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Feasibility and Efficiency of Screening for Neurodevelopmental Disorders by an Advanced Practice Nurse in Children With Congenital Heart Disease

Без фазы С лечением Congenital Heart Disease in Children Neurodevelopmental Disorders

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 →

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

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