PMID- 30191663 OWN - NLM STAT- MEDLINE DCOM- 20190102 LR - 20190906 IS - 1747-0803 (Electronic) IS - 1747-079X (Print) IS - 1747-079X (Linking) VI - 13 IP - 5 DP - 2018 Sep TI - Neurodevelopmental outcomes at 2 and 4 years in children with congenital heart disease. PG - 700-705 LID - 10.1111/chd.12632 [doi] AB - BACKGROUND AND OBJECTIVES: Children with congenital heart disease (CHD) are at risk for neurodevelopmental (ND) delays. The purpose of this study is to compare the ND testing results of children with CHD at 2 and 4 years of age and determine if rates of ND delays change over time. METHODS: Children with CHD completed the Bayley Scales of Infant Development-III (BSID-III) at 2 years of age, and standardized neuropsychological measures at 4 years. Scores were compared with test norms and were classified as: average (within one SD of test mean); at risk (1-2 SDs from the test mean); and delayed (>2 SD from test mean). Pearson correlations and McNemar's exact tests were performed to determine the relationship between test scores at the two times of assessment. RESULTS: Sixty-four patients completed evaluations at 24 +/- 3 months of age and 4 years of age. BSID-III cognitive and fine motor scores were correlated with preschool IQ and fine motor scores, r = .75 to .87, P < .0001. Agreement in score categories was 79% for cognitive and 61% for fine motor. More patients had at risk or delayed scores at age 4 vs age 2 (P