AUTHOR=Luo Wen-Yi , Ni Ping , Chen Lin , Pan Qian-Qian , Zhang Hao , Zhang Ya-Qing 

TITLE=Development of the ICF-CY Set for Cardiac Rehabilitation After Pediatric Congenital Heart Surgery

JOURNAL=Frontiers in Pediatrics

VOLUME=Volume 10 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.790431

DOI=10.3389/fped.2022.790431

ISSN=2296-2360

ABSTRACT=Background: Most children with congenital heart disease (CHD) require surgical repair and postoperative rehabilitation is an essential step to restore the quality of life. The present study aimed to construct and confirm the International Classification of Functioning, Disability, and Health for Children and Youth core set in children with congenital heart disease after surgery (ICF-CY-CHDS). 
Methods: From February 2021 to August 2021, 340 children aged 3 ~ 6 years after CHD surgery were evaluated by ICF-CY-CHDS, and analyzed by the Rasch model.
Results: The finial ICF-CY-CHDS contained 22 categories. It exhibited a nonsignificant  test result for the item-trait interaction (X2=6736.37, p=0.8660, Bonferroni-adjusted p=0.05/22=0.0023). The average value of severity children is less than the average difficulty of categories (-2.26 logit > 0 logit). The weighted k of over all categories was 0.964 (p<0.001) and the item separation index was 0.96. The area under the ROC curve with the diagnosis result of heart failure in children is 0.866 (95% CI: 0.801 ~ 0.931) with good sensitivity (0.875) and specificity (0.759).
Conclusion: The ICF-CY-CHDS presents preliminary practice content during cardiac rehabilitation after pediatric CHD surgery, which provided a basis and scope for clinical evaluation and intervention program formulation.