Follow-up in Neonatal Extracorporeal Membrane Oxygenation (ECMO)
| Autor: | M.A.J. Nabuurs-Kohrman, C. Festen, B.J.M. van Kessel-Feddema, W.B. Geven |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Pediatrics
medicine.medical_specialty medicine.medical_treatment 030232 urology & nephrology Biomedical Engineering Medicine (miscellaneous) Bioengineering 030204 cardiovascular system & hematology Electroencephalography Bayley Scales of Infant Development Biomaterials 03 medical and health sciences 0302 clinical medicine Communication disorder medicine Extracorporeal membrane oxygenation Dubowitz Score Renal replacement therapy Psychomotor learning medicine.diagnostic_test business.industry Neurological status General Medicine medicine.disease Surgery business |
| Zdroj: | The International Journal of Artificial Organs. 18:584-588 |
| ISSN: | 1724-6040 0391-3988 |
| DOI: | 10.1177/039139889501801007 |
| Popis: | In 34 survivors of the first 43 ECMO patients from our institution before discharge to another hospital or home an EEG, BAER, Head Ultrasonography, cerebral CT scan, Dubowitz score and ophthalmological inspection were performed. At one year of age Mental Developmental Index of the Bayley scales, Motor Quotient as well as pulmonary and neurological status were assessed. In 29 patients follow-up took place in our hospital. In 17 of them (59%) all tests before discharge were normal, 2 patients (7%) showed an abnormal BAER, an additional 5 patients (17%) had abnormal EEG and 2 patients (7%) had abnormal HUS in combination with abnormal cerebral CT scan. In 19 patients (33%) the Dubowitz score was abnormal at discharge. At one year of age neurological status was normal in 25 (86%) patients, respiratory status was normal in 22 (76%) and Mental Development Index was > 80 in 23 of the patients (79%). A significant correlation between Mental Development Index and Motor Quotient was found r=0.50, p=0.0065. It is concluded that more than one abnormal neurophysiological test before discharge may identify patients with additional risks for adverse outcome and that the respiratory status influenced psychomotor development at one year of age. |
| Databáze: | OpenAIRE |
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