title: Neuropsychomotor development before and after open-heart surgery in infants.
abstract: There are few Brazilian studies on neuropsychomotor follow-up after open-heart surgery with circulatory bypass in infants. Twenty infants had neurodevelopmental outcomes (neurological exam and Denver II test) assessed before open-heart surgery, after intensive care unit discharge and 3-6 months after hospital discharge. Heart lesions consisted of septal defects in 11 cases (55%). The mean circulatory bypass time was 67 +/- 23.6 minutes. Fifteen infants had altered neurological examination and also neurodevelopment delay before surgery. After 6 months it was observed normalization in 6 infants. When Denver II test indexes were analysed, it was observed an improvement in all domains except personal-social. Although those infants were in risk of new neurological findings, an early improvement on neuropsychomotor indexes were seen.
authors.affiliation: Hospital da Criança Santo Antônio, Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre, RS, Brazil. darochats@hotmail.com
authors.forename: Taís Sica da
authors.initials: TS
authors.lastname: Rocha
authors.forename: Ana
authors.initials: A
authors.lastname: Guardiola
authors.forename: Jefferson Pedro
authors.initials: JP
authors.lastname: Piva
authors.forename: Cláudia Pires
authors.initials: CP
authors.lastname: Ricachinevski
authors.forename: Aldemir
authors.initials: A
authors.lastname: Nogueira
mesh_terms: D002657:Child Development / Q000502:physiology*; D015331:Cohort Studies; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D009460:Neurologic Examination; D009483:Neuropsychological Tests; D011446:Prospective Studies; D011597:Psychomotor Performance / Q000502:physiology*