Congenital Heart Disease Clinical Trial
Official title:
Development of a Quality of Life Assessment Tool for Adult Patients With a Congenital Heart Disease, Having Had Surgery During Childhood
The mortality due to congenital heart diseases has decreased in recent decades, even for
infants with the most complex lesions.Therapeutic advances have prolonged the lifespan of
people with these diseases. However, there are specific social and psychological troubles
that appear later in life and can compromise employability, insurability and social
integration.
There are different types of congenital heart disease: those not operated in adulthood, and
those operated for curative or palliative purposes. It is estimated that about 10 out of 1000
babies are born with a congenital cardiac malformation. One-third of these have a critical
diagnosis requiring a surgical intervention.
Data from the literature show that there is an unusually high prevalence of psychosocial,
neurological, developmental and psychiatric disabilities among survivors, as they enter
formal education.There are many factors that influence developmental outcomes at school age.
Early intervention is an essential element in controlling these comorbidities. The continuous
monitoring of the development by a multidisciplinary team would make it possible to identify
a developmental disorder as soon as it appears and respond to it as quickly as possible.For
many children and their families, the burden of the developmental consequences is higher than
the daily impact of the heart disease.
Most studies and measures of quality of life in congenital heart patients require
methodological improvements.They contribute little to the scientific basis of the quality of
life in these patients. Future quality of life studies must invest in rigorous
conceptualization, adequate operational definition and a good measure of quality of life.
The investigators propose to develop a reproducible and reliable quality of life measurement
tool, suitable for adult patients suffering from congenital heart disease and having had
surgery during childhood.
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