Congenital Heart Disease ( Chd )

3504 WordsMar 15, 201715 Pages
Congenital heart disease (CHD) is one of the most common birth defects found in children, with an incidence of approximately nine in every 1000 live births worldwide (van der Linde et al., 2011). Children with complex CHD are living longer due to dramatic advances in medical procedures and surgical techniques (Berger et al., 2017), as well as the increase in number of pediatric heart transplant recipients over the past two decades (U.S. Department of Health & Human Services, 2017), and the decrease in the death rates from CHD, with this population now living into adulthood (Pillutla, Shetty, & Foster, 2008). Costs related to the care of children with CHD are greater than $5.6 billion dollars a year, with an average hospitalization costing…show more content…
Purpose and Rationale The impact of depression, decreased QOL and/or resilience are highly relevant to this at-risk population, due to the complexity and chronicity of CHD and its related comorbidities. Children with CHD have been found to have decreased QOL and resilience, with most having more than one significant risk factor for decreased health-related quality of life (HRQoL). Children with CHD have been noted to be at greater risk for depression and anxiety, which can negatively impact QOL and resilience (Drakouli et al., 2015). Depression has been identified as a risk factor for medical noncompliance in children with chronic, life-threatening illnesses (Apter, Farbstein, & Yaniv, 2003). Medical non-adherence in children with CHD is associated with increased mortality (Olivia et al., 2013). Given that children with CHD are at greater risk for depression, and depression puts this population at greater risk for medical non-adherence and increased mortality and increased utilization of medical resources, the implementation of a protocol aimed at the identification of depression and/or anxiety in this high-risk population and appropriate referral may have a positive effect on QOL and resilience. Therefore, the purpose of this paper is to review and summarize current literature, and determine if the
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