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Persistence of visuo-constructional and executive deficits in adolescents after open-heart surgery.

Abstract：

AIM:This study assesses whether previously reported performance deficiencies in visuo-constructional and executive functions, using the Rey-Osterrieth Complex Figure Test (ROCFT) in pediatric patients with congenital heart disease (CHD), persist into adolescence. METHODS:53 adolescent CHD patients (mean age 13.7) and 39 healthy controls (mean age 14.1) participated. ROCFT performance was measured by three different scoring methods, focusing either on quantitative (Meyers & Meyers, 1995), qualitative (Wallon & Mesmin, 2009), or both performance aspects (Bernstein & Waber, 1996). Potential confounders (i.e., intelligence and visuomotor integration) and surgery-related risk factors were included in the data analysis. RESULTS:Adolescents with CHD demonstrated immature copy and recall approaches on the ROCFT using the qualitative system by Wallon and Mesmin (p<.001). Memory performance was also predicted by Bernstein and Waber scores (p<.03), whereas group differences were not significant according to the other scoring methods. Intelligence and visuomotor skills, but not surgery-related risk factors, were positively correlated with ROCFT performance (each p<.02). Interpretation: Visuoconstructional and executive deficiencies could be found in adolescent patients with CHD. However, not all ROCFT scoring methods were equally apt to detect group differences: especially the qualitative scoring method developed by Wallon and Mesmin seems sufficiently sensitive to detect long-lasting visuo-constructional and executive deficiencies in CHD patients.

journal_name

Res Dev Disabil

journal_title

Research in developmental disabilities

authors

von Rhein M,Kugler J,Liamlahi R,Knirsch W,Latal B,Kaufmann L

doi

10.1016/j.ridd.2014.10.027

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

303-310

eissn

0891-4222

issn

1873-3379

pii

S0891-4222(14)00441-7

journal_volume

36C

pub_type

杂志文章

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