Primal Health Databank: Study
Entry No: | 0602 |
Title: | United Kingdom collaborative randomized trial of neonatal extracorporeal membrane oxygenation: follow-up to age 7 years |
Author(s): | McNally H, Bennett CC, Elbourne D, Field DJ; UK Collaborative ECMO Trial Group |
Reference: | Pediatrics. 2006 May;117(5):e845-54 |
Place of Study: | UK |
Abstract: | The UK Collaborative ECMO trial provided an opportunity to describe mortality and morbidity associated with a neonatal ECMO policy compared with conventional management. The improved survival in the ECMO group was not offset by an increase in disability at 4 years, but the children were too young to assess educational and other longer-term impacts. The objective of this study was to assess the longer-term impact of these policies at age 7 years. A psychologist assessed 90 of the 100 children available for follow-up without prior knowledge of treatment allocation. The assessments took place at the children's schools within 3 months of their 7th birthdays. Sixty-eight of 89 (76%) children recorded a cognitive level within the normal range. Learning problems were similar in the 2 groups, and there were notable difficulties with spatial and processing tasks. A higher respiratory morbidity and increased risk of behavioral problems among children treated conventionally persisted. Progressive sensorineural hearing loss was found in both groups. CONCLUSIONS: The underlying disease processes appear to be the major influence on morbidity at 7 years. The beneficial influence of an ECMO policy is still present at 7 years.
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Keyword(s): | Extracorporeal Membrane Oxygenation, learning disabilities |
Discussion: | No discussion mentioned for this entry |
See Also: | No related entries mentioned for this entry |
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