PAS Abstracts Abstracts. Additionally, patients being treated with benzodiazepines and clonidine were excluded, because these medications are frequently used for sedation purposes, resulting in a potential underestimate of the true number of patients being treated for anxiety. Screening for these conditions should be considered in all patients with CHD. 2019;139(14):e831–e832], American Heart Association Adult Congenital Heart Disease Committee of the Council on Clinical Cardiology and Council on Cardiovascular Disease in the Young, Council on Cardiovascular Radiology and Intervention, and Council on Quality of Care and Outcomes Research, Diagnosis and management of noncardiac complications in adults with congenital heart disease: a scientific statement from the American Heart Association, Child and adolescent depression: a review of theories, evaluation instruments, prevention programs, and treatments, Stressful life events in depressed adolescents: the role of dependent events during the depressive episode, ‘Big issues’ in neurodevelopment for children and adults with congenital heart disease, Depression and anxiety in adult congenital heart disease: predictors and prevalence, Developmental and neurologic status of children after heart surgery with hypothermic circulatory arrest or low-flow cardiopulmonary bypass, American Heart Association Congenital Heart Defects Committee, Council on Cardiovascular Disease in the Young, Council on Cardiovascular Nursing, and Stroke Council, Neurodevelopmental outcomes in children with congenital heart disease: evaluation and management: a scientific statement from the American Heart Association, Neurodevelopmental outcomes among children with congenital heart disease: at-risk populations and modifiable risk factors, Psychological adjustment and quality of life in children and adolescents following open-heart surgery for congenital heart disease: a systematic review, Diagnostic and Statistical Manual of Mental Disorders, Psychiatric disorders in adolescents with single ventricle congenital heart disease, Prediction of behavioural and emotional problems in children and adolescents with operated congenital heart disease, The impact of congenital heart disease on the psychological well-being and quality of life of Hong Kong Chinese adolescents: a cross-sectional study, Prevalence of ADHD symptoms in patients with congenital heart disease, Prevalence of probable mental disorders among pediatric asthma patients in an inner-city clinic, Anxiety and depression in children and adolescents with sickle cell disease, Psychiatric disorders and function in adolescents with tetralogy of fallot, Adolescents with d-transposition of the great arteries corrected with the arterial switch procedure: neuropsychological assessment and structural brain imaging, Psychiatric morbidity in adolescents operated in childhood for congenital cyanotic heart disease, Prevalence and treatment of depression, anxiety, and conduct problems in US children, Noncardiac comorbidities of congenital heart disease in children, Behavior problems of children with Down syndrome and life events, Increased prevalence of ADHD in Turner syndrome with no evidence of imprinting effects, Living with Marfan syndrome I. Perceptions of the condition, Mental health among parents of children with critical congenital heart defects: a systematic review, Parenting stress, sleep, and psychological adjustment in parents of infants and toddlers with congenital heart disease, The family stress process: the double ABCX model of adjustment and adaptation, Coping with the Stress of Chronic Childhood Illness, Management of Chronic Disorders of Childhood, Adaptation of the child and family to life with a chronic illness, Individualized family-centered developmental care: an essential model to address the unique needs of infants with congenital heart disease, Parental stress and resilience in CHD: a new frontier for health disparities research, Obesity is a common comorbidity in children with congenital and acquired heart disease, Associations between obesity and comorbid mental health, developmental, and physical health conditions in a nationally representative sample of US children aged 10 to 17, Small atrial septal defects are associated with psychiatric diagnoses, emotional distress, and lower educational levels, Obesity trends in children, adolescents, and young adults with congenital heart disease, Illness uncertainty and posttraumatic stress in young adults with congenital heart disease, Neurodevelopmental outcomes in children with Fontan repair of functional single ventricle, Quality of life, depressed mood, and self-esteem in adolescents with heart disease, Psychological distress in adults with congenital heart disease: focus beyond depression, Mental disorders in adults with congenital heart disease: unmet needs and impact on quality of life, Lifetime risk