Congenital heart disease

Educational attainment of children with congenital heart disease in the United Kingdom

Eur Heart J Qual Care Clin OutcomesPublished Prospective cohort study

Authors' conclusion

Children with CHD have lower educational attainment compared with their peers. Deficits are evident from school entry and increase throughout primary school.

Study context

Population
Children recruited to the Born in Bradford birth cohort, UK, March 2007–December 2010
Participants
139 vs 11,188
Exposure
Children with CHD vs children with no major congenital anomaly
  • CHDn = 139
  • Controlsn = 11,188reference
Outcome
Odds of 'below expected' attainment in maths, reading and writing
Follow-up
Ages 4-11 years
Methodological detailsbirth cohort (Born in Bradford), record linkage, multivariable regression
  • Birth cohort (Born in Bradford)
  • Record linkage
  • Multivariable regression

Main finding

As reported in the abstract

'Below expected' attainment in maths
CHD vs ControlsOdds ratio (95% CI)
Age 4-5 years
1.64(1.07–2.52)
Age 6-7
2.03(1.32–3.12)
Age 10-11
2.28(1.01–5.14)

Observational data: associations, not effects.

Further findings

OutcomeOR (CI)
Receiving special educational needs supportCHDvs ControlsAge 4-54.84 (2.06–11.40)
Receiving special educational needs supportCHDvs ControlsAge 6-73.65 (2.41–5.53)
Receiving special educational needs supportCHDvs ControlsAge 10-112.73 (1.84–4.06)

Attainment by cardio-pulmonary bypass exposure

Attainment similar with and without exposure to cardio-pulmonary bypass

Pre-school hospital admissions

Lower attainment strongly associated with number of pre-school hospital admissions

Original publication

Educational attainment of children with congenital heart disease in the United Kingdom. Eur Heart J Qual Care Clin Outcomes. Published 20 November 2023. doi:10.1093/ehjqcco/qcad068

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