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Long-term psychosocial outcome of adults with tetralogy of Fallot and transposition of the great arteries: a historical comparison

Published online by Cambridge University Press:  08 July 2013

Petra Opić ,
Elisabeth M.W.J. Utens ,
Titia P.E. Ruys ,
Ron T. van Domburg ,
Maarten Witsenburg ,
Ad J.J.C. Bogers  and
Jolien W. Roos-Hesselink
Petra Opić
Affiliation:
Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, The Netherlands Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands
Elisabeth M.W.J. Utens*
Affiliation:
Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands
Titia P.E. Ruys
Affiliation:
Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, The Netherlands
Ron T. van Domburg
Affiliation:
Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, The Netherlands
Maarten Witsenburg
Affiliation:
Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, The Netherlands
Ad J.J.C. Bogers
Affiliation:
Department of Cardiothoracic Surgery, Erasmus Medical Center, Rotterdam, The Netherlands
Jolien W. Roos-Hesselink
Affiliation:
Department of Cardiology, Thoraxcenter, Erasmus Medical Center, Rotterdam, The Netherlands
*
Corresponding to: Dr E. M. W. J. Utens, Department of Child and Adolescent Psychiatry/Psychology, Erasmus Medical Center – Sophia Children's Hospital, PO Box 2060, 3000 CB Rotterdam, The Netherlands. Tel: +31 10 7040209; Fax: +31 10 7036803; E-mail: e.utens@erasmusmc.nl
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Abstract

Objective: To make a historical comparison on the long-term psychosocial outcome of cardiothoracic surgery during childhood. Methods: Adult patients operated for tetralogy of Fallot or transposition of the great arteries between 1980 and 1990 (recent sample) were compared with patients who underwent surgery and were investigated 10 years earlier (historical sample). In addition, atrial switch and arterial switch patients within the recent sample were compared. Psychosocial functioning was measured using standardised, validated psychological questionnaires. Results: Although the recent sample of patients overall shows a favourable quality of life, impairments were found in income, living conditions, relationships, offspring, and occupational level. Compared with the historical sample, the recent sample showed no significant improvements on psychosocial functioning, except for a better educational level. The amount of educational problems, such as learning difficulties, was still high compared with normative data. Recently operated patients with transposition of the great arteries (arterial switch) scored significantly better on the Short Form-36 vitality scale (p = 0.02) compared with historical patients with transposition of the great arteries (atrial switch). Conclusions: Despite improvements in medical treatment over the past few decades, hardly any change was found in the psychosocial outcome of the recent patient sample compared with the historical patient sample. In particular, the percentage of patients needing special education and showing learning problems remained high, whereas income was low compared with normative data.

Keywords

Transposition of the great arteriestetralogy of Fallotquality of lifehistorical comparisoncomplex congenital heart disease
Type
Original Articles
Information
Cardiology in the Young , Volume 24 , Issue 4 , August 2014 , pp. 593 - 604
Copyright
Copyright © Cambridge University Press 2013 

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