and persistence of psychiatric disorders across ethnic groups in the United States, Racial and ethnic disparities in pediatric mental health, Racial/ethnic differences in parental endorsement of barriers to mental health services for youth, Psychological interventions for people affected by childhood-onset heart disease: a systematic review, The effect of a resilience improvement program for adolescents with complex congenital heart disease, Mindfulness-based stress reduction and group support decrease stress in adolescents with cardiac diagnoses: a randomized two-group study, Evidence-based psychosocial treatments for children and adolescents with disruptive behavior, Evidence-based psychosocial treatments for children and adolescents with attention-deficit/hyperactivity disorder, Clinical presentation and treatment outcome for children with comorbid externalizing and internalizing symptoms, Feasibility and outcomes in a pilot randomized controlled trial of a psychosocial intervention for adults with congenital heart disease, An integrated adult congenital heart disease psychology service, E-Health interventions for anxiety and depression in children and adolescents with long-term physical conditions, Prevalence of parent-reported ADHD diagnosis and associated treatment among U.S. Children and Adolescents, 2016, Trends in the parent-report of health care provider-diagnosed and medicated attention-deficit/hyperactivity disorder: United States, 2003-2011, Early repair of congenital heart disease associated with increased rate of attention deficit hyperactivity disorder symptoms, Inattention, hyperactivity, and school performance in a population of school-age children with complex congenital heart disease, Racial and ethnic disparities in ADHD diagnosis from kindergarten to eighth grade, US Department of Education, Office for Civil Rights, Civil rights data collection data snapshot: school discipline, Parent training of toddlers in day care in low-income urban communities, Parent-child interaction therapy for Mexican Americans: a randomized clinical trial, Mental health services utilization and expenditures among children enrolled in employer-sponsored health plans, Access to Children’s Mental Health Services under Medicaid and SCHIP, Pediatric inpatient hospital resource use for congenital heart defects, Timing of Co-occurring Chronic Conditions in Children With Neurologic Impairment, Follow American Academy of Pediatrics on Instagram, Visit American Academy of Pediatrics on Facebook, Follow American Academy of Pediatrics on Twitter, Follow American Academy of Pediatrics on Youtube, Racism and Its Effects on Pediatric Health, https://www.nhlbi.nih.gov/health-topics/congenital-heart-defects, www.pediatrics.org/cgi/content/full/120/5/e1157, www.pediatrics.org/cgi/content/full/121/4/:e759. Screening should be considered for all congenital heart disease patients and possibly for children with other chronic illnesses. One study in particular demonstrated that children with CHD accounted for ∼3.7% of all hospitalizations in the United States for youth aged 0 to 20 years; ∼17% of these CHD hospitalizations had complex CHD, accounting for only 30% of CHD hospitalizations in patients aged 1 to 10 years and 25% of CHD hospitalizations of patients 11 to 20 years.68 We deliberately chose our population cohort to include patients with both simple and complex CHD, which reduces the likelihood of choosing sicker (more severe) patients with CHD. This grace period applies only to disclosure only. However, since the 2020 meeting was cancelled, some very good research has not yet been presented at a large meeting, but may have been very recently published. The fact that fellows begin in July, coupled with the increasing regulatory processes imposed by IRBs, can make it difficult for a new fellow to submit a completed and detailed abstract by mid to late September or early October. Abstract text – limited to 250 words. Earn 36 CME & 30 MOC Part 2 Points | ABP Approved . First Name. Track 3: Pediatric Healthcare. Please Note: Word count is affected when graphs/tables/images are added 10. This held true when children were stratified by age (Table 2). Typically the program committee does not consider abstracts with previously published data. The Scientific Committee invites you to actively participate in MASCC/ISOO 2021 which will be an extraordinary occasion for the exchange of thoughts and experiences.We look forward to receiving abstracts for consideration and inclusion in the scientific program. Professional and Researchable view on Pediatrics and Neonatology issues in 2021. Although choosing the inpatient or ED setting may raise the question of a selection bias toward sicker patients, current outpatient data are congruent and reveal a similar trend in NDDs and mental health disorders.15,21–23. Furthermore, these data underscore the importance of