Impact of PICU Admission on Neurocognitive Function in Children

Autor: Raghda Zaitoun, Sarah Mohamed Nabil Ai-Saeed, Ahmed Rezk Ahmed, Rasha Hussein Aly
Rok vydání: 2021
Předmět:
Zdroj: QJM: An International Journal of Medicine. 114
ISSN: 1460-2393
1460-2725
DOI: 10.1093/qjmed/hcab113.062
Popis: Objective To study the impact of admission to a pediatric intensive care unit (PICU) on children's neurocognitive performance. Methods A case–control observational study including 50 children & adolescents and 75 age and gender matched children and adolescents.The study subjects underwent formative IQ testing using the Stanford Binet IQ test 3 months after discharge from the PICU. Results 27 males and 23 females with a mean age of 6.98 years were included in the study. Almost two thirds of the cases were admitted to the PICU post operatively (surgical causes). More than half of the cases needed sedation, 38% needed mechanical ventilation and 12% needed inotropic support. There was no statistically significant difference between cases and controls are regard IQ scores (total, verbal and performance IQ scores), neither was there a difference between medical and surgical cases. Data from similar pediatric cohorts is conflicting. Conclusion PICU does not seem to affect cognitive outcome in pediatric survivors. Further long term studies using standard scoring systems and time points of assessment are required.
Databáze: OpenAIRE