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PEDIATRICS Vol. 109 No. 1 January 2002, pp. 1-7

Infant Heart Transplantation at Stanford: Growth and Neurodevelopmental Outcome

Barry E. Fleisher, MD*, David Baum, MD*, Ginger Brudos, PhD*, Mary Burge, LCSW, MCSW*, Elaine Carson, RNa, Janet Constantinou, MA*, Josh Duckworth, BSb, Pat Gamberg, RN{ddagger}, Pat Klein, MA*, Helen Luikart, RN{ddagger}, Joan Miller, RN{ddagger}, Brad Stach, PhD§ and Dan Bernstein, MD*

* Department of Pediatrics
{ddagger} Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California
§ Central Institute for the Deaf, Washington University, St Louis, Missouri

--> Objective. To evaluate the growth and neurodevelopmental outcome of 18 surviving Stanford patients who received heart transplantations before their second birthday.

Methods. We compared the growth and neurodevelopmental outcome of these 18 patients with a second group of age-matched comparison patients who underwent other heart surgery requiring cardiopulmonary bypass.

Results. Difficulties with growth and development were more common in the transplant group as were neurologic abnormalities. Speech and language delays as well as hearing problems were also more common in the transplant group.

Conclusion. Multicenter prospective longitudinal neurodevelopmental outcome studies of infant heart transplant patients should be conducted to provide a more efficient basis for evaluating management protocols and assessment of long-term outcomes and of the need for early intervention services.

Key Words: infant heart transplantation • neurodevelopmental outcome

Abbreviations: BSID, Bayley Scales of Infant Development • MDI, Mental Developmental Index • PDI, Psychomotor Developmental Index • SD, standard deviation • SB, Stanford Binet • SICD, Sequenced Inventory of Communication Development • PPVT, Peabody Picture Vocabulary Test • CELF, Clinical Evaluation of Language Fundamentals • TOLD, Test of Language Development


Received for publication Sep 2, 1999; Accepted Jul 20, 2001.




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