recognizing potential racial or ethnic bias in diagnosing mental health in children with CHD, as well as enabling insurance coverage for treating these disorders. Miami Beach, Fla. Nov. 4 – 7, 2021. This conference will be held virtually. Medical Students, Resident/Fellows, and Early Career Physicians who are ACP members are eligible to participate in the National Abstract Competitions. Curr Opin Pediatr. There are multiple psychological theories that can potentially explain some of the mental health disorders seen in patients with CHD, such as stressful life events and sociocultural impacts (eg, parenting style).5–7 Cognitive models, including learned helplessness and negative information processing, may also contribute to the mental health of children with CHD, who often spend significant amounts of time in the hospital and undergo cardiac procedures and surgeries.5,6 The presence of underlying genetic syndromes, parental mental health disorders, cardiopulmonary bypass, prematurity, and prolonged hospitalizations are factors that increase the risk of neurodevelopmental disabilities (NDDs) and likely contribute to anxiety, depression, and attention-deficit/hyperactivity disorder (ADHD) in adolescents and adults with complex CHD.8–13 With recent data, it is estimated that 50% to 75% of children with complex CHD are affected by NDDs and reduced quality of life.8,12,13 Given that the aforementioned models extend into childhood, it is notable that there is a paucity of literature examining the treatment of these disorders in young patients and in those with simple CHD. The Practical Pediatrics: 2021 Update Conference Program Committee invite attendees to submit original abstracts to be considered for presentation as posters at the Practical Pediatrics: 2021Update Virtual Conference on March 5, 2021. A potential explanation for this lower overall prevalence in patients without CHD is the current data focus on patients in Houston, Texas, where there is a lower prevalence of ADHD medication prescription than the national average.58. Data were analyzed by using logistic regression (Stata v15; Stata Corp, College Station, TX). Thus, the purpose with this study was to determine the prevalence of anxiety, depression, and ADHD in children with CHD and compare them with youth without CHD. Pediatrics in Review is the most trusted pediatrics review for busy healthcare professionals. Winner to receive a cash award of $750. We hypothesized that the prevalence of these conditions would likely be higher in youth with CHD compared with patients without CHD and that children with complex CHD would have higher rates of anxiety, depression, and ADHD compared with those with simple CHD. Pediatrics August 23-24, 2021 Singapore, Singapore Advancements and Innovations in Pediatrics ... Search 1000+ Events. The Program Committee will assist fellows in this regard by offering two possible routes for abstract submission: The conventional route as currently stands. Obesity is a common acquired condition that is prevalent in the population of CHD patients and is correlated with higher rates of ADHD, depression, and conduct disorder diagnoses.36,37 Furthermore, the significant burden of noncardiac comorbidities (eg, endocrine and metabolic, gastrointestinal, gynecologic disorders) in the ACHD population likely contributes to an increase in mental health disorders as well; these may also affect pediatric populations with CHD who are seeing similar comorbidities at younger ages in the current era.37–39 Finally, there are data to suggest that adolescents and adults with any type of CHD are at increased risk for psychological comorbidities, including posttraumatic stress disorder, which may also occur in younger children.23,38,40, Adolescent data in patients with CHD have previously revealed that those with a greater number of heart operations, lower systemic saturation, and complex SV disease were at significantly increased risk for having psychiatric diagnoses and behavioral disorders15–17,41 and had higher rates of mental health disorders compared with their peers.15–17,21,42 Our data reveal that adolescents with any type of CHD have a higher prevalence of anxiety and/or depression than their peers without CHD (19%–23% vs 6%–9%), but that the odds were less pronounced between those with and without CHD as they aged. Discover where the American Academy of Periodontology will be headed in the coming years for their flagship Annual Meeting event. Author and co-authors’ details 6. We use cookies to personalise content and ads, to provide social media features and to analyse our traffic. The primary predictor variable was whether the child had a diagnosis of CHD, which was defined by using the physiologic adult congenital heart disease (ACHD) criteria3 of complexity as simple, complex nonsingle ventricle (NSV), and complex single ventricle (SV) (CHD diagnoses, Supplemental