Table.

Children at Highest Risk for Neurodevelopmental Impairment^*

1.	Neonates or infants requiring open heart surgery
2.	Children with other cyanotic (“blue”) heart lesions not requiring infant heart surgery
3.	Congenital heart disease combined with any of the following:
	a. Prematurity less than 37 weeks
	b. Developmental delay
	c. Suspected genetic abnormality or syndrome associated with developmental delay
	d. History of mechanical support (extracorporeal membranous oxygenation or ventricular assist device)
	e. Heart transplantation
	f. Cardiopulmonary resuscitation
	g. Hospital stay longer than two weeks after surgery
	h. Perioperative seizures
	i. Abnormal findings on brain imaging or small head circumference
4.	Other conditions determined by medical home provider

^*Adapted from Marino et al., 2012²