Cognitive, academic, and behavioral functioning in school-aged children born with esophageal atresia.

Autor: Burnett AC; Department of Neonatal Medicine, The Royal Children's Hospital, 50 Flemington Road, Parkville VIC 3052, Australia; Premature Infant Follow-up Programme, Royal Women's Hospital, Melbourne, Australia., Gunn-Charlton JK; Department of Neonatal Medicine, The Royal Children's Hospital, 50 Flemington Road, Parkville VIC 3052, Australia; Department of Paediatrics, University of Melbourne, Australia., Malarbi S; Department of Neonatal Medicine, The Royal Children's Hospital, 50 Flemington Road, Parkville VIC 3052, Australia; Department of Paediatrics, University of Melbourne, Australia., Hutchinson E; Mental Health, Psychology Service, The Royal Children's Hospital, Melbourne, Australia., Tan TY; Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Australia; Victorian Clinical Genetics Service, Melbourne, Australia., Teague WJ; Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Australia; Department of Paediatric Surgery, The Royal Children's Hospital, Melbourne, Australia., King SK; Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Australia; Department of Paediatric Surgery, The Royal Children's Hospital, Melbourne, Australia., Hunt RW; Department of Neonatal Medicine, The Royal Children's Hospital, 50 Flemington Road, Parkville VIC 3052, Australia; Murdoch Children's Research Institute, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Australia. Electronic address: rod.hunt@monash.edu.
Jazyk: angličtina
Zdroj: Journal of pediatric surgery [J Pediatr Surg] 2021 Oct; Vol. 56 (10), pp. 1737-1744. Date of Electronic Publication: 2021 Jan 22.
DOI: 10.1016/j.jpedsurg.2021.01.014
Abstrakt: Purpose: To characterize cognitive, academic, and behavioral functioning in children who underwent neonatal surgical repair of esophageal atresia (OA) and compare outcomes according to clinical characteristics (presence of additional congenital anomalies, longer hospitalization, and prematurity).
Methods: Intellectual, language, attention, and executive functioning were assessed in 71 5-year-olds and 72 8-year-olds born with OA. At 8 years, memory and academic skills were also assessed. Parents rated children's executive functioning and behavior via questionnaires. Outcomes were compared to normative data and within subgroups of the sample.
Results: Intellectual functioning varied depending on the assessment tool, with some evidence of lower than expected intellectual development in children with OA. At 5 years, children with OA showed age-appropriate language and self-regulation, but reduced verbal attention. At 8 years, the OA group had lower than expected sustained attention, divided attention, and mathematics but typical memory and literacy. Parents consistently reported increased working memory difficulties. Other executive functioning and behavioral symptoms were transiently observed. Findings did not consistently differ according to clinical characteristics.
Conclusions: Children with OA may be at risk of transient and persisting cognitive difficulties, particularly in attention and working memory. Difficulties were not strongly associated with additional congenital anomalies, longer hospitalization, or prematurity.
Level of Evidence: Level IV.
(Crown Copyright © 2021. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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