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Motor Development of Children That Have Surgery as Newborns for Complex Congenital Heart Disease

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ClinicalTrials.gov Identifier: NCT02781545
Recruitment Status : Active, not recruiting
First Posted : May 24, 2016
Last Update Posted : June 27, 2018
Sponsor:
Collaborators:
Advocate Center for Pediatric Research
University Medical Center Groningen
Information provided by (Responsible Party):
Darlene Huisenga, Advocate Health Care

Brief Summary:
Infants requiring surgery in the neonatal period for complex congenital heart diseases are at risk for developmental problems. For infants with congenital heart diseases with admixture physiology and single ventricles, optimal circulation is associated with signs of adequate systemic perfusion and a systemic arterial oxygen saturation typically between 75% to 90%. Infants are often unable to withstand standardized developmental testing during early infancy due to medical fragility and sternal precautions after surgery. Evaluation of the quality of spontaneous movements and movement variability is a good alternative. The quality of general movements in early infancy is a valid predictor of neurological disorders in high risk infant groups and is assessed with short periods of video-recorded observations. This methodology has yet to be studied in infants with complex congenital heart disease that require surgery as neonates. For older infants, the Infant Motor Profile (IMP) is a promising tool to document developmental outcome.

Condition or disease
Heart Defects, Congenital

  Show Detailed Description

Study Type : Observational
Actual Enrollment : 77 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Predicting and Monitoring Motor Development of Children Requiring Surgery as Neonates for Complex Congenital Heart Disease
Study Start Date : May 2015
Estimated Primary Completion Date : June 2019
Estimated Study Completion Date : June 2019

Resource links provided by the National Library of Medicine





Primary Outcome Measures :
  1. Motor development at 18 months [ Time Frame: 18 months ]
    Comparison of motor development of two groups of infants based on oxygen saturation targets after neonatal surgery using the Infant Motor Profile


Secondary Outcome Measures :
  1. Movement quality from birth to 4 months of age [ Time Frame: 4 months. The infant's general movements are video-recorded three to five times from birth to four month according to this schedule: pre-operation (if possible), hospital discharge, one month of age, two months of age, and three months of age ]
    Comparison of the trajectory of movement quality for two infant groups based on video recorded General Movements Assessments for at least three assessment points from birth to 4 months of age

  2. Concurrent validity [ Time Frame: 18 months ]
    Assess concurrent validity of the Infant Motor Profile total score and performance score with the Alberta Infant Motor Scales at 6, 12, and 18 months, and the Bayley Scales of Infant Development (3rd edition) motor composite score at 18 months

  3. Cognitive and language development at 18 months [ Time Frame: 18 months ]
    Comparison of the two infant groups based on the cognitive and language composite scores of the Bayley Scales of Infant Development (3rd edition)



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Ages Eligible for Study:   up to 24 Months   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
Consecutive infant sampling of infants with complex congenital heart diseases
Criteria

Inclusion Criteria:

  • Infants diagnosed with complex congenital heart diseases that require surgery during the neonatal period, ages 0-30 days
  • Surgical care at Advocate Christ Medical Center/Advocate Children's Hospital, Oak Lawn, Il

Exclusion Criteria:

  • Chromosomal abnormalities and/or known syndromes

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02781545


Locations
United States, Illinois
Advocate Children's Hospital
Oak Lawn, Illinois, United States, 60453
Sponsors and Collaborators
Advocate Health Care
Advocate Center for Pediatric Research
University Medical Center Groningen
Investigators
Principal Investigator: Darlene Huisenga, PT, DPT, PCS Advocate Health Care

Publications:
Responsible Party: Darlene Huisenga, PT, DPT, PCS, Advocate Health Care
ClinicalTrials.gov Identifier: NCT02781545     History of Changes
Other Study ID Numbers: AHC IRB#6036
First Posted: May 24, 2016    Key Record Dates
Last Update Posted: June 27, 2018
Last Verified: June 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Manuscript, Poster presentation, Conference presentation

Keywords provided by Darlene Huisenga, Advocate Health Care:
Child Development
Psychomotor Performance
Newborns
Surgery

Additional relevant MeSH terms:
Heart Diseases
Heart Defects, Congenital
Congenital Abnormalities
Cardiovascular Diseases
Cardiovascular Abnormalities