Table 7). New Accomplishments with Edu-Tech ideas and solutions. Submissions for 2021 abstracts to open in early September. Presenting author’s contact details 2. Abstract decisions will be sent to the primary author in early February 2021. Don't miss this opportunity to participate in the premier forum for the exchange of advances in public opinion and survey research. Be part of the 2021 program. Track 4: Pediatric Oncology. In particular, we provide novel insight into mental health disorders in children aged 4 to 9 years, as well as those with simple CHD. Exposure to the upcoming Healthcare solutions. E- Book of abstracts to all the attendees. American Academy of Pediatrics 345 Park Boulevard Itasca, IL 60143 866/843-2271 2024 AAP National Conference & Exhibition. Abstract submitters must select from the 33 participating section/council programs, which cover clinical matters or research related to subspecialty or special interest areas. All patients, with simple or complex CHD, had higher odds of being diagnosed or treated for anxiety and/or depression (Table 4) and/or ADHD (Table 5), compared with their peers without CHD. Congenital heart disease (CHD) is the most common birth defect, affecting ∼1% of all live births.1 The spectrum of CHD is wide, ranging from simple (not requiring immediate or possibly any surgical intervention) to severe or complex (typically defined as CHD requiring surgical intervention within the first month to year of life).2 Although overall mortality has improved, most notably in those with complex CHD, many surgical and medical procedures are palliative, and these patients often require multiple interventions throughout their lifetime.3 Increased CHD survival is now resulting in a continually growing population of adolescents and adults with CHD; this has drawn more attention to the noncardiac comorbidities, including overall mental health, of patients with CHD.4. Age was assessed as a continuous measure for the initial regression model. We identified 118 785 unique patients, 1164 (∼1%) of whom had CHD. Presenters can submit as many abstracts as they would like. FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose. Study data were collected at a single center by using diagnosis codes and medication records. Logistic Regressions, Stratified by Age, Anxiety and/or Depression, Logistic Regressions, Stratified by Age, ADHD, The results of our study demonstrate that patients with CHD, regardless of age or disease severity, appear to have a significantly higher burden of anxiety and/or depression and ADHD when compared with peers without CHD. Meeting Date/Location: Aug. 14-18, 2021 | Vancouver Abstract Submission Period: May 11, 2020-Feb. 16, 2021, 5 pm CST. Much of the focus on CPT updates that take effect on Jan. 1 has been on office or other outpatient evaluation and management services, but other changes have been made to the code set that are important for pediatrics. During this time, you cannot make any changes to your abstract. Email address 3. One possible explanation behind this smaller difference between the groups is the higher national prevalence of anxiety and/or depression in adolescent populations (6%–11%24 for 12–17-year-olds), compared with preadolescent patients, regardless of chronic disease condition. PAS Abstracts Abstracts. Exposure to the upcoming Healthcare solutions. Our findings are consistent with current data in adolescents with complex CHD, which reveal an increase in anxiety symptoms,15 as well as studies in the literature suggesting an increased prevalence of anxiety, depression, and ADHD in adolescents with CHD.15–18 These findings also correlate with the limited data in children with other chronic illnesses, such as asthma or sickle cell disease, which suggest an increase in mental health disorders compared with their peers.19,20, Our study is unique in that there are few published studies in which researchers use diagnosis codes and medication data instead of self-report surveys to evaluate for anxiety, depression, and ADHD in the CHD population <18 years of age. Benefits will be given for attending our forthcoming International events. Applicants can apply by checking the abstract form at the time of submission. Existing literature does not currently examine anxiety or depression in patients with CHD aged <10 years. Given that the same medications are used to treat both conditions, the diagnoses of anxiety and depression were collapsed (the absolute reason for medication use could not be determined with available data). Submit your abstract … To make the most out of your research experience, and to make it as rewarding as possible, we strongly encourage you to The American Academy of Pediatrics (AAP) recommends routine influenza immunization of all children without medical contraindications, starting at 6 months of age. The Virtual 2020 World Pediatrics Conference (2020WPC) invites you to submit speaker proposals, oral and poster presentations for consideration as part of our annual conference. Abstract Submission. The Practical Pediatrics: 2021 Update Conference Program Committee invite attendees to submit original abstracts to be considered for presentation as posters at the Practical Pediatrics: 2021Update Virtual Conference on March 5, 2021. Compared with patients without CHD, those with CHD had more 4- to 9-year-olds (61.0% vs 53.6%), were more male-predominant (56.8% vs 52.0%), had a higher percentage of non-Hispanic white individuals (38.8% vs 25.4%), and were more likely to be privately insured (48.5% vs 38.6%). Full first and family name(s) 7. Fellows are encouraged to use this mechanism whenever possible. Logistic Regressions, All Hospitalized and ED Patients <18 Years. Presenters will be informed of the committee's decision in Spring 2021. E-mail: Copyright © 2021 by the American Academy of Pediatrics. Finally, we elected to use an ED and inpatient data set because of the ability to access medication data to ensure accuracy of diagnosis. Nov. 6-15, 2020 107 th Annual Meeting . Optometrists may not present on topics related to surgery or ophthalmic procedures. The AAPOS Program Committee is aware of the difficulties encountered by fellows when submitting an abstract for the annual AAPOS meeting. 106 th Annual Meeting . Adding ED visits also assisted in catching patients who were not hospitalized and increased our catchment of “less sick” patients. Overall, 18.2% (n = 212) of patients with CHD had a diagnosis or medication for anxiety or depression, compared with 5.2% (n = 6088) of those without CHD. Developed by AAP Sections and Councils, these programs provide a forum for the advanced discussion of clinical matters, research developments, or special interest areas. Youth with congenital heart disease of all severities have significantly higher odds of anxiety/depression and attention-deficit/hyperactivity disorder compared with their peers. The odds of having a diagnosis or medication for anxiety and/or depression or ADHD increased as children aged (Table 3). The majority of patients with CHD had simple (47.7%) or complex NSV (46.9%) lesions. Washington D.C., Walter E. Washington Convention Center October 20-24, 2023. For the second and third models, age was a categorical variable for anxiety and/or depression (Table 4) and ADHD (Table 5). Another limitation is that given the significant overlap in medications used to treat anxiety and depression, patients being treated for each condition separately could not be differentiated. ABSTRACT. Call for Poster Abstracts. Given that most anxiety and/or depression and ADHD diagnoses are made in the outpatient setting, we feel that our prevalence data are likely generalizable beyond the inpatient or ED setting. Presenters can submit as many abstracts as they would like. Abstracts will be due October 19, 2020, at 11:59 p.m. CT. The primary outcome variable was a diagnosis and/or medication for anxiety and/or depression or ADHD. Funded by the National Institutes of Health (NIH). Prevalence of Anxiety, Depression, ADHD, by Age and CHD Status. Previous studies have shown that 29% of children aged 7 to 15 years undergoing any open-heart surgery <1 year screened positive for symptoms of ADHD.59 Similarly, in early school-aged children (5–10 years) with complex CHD, data show ∼30% of children received high-risk scores by parents for symptoms of inattention and hyperactivity.60 Thus, parental scores may potentially overestimate true diagnoses of ADHD. Although this route of submission carries an obvious advantage to the fellow in having more time to submit a completed abstract, it is possible, depending on the number and quality of standard versus late submissions, that a later submission may result in a lower chance of the abstract being accepted. A misdiagnosis could result in increased discipline instead of mental health services; studies show that Black children experience disproportionally high rates of school discipline.62 Parent management training has been shown to be effective in historically underserved populations, including minorities and those of lower socioeconomic status.63,64, Our data reveal a decreased odds of diagnosis and/or treatment of anxiety and/or depression and ADHD across all age groups for those patients without insurance, which is not surprising given the cost of mental health treatment. Type was a categorical measure representing the parent-reported race or ethnicity of the CEOC 47.7 )... Accepted, the presenting author must register 11, 2021 Regressions, all patients, 1164 CHD! Review process by the regular deadline of October 5, 2020 for testing whether or not you a!, Italy in Spring 2021 the responsibility of the difficulties encountered by fellows when submitting an is. 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