{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:06:45Z","timestamp":1791562005615,"version":"4.3.4"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T00:00:00Z","timestamp":1742947200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951124026301_as1\">\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Medical and surgical advancements have enabled a 95% survival rate for children with CHD. However, these survivors are disproportionately affected by neurodevelopmental disabilities. In particular, they have behavioural problems in toddlerhood. Because there is a known relationship between behavioural problems and early language delay, we hypothesise that children with critical CHD have early detectable language deficits. To test our hypothesis, we performed a retrospective study on a cohort of children with critical CHD to visualise their early language developmental trajectories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951124026301_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We identified a cohort of 27 children with two diagnoses: single ventricle physiology (19) and transposition of the great arteries (8). As part of their routine clinical care, all of these children had serial developmental evaluations with the language subsection of the Capute Scales. We visualised their developmental language trajectories as a function of chronologic age, and we used a univariate linear regression model to calculate diagnosis-specific expected developmental age equivalents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951124026301_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In each group, language development is age-appropriate in infancy. Deviation from age-appropriate development is apparent by 18 months. This results in borderline-mild language delay by 30 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951124026301_as4\">\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Using the Capute Scales, our team quantified early language development in infants and toddlers with critical CHD. Our identification of deceleration in skill acquisition reinforces the call for ongoing neurodevelopmental surveillance in these children. Understanding early language development will help clinicians provide informed anticipatory guidance to families of children with critical CHD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951124026301_as5\">\n                    <jats:title>Social Media Synopsis:<\/jats:title>\n                    <jats:p>Children with single ventricle physiology and transposition of the great arteries have measurable early language delays.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951124026301","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T03:30:51Z","timestamp":1742959851000},"page":"964-970","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Developmental language trajectories in children with critical CHD"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4963-4157","authenticated-orcid":false,"given":"Alexa C.","family":"Escapita","sequence":"first","affiliation":[{"name":"University of Arkansas for Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Caroline","family":"Gregg","sequence":"additional","affiliation":[{"name":"Arkansas Children\u2019s Hospital Northwest"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey","family":"Lambou","sequence":"additional","affiliation":[{"name":"University of Kansas Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Watson","sequence":"additional","affiliation":[{"name":"Arkansas Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Greiten","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Reemtsen","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elijah","family":"Bolin","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dala","family":"Zakaria","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1596-4537","authenticated-orcid":false,"given":"Tara L.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Driscoll Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,3,26]]},"reference":[{"key":"S1047951124026301_ref13","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2021.3815"},{"key":"S1047951124026301_ref21","first-page":"108 LP","article-title":"How to use the bayley scales of infant and toddler development. Arch dis child - educ andamp","volume":"106","author":"Del Rosario","year":"2021","journal-title":"Pract Ed"},{"key":"S1047951124026301_ref9","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.010616"},{"key":"S1047951124026301_ref11","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.21090961"},{"key":"S1047951124026301_ref4","doi-asserted-by":"publisher","DOI":"10.1080\/17518423.2020.1711541"},{"key":"S1047951124026301_ref23","volume-title":"The Capute Scales","author":"Accardo Pasquale","year":"2005"},{"key":"S1047951124026301_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2011.12.009"},{"key":"S1047951124026301_ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.tins.2018.12.003"},{"key":"S1047951124026301_ref28","author":"Team","year":"2000"},{"key":"S1047951124026301_ref26","doi-asserted-by":"publisher","DOI":"10.1177\/000992280304200507"},{"key":"S1047951124026301_ref32","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt-2018-000998"},{"key":"S1047951124026301_ref3","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001211"},{"key":"S1047951124026301_ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s11883-023-01093-3"},{"key":"S1047951124026301_ref7","first-page":"67","article-title":"Effects of sociodemographic factors on access to and outcomes in congenital heart disease in the United States","volume":"11","author":"Robinson","year":"2024","journal-title":"J Cardiovasc Dev Dis"},{"key":"S1047951124026301_ref15","doi-asserted-by":"publisher","DOI":"10.4103\/apc.apc_149_21"},{"key":"S1047951124026301_ref6","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e318265ee8a"},{"key":"S1047951124026301_ref17","doi-asserted-by":"publisher","DOI":"10.1177\/2514183X20974231"},{"key":"S1047951124026301_ref8","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-1240"},{"key":"S1047951124026301_ref18","first-page":"333","volume-title":"Neurocognitive Development: Disorders and Disabilities","volume":"174","author":"Chorna","year":"2020"},{"key":"S1047951124026301_ref24","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-2779(1998)4:1<14::AID-MRDD4>3.0.CO;2-X"},{"key":"S1047951124026301_ref19","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0001485"},{"key":"S1047951124026301_ref2","doi-asserted-by":"publisher","DOI":"10.3390\/children9071056"},{"key":"S1047951124026301_ref30","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951123003165"},{"key":"S1047951124026301_ref27","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-42937-9_86-1"},{"key":"S1047951124026301_ref20","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.01265"},{"key":"S1047951124026301_ref16","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2023.1131361"},{"key":"S1047951124026301_ref22","volume-title":"Bayley Scales of Infant and Toddler Development","author":"Balasundaram","year":"2022"},{"key":"S1047951124026301_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2005.09.012"},{"key":"S1047951124026301_ref14","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2019.11.80"},{"key":"S1047951124026301_ref29","article-title":"Standardization of the norwood procedure improves outcomes in a medium-sized volume center. 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