Heart Defects, Congenital
Conditions
Keywords
Heart Defects, congenital, Patient Monitoring, Infant, Newborn, Physiology
Brief summary
Congenital heart disease with need for early surgery in newborns is associated with an increased incidence in global impairment in development. The causes of these late adverse neurologic outcomes are multifactoral and include both fixed (or patient-specific factors) and modifiable factors. They relate to both the mechanism of central nervous system injury associated with congenital heart disease and its treatment. Measuring cerebral oxygenation is a promising non-invasive way of cerebral monitoring in a neonatal intensive care unit. The importance of cerebral monitoring in neonates with congenital heart problems at risk of developing neurological complications is increasingly recognized. In this way the most vulnerable moments for the newborn brain can be detected and ,if possible, lead to change in (timing of) treatment.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* neonates with admission on neonatal intensive care unit with congenital heart disease.
Exclusion criteria
* No informed consent. (for the long term neurodevelopmental FU) * no cerebral oxygen saturation in the first 3 day's of life * gestational age \< 37 weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neurodevelopmental follow up at 24 months | 24 months | Neurodevelopmental assessment at 24 months using Bayley scales of infant development II |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| cerebrovascular changes in the transitional phase | first 3 days of life | Cerebral oxygen saturation and autoregulatory capacity |
| Association of cerebrovascular changes with short term outcome | time frame of 1 admission | short term outcome defined as cerebral ultrasound abnormalities at admission and discharge, ICU stay, hospital stay and mortality before discharge |
Countries
Belgium