantly following open-heart surgery among the survivors. Delay was associated with length of stay in intensive care following cardiac surgery.

Indexed as

Biventricular repaircongenital heart diseasecyanoticneurodevelopmental outcomesuniventricular repair

Identifiers

PMID35847390
PMCPMC9280104
OpenAlexW4285794862

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.