Long-Term Outcomes in Children with Congenital Heart Disease: National Health Interview Survey

  • Hilda Razzaghi
    Correspondence
    Reprint requests: Hilda Razzaghi, PhD, MSPH, Centers for Disease Control and Prevention, Mail Stop E86, 1600 Clifton Rd, Atlanta, GA 30333.
    Affiliations
    National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA

    Oak Ridge Institute for Science and Education, Oak Ridge, TN
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  • Matthew Oster
    Affiliations
    National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA

    Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA
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  • Jennita Reefhuis
    Affiliations
    National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA
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Published:October 08, 2014DOI:https://doi.org/10.1016/j.jpeds.2014.09.006

      Objective

      To assess the extent of long-term morbidity in children with congenital heart disease (CHD).

      Study design

      We used data from the 1997-2011 National Health Interview Survey to study long-term outcomes in children aged 0-17 years with CHD. Parents were asked whether their child was diagnosed with CHD. We assessed for comorbidities, including autism/autism spectrum disorders; healthcare utilization, including number of emergency room visits; and daily life aspects, including number of days of school missed. These outcomes were compared between children with and without reported CHD using ORs and χ 2 statistics.

      Results

      The study included 420 children with reported CHD and 180 048 children without CHD, with no significant between-group differences in age and sex. The odds of reporting worse health and more than 10 days of school/daycare missed in the previous year were 3 times higher for the children with CHD compared with those without CHD. Children aged 2-17 with CHD were more likely than those without CHD to have had a diagnosis of autism spectrum disorder (crude OR, 4.6; 95% CI, 1.9-11.0) or intellectual disability (crude OR, 9.1; 95% CI, 5.4-15.4). The rates of emergency room, home, and doctors' office visits were significantly higher in the children with CHD.

      Conclusion

      Reported adverse outcomes were more prevalent in the children with CHD. Our findings, particularly those regarding neurodevelopmental outcomes, may be helpful for parents, healthcare providers, and others in assessing the specific needs of children and teenagers with CHD.
      ADHD ( Attention deficit/hyperactivity disorder), ADD ( Attention deficit disorder), CHD ( Congenital heart disease), NHIS ( National Health Interview Survey), SC ( Sample child)
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