Details

Autor(en) / Beteiligte

• Madderom, Marlous J.
• Reuser, Jolanda J. C. M.
• Utens, Elisabeth M. W. J.
• van Rosmalen, Joost
• Raets, Marlou
• Govaert, Paul
• Steiner, Katerina
• Gischler, Saskia J.
• Tibboel, Dick
• van Heijst, Arno F. J.
• IJsselstijn, Hanneke

Titel

Neurodevelopmental, educational and behavioral outcome at 8 years after neonatal ECMO: a nationwide multicenter study

Ist Teil von

• Intensive care medicine, 2013-09, Vol.39 (9), p.1584-1593

Ort / Verlag

Berlin/Heidelberg: Springer Berlin Heidelberg

Erscheinungsjahr

2013

Link zum Volltext

Quelle

SpringerLink (Online service)

Beschreibungen/Notizen

• Purpose Reporting neurodevelopmental outcome of 8-year-old children treated with neonatal extracorporeal membrane oxygenation (ECMO). Methods In a follow-up study in 135 8-year-old children who received neonatal ECMO between 1996 and 2001 we assessed intelligence (Revised Amsterdam Intelligence Test), concentration (Bourdon-Vos test), eye-hand coordination (Developmental Test of Visual-Motor Integration) and behavior (Child Behavior Checklist and Teacher Report Form). Results Intelligence fell within normal range (mean IQ 99.9, SD 17.7, n  = 125) with 91 % of the children following regular education. Significantly more children attended special education (9 %) or received extra support in regular education (39 %) compared with normative data. Slower working speed (χ 2  = 132.36, p  < 0.001) and less accuracy (χ 2  = 12.90, p  < 0.001) were found on the Bourdon-Vos test ( n  = 123) compared with normative data. Eye-hand coordination fell within the normal range (mean 97.6, SD 14.3, n  = 126); children with congenital diaphragmatic hernia scored lowest but still normally (mean 91.0, SD 16.4, n  = 28). Mothers ( n  = 117) indicated more somatic and attention behavior problems; teachers ( n  = 115) indicated more somatic, social, thought, aggression and total problems compared with normative data. Mothers indicated more somatic problems than teachers ( p  = 0.003); teachers reported more attention problems than mothers ( p  = 0.036; n  = 111). Conclusions Eight-year-old children treated with neonatal ECMO fall in the normal range of intelligence with problems with concentration and behavior. Long-term follow-up for children treated with neonatal ECMO should focus on early detection of (subtle) learning deficits.