title: Congenital Heart Disease and Impacts on Child Development.
abstract: OBJECTIVE
  To evaluate the child development and evaluate a possible association with the commitment by biopsychosocial factors of children with and without congenital heart disease.
  
  
  METHODS
  Observational study of case-control with three groups: Group 1 - children with congenital heart disease without surgical correction; Group 2 - children with congenital heart disease who underwent surgery; and Group 3 - healthy children. Children were assessed by socio-demographic and clinical questionnaire and the Denver II Screening Test.
  
  
  RESULTS
  One hundred and twenty eight children were evaluated, 29 in Group 1, 43 in Group 2 and 56 in Group 3. Of the total, 51.56% are girls and ages ranged from two months to six years (median 24.5 months). Regarding the Denver II, the children with heart disease had more "suspicious" and "suspect/abnormal" ratings and in the group of healthy children 53.6% were considered with "normal" development (P≤0.0001). The biopsychosocial variables that were related to a possible developmental delay were gender (P=0.042), child's age (P=0.001) and income per capita (P=0.019).
  
  
  CONCLUSIONS
  The results suggest that children with congenital heart disease are likely to have a developmental delay with significant difference between children who have undergone surgery and those awaiting surgery under clinical follow-up.
authors.affiliation: Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
authors.forename: Mariana Alievi
authors.initials: MA
authors.lastname: Mari
authors.affiliation: Departamento de Cirurgia Cardiovascular, Instituto do Coração de Natal, Natal, RN, Brazil.
authors.forename: Marcelo Matos
authors.initials: MM
authors.lastname: Cascudo
authors.affiliation: Universidade Federal do Rio Grande do Norte, Natal, RN, Brazil.
authors.forename: João Carlos
authors.initials: JC
authors.lastname: Alchieri
mesh_terms: D000367:Age Factors; D000704:Analysis of Variance; D016022:Case-Control Studies; D002648:Child; D002657:Child Development / Q000502:physiology*; D002675:Child, Preschool; D002658:Developmental Disabilities / Q000503:physiopathology* / Q000523:psychology*; D005260:Female; D006330:Heart Defects, Congenital / Q000503:physiopathology* / Q000523:psychology*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009483:Neuropsychological Tests; D012307:Risk Factors; D012737:Sex Factors; D012959:Socioeconomic Factors; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires