Feasibility and Efficiency of Screening for Neurodevelopmental Disorders by an Advanced Practice Nurse in Children With Congenital Heart Disease
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Screening for neurodevelopmental disorders by an advanced practice nurse.
- Кому может быть актуально
- Состояния в реестре: Congenital Heart Disease in Children, Neurodevelopmental Disorders. Базовые параметры: 1 год — 5 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Франция
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
Feasibility and efficiency of Screening for Neurodevelopmental Disorders by an Advanced Practice Nurse in Children aged 1 to 5 with Congenital Heart Disease
Подробное описание
Congenital heart disease (CHD) is the leading cause of birth defects. Over 90% of children born with CHD reach adulthood. 50% of them will develop a neurodevelopmental disorder (NDD) that could affect life and long-term prognosis, including scholar and social integration and health related quality of life.
In France, there is a lack of medical resources to screen NDD in this population and to refer patients for appropriate and early treatment.
Investigators plan to propose a systematic early screening of NDD by an Advanced Practice Nurse (APN) during the usual cardiac follow-up. Children with CHD aged 1 to 5 will be included. If NDD is suspected, the patient will be referred to a neuropsychologist for NDD diagnosis confirmation and management planning. Patients with higher NDD risks (neonatal cardiac surgery) will benefit from a systematic neuropsychologist evaluation.
This study will investigate the feasibility and performance of an APN screening in this NDD-high risk population.
Вмешательства
- Другое Screening for neurodevelopmental disorders by an advanced practice nurse
Screening for neurodevelopmental disorders by an advanced practice nurse with Ages \& Stages Questionnaires (ASQ-3) and Haute Autorité de Santé (HAS) identification scale
Первичные конечные точки
- Sensibility of the IPA screening for neurodevelopmental disorder (NDD) on the whole population studied [Срок оценки: 4 months (to obtain the neurophysiologist assessment)]
Вторичные конечные точки (6)
- Feasibility of the IPA screening for NDD [Срок оценки: 18 months]
- Performance (sensibility) of the IPA screening for NDD on the NDD high risk population [Срок оценки: 4 months (to obtain the neurophysiologist assessment)]
- Performance (specificity) of the IPA screening for NDD on the NDD high risk population [Срок оценки: 4 months (to obtain the neurophysiologist assessment)]
- Performance (positive predictive value) of the IPA screening for NDD on the NDD high risk population [Срок оценки: 4 months (to obtain the neurophysiologist assessment)]
- Performance (negative predictive value) of the IPA screening for NDD on the NDD high risk population [Срок оценки: 4 months (to obtain the neurophysiologist assessment)]
- Prevalence of NDD in the high risk population [Срок оценки: 18 months]
Критерии участия
Критерии включения
- Congenital heart disease with stable status defined by last operation >3 months, no cardiac decompensation in the last 3 months, no planned surgery within 6 months after the inclusion
- Cardiac surgery and/or catheter-based cardiac intervention(s) during the first year of life,
- Patient aged 1 to 5 years.
- No previous medical diagnosis of NDD
- Parental or legal guardian's consent.
- Social security affiliation (for France only)
Критерии исключения
- Patients with a genetic or poly-malformative syndrome with known neurological impairment.
- Neurodevelopmental disorder already known/treated
- Neurodevelopmental status evaluation within the last 6 months.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Не применимо
- Модель
- Одна группа
- Маскирование
- Открытое
- Основная цель
- Диагностика
Центры проведения
Франция · 3 центра
- University Hospitial of Montpellier — Montpellier
- Institut Marin Saint-Pierre — Palavas-les-Flots
- CHU Bordeaux Haut-Lévêque — Pessac
Идентификаторы
NCT: NCT06431269 · RECHMPL21_0291 · ID-RCB