Posttraumatic stress disorder in children after cardiac surgery

Connolly, Dana; McClowry, Sandee; Hayman, Laura L.; Mahony, Lynn; Artman, Michael

doi:10.1016/j.jpeds.2003.12.048

Cited by 116 publications

(80 citation statements)

References 13 publications

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“…Importantly, major adverse cardiac events were 2-fold higher over 5 years among depressed ACHD patients [27], and quality of life was more strongly associated with minor depressive symptoms than with exercise capacity [28]. Finally, children undergoing cardiac surgery have high rates of post-traumatic stress disorder, though it remains unknown whether this carries over to adult survivors [29]. ACHD patients should be screened for depression and anxiety, and guidelines recommend assessment of psychosocial needs as part of routine care, with mental health providers included in the care team [20].…”

Section: Neuropsychiatricmentioning

confidence: 99%

Extra-cardiac manifestations of adult congenital heart disease

Gaeta

Ward

Krasuski

2016

Trends in Cardiovascular Medicine

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a b s t r a c tAdvancement in correction or palliation of congenital cardiac lesions has greatly improved the lifespan of congenital heart disease patients, resulting in a rapidly growing adult congenital heart disease (ACHD) population. As this group has increased in number and age, emerging science has highlighted the systemic nature of ACHD. Providers caring for these patients are tasked with long-term management of multiple neurologic, pulmonary, hepatic, renal, and endocrine manifestations that arise as syndromic associations with congenital heart defects or as sequelae of primary structural or hemodynamic abnormalities. In this review, we outline the current understanding and recent research into these extra-cardiac manifestations.Key words: Cardiovascular disease, Adult congenital heart disease, Pulmonary hypertension. Advances in the diagnosis and management of congenital heart disease (CHD) over the past several decades have greatly improved longevity and quality of life in the CHD population. Palliative or corrective interventions are now available for nearly every type of congenital cardiac lesion, and approximately 90% of affected children now survive to adulthood [1]. Adults with CHD (ACHD) already outnumber pediatric CHD patients, and this population is expected to grow by 5% per year [1,2]. Strikingly, the median age of severe CHD patients has increased from 11 years in 1985 to 25 years in 2010 [3]. Continued improvement in CHD interventions means that new (and more complex) populations will likely reach adulthood in the coming years.Practitioners who take care of adults with CHD are often charged with the delivery or coordination of comprehensive care for these complex patients, including the management of manifestations and complications that arise later in life. ACHD has many extra-cardiac effects, both as syndromic associations with congenital heart defects, or more commonly, as sequelae of primary structural or hemodynamic abnormalities. The role of genetic predilection remains undefined for nearly all extra-cardiac complications, though their incidence has clearly risen over the past decades. Indeed, more than a third of hospital admissions for ACHD patients are now for noncardiovascular reasons [4]. Optimal care of ACHD patients, therefore, mandates a thorough understanding of its multiorgan system manifestations. Herein, we will review current understanding of the most common manifestations of ACHD organized by the affected organ systems. Neurologic/neuropsychiatric Cerebrovascular complicationsA recent study quantified the strikingly high rates of stroke in ACHD [5]. Among nearly 30,000 ACHD patients, 8.9% of men http://dx

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Section: Neuropsychiatricmentioning

confidence: 99%

Extra-cardiac manifestations of adult congenital heart disease

Gaeta

Ward

Krasuski

2016

Trends in Cardiovascular Medicine

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“…The study of Goenjian et al on pediatric PTSD 5 years after a disaster [13] reported that the rate of PTSD and depression after the positive psychological intervention was lower than the non-treatment group. Dana [14] showed that pediatric PTSD also appeared in a variety of sugeries. Hence, clinicians should pay more attention on postoperative prevention of PTSD.…”

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confidence: 99%

Post-Traumatic Stress Disorders on Pediatric Orthopedic Injuries

Dong¹

2014

J Trauma Treat

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“…Associations have been found with higher anxiety levels and length of intubation (Board, 2005); pediatric delirium and use of sedatives/analgesics (Schieveld et al, 2007); PTS and illness severity and number of invasive procedures (Rennick et al, 2004); post-traumatic stress disorder (PTSD) and longer duration of opiate/benzodiazepine use (Colville & Pierce, 2005); and length of PICU stay was associated with PTSD (Connolly et al, 2004). PICU children reported higher rates of PTS symptoms than general care unit (GCU) children (Rees et al, 2004) and delusional experiences and higher rates of PTS was seen with longer periods of sedation ).…”

Section: Discussionmentioning

confidence: 99%

“…Development of PTSD in children admitted to the PICU is related to increased parental distress, greater length of PICU stay, delusional memories, and emergency admission (Colville & Pierce, 2005;Colville et al, 2006;Connolly, McClowry, Hayman, Mahony, & Artman, 2004;Rennick et al, 2002Rennick et al, , 2004Small & Melnyk, 2006).…”

Section: Post-traumatic Stressmentioning

confidence: 99%

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Hearing the Child's Voice: Their Lived Experience in the Pediatric Intensive Care Unit

Prentiss¹

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All rights reserved.iv DEDICATION This dissertation is dedicated to those hospitalized children who were willing to share their stories with me. This work was possible because of them. To Ryan, Evan, Anna, and Valerie -thank you for listening, encouraging, and understanding when work came before play. I would also like to dedicate this work to my good friend and colleague, Eve Butler. Thank you for paving the way and providing such encouragement and support.To my mom, thank you for driving me home, listening to my stories, and centering me. You have always been my biggest cheerleader and fan. Thank you for believing in me, sometimes more than I believed in myself. We do not need to scratch the 2014 date off the mugs! I love you so much. Aims: The purpose of this qualitative study was to investigate school age children's and adolescents' perceptions of PICU while in the PICU; changes in perceptions after transfer to the General Care Unit (GCU); differences in perceptions of school age children/adolescents and those with more invasive procedures.Methods: Interviews were conducted in PICU within 24-48 hours of admission and 24-48 hours after transfer to GCU. Data on demographics, clinical care and number/types of procedures were obtained.Results: Participants were 7 school age children, 13 adolescents; 10 Hispanic; 13 males.

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Posttraumatic stress disorder in children after cardiac surgery

Cited by 116 publications

References 13 publications

Extra-cardiac manifestations of adult congenital heart disease

Extra-cardiac manifestations of adult congenital heart disease

Post-Traumatic Stress Disorders on Pediatric Orthopedic Injuries

Hearing the Child's Voice: Their Lived Experience in the Pediatric Intensive Care Unit

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