Depression in adults with congenital heart disease-public health challenge in a rapidly expanding new patient population

Table 3 Improvements in the treatment of children with congenital heart disease

Previously	In the current era
Difficult diagnosis-invasive testing	Noninvasive diagnosis by ultrasound
Presentation in critical condition	Earlier diagnosis, newborn intensive care
Emergency surgery or interventions	Emergency treatment rare
Long hospitalizations for weight gain	Neonatal surgery and short hospital stays
Limited visiting hours for parents	Parents involved in hospital care
Medical focus	Child life teams and psycho-social support
High surgical mortality and morbidity	Improved surgical mortality and morbidity
Admissions for infections	New immunization, improved antimicrobial treatment
Re-operation	More catheter interventions, shorter admissions
Limited rehabilitation options	Early intervention programs
Special education placement	Integration in the main-stream
Limited opportunities for peer support	Self-help groups, internet resources