Adverse neurodevelopmental outcome after extracorporeal membrane oxygenation among neonates with bronchopulmonary dysplasia
Objective: The relationship between bronchopulmonary dysplasia (BPD) and neurodevelopmental outcome after extracorporeal membrane oxygenation (ECMO) has not been extensively reported. We compared the outcomes in a large series of infants with and without BPD after ECMO. Study design: Hospital charts...
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| Veröffentlicht in: | The Journal of pediatrics 1998-02, Vol.132 (2), p.307-311 |
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| container_title | The Journal of pediatrics |
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| creator | Kornhauser, Michael S. Baumgart, Stephen Desai, Shobhana A. Stanley, Christian W. Culhane, Jennifer Cullen, James A. Wiswell, Thomas E. Graziani, Leonard J. Spitzer, Alan R. |
| description | Objective: The relationship between bronchopulmonary dysplasia (BPD) and neurodevelopmental outcome after extracorporeal membrane oxygenation (ECMO) has not been extensively reported. We compared the outcomes in a large series of infants with and without BPD after ECMO.
Study design: Hospital charts and follow-up records of 145 infants treated with ECMO (1985 through 1990) were reviewed. Complete long-term respiratory and follow-up outcome data were available in 64 infants. BPD occurred in 17 survivors; the remaining 47 did not have BPD.
Results: Babies with BPD were more likely to have had respiratory distress syndrome. Mean (± SD) age at ECMO initiation was later for the BPD group (127 ± 66 vs 53 ± 39 hours,
p < 0.001), and the duration of ECMO treatment was longer (192 ± 68 vs 119 ± 53 hours,
p < 0.001). Bayley Scales of Infant Development scores at |
| doi_str_mv | 10.1016/S0022-3476(98)70450-0 |
| format | Article |
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Study design: Hospital charts and follow-up records of 145 infants treated with ECMO (1985 through 1990) were reviewed. Complete long-term respiratory and follow-up outcome data were available in 64 infants. BPD occurred in 17 survivors; the remaining 47 did not have BPD.
Results: Babies with BPD were more likely to have had respiratory distress syndrome. Mean (± SD) age at ECMO initiation was later for the BPD group (127 ± 66 vs 53 ± 39 hours,
p < 0.001), and the duration of ECMO treatment was longer (192 ± 68 vs 119 ± 53 hours,
p < 0.001). Bayley Scales of Infant Development scores at <30 months were lower in infants with BPD (
p < 0.001), as were three of four Mullen Scales of Early Learning scores (≥30 months,
p < 0.001 or p = 0.01). At 57 ± 16 months 11 (64%) patients with BPD had mild neurologic disabilities, and 3 (18%) had severe disabilities. At a similar age (53 ± 16 months,
p = NS) 16 (34%) patients without BPD had mild disabilities, whereas 2 (4%) had severe disabilities (
p < 0.01).
Conclusions:The occurrence of BPD after ECMO is associated with adverse neurodevelopmental outcome. Patients with BPD after ECMO merit close long-term follow-up. (J Pediatr 1998;132:307-11)]]></description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/S0022-3476(98)70450-0</identifier><identifier>PMID: 9506646</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Bronchopulmonary Dysplasia - complications ; Bronchopulmonary Dysplasia - therapy ; Developmental Disabilities - etiology ; Emergency and intensive care: neonates and children. Prematurity. Sudden death ; Extracorporeal Membrane Oxygenation - adverse effects ; Female ; Follow-Up Studies ; Humans ; Infant, Newborn ; Intensive care medicine ; Logistic Models ; Male ; Medical sciences ; Neuropsychological Tests ; Respiratory Distress Syndrome, Newborn - complications</subject><ispartof>The Journal of pediatrics, 1998-02, Vol.132 (2), p.307-311</ispartof><rights>1998 Mosby, Inc.</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-3bd36ee0f7d19cae2008dacde62c72b2cb02b4b01da9fe43ac9e2420797c843e3</citedby><cites>FETCH-LOGICAL-c389t-3bd36ee0f7d19cae2008dacde62c72b2cb02b4b01da9fe43ac9e2420797c843e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0022-3476(98)70450-0$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2176743$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9506646$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kornhauser, Michael S.</creatorcontrib><creatorcontrib>Baumgart, Stephen</creatorcontrib><creatorcontrib>Desai, Shobhana A.</creatorcontrib><creatorcontrib>Stanley, Christian W.</creatorcontrib><creatorcontrib>Culhane, Jennifer</creatorcontrib><creatorcontrib>Cullen, James A.</creatorcontrib><creatorcontrib>Wiswell, Thomas E.</creatorcontrib><creatorcontrib>Graziani, Leonard J.</creatorcontrib><creatorcontrib>Spitzer, Alan R.</creatorcontrib><title>Adverse neurodevelopmental outcome after extracorporeal membrane oxygenation among neonates with bronchopulmonary dysplasia</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description><![CDATA[Objective: The relationship between bronchopulmonary dysplasia (BPD) and neurodevelopmental outcome after extracorporeal membrane oxygenation (ECMO) has not been extensively reported. We compared the outcomes in a large series of infants with and without BPD after ECMO.
Study design: Hospital charts and follow-up records of 145 infants treated with ECMO (1985 through 1990) were reviewed. Complete long-term respiratory and follow-up outcome data were available in 64 infants. BPD occurred in 17 survivors; the remaining 47 did not have BPD.
Results: Babies with BPD were more likely to have had respiratory distress syndrome. Mean (± SD) age at ECMO initiation was later for the BPD group (127 ± 66 vs 53 ± 39 hours,
p < 0.001), and the duration of ECMO treatment was longer (192 ± 68 vs 119 ± 53 hours,
p < 0.001). Bayley Scales of Infant Development scores at <30 months were lower in infants with BPD (
p < 0.001), as were three of four Mullen Scales of Early Learning scores (≥30 months,
p < 0.001 or p = 0.01). At 57 ± 16 months 11 (64%) patients with BPD had mild neurologic disabilities, and 3 (18%) had severe disabilities. At a similar age (53 ± 16 months,
p = NS) 16 (34%) patients without BPD had mild disabilities, whereas 2 (4%) had severe disabilities (
p < 0.01).
Conclusions:The occurrence of BPD after ECMO is associated with adverse neurodevelopmental outcome. Patients with BPD after ECMO merit close long-term follow-up. (J Pediatr 1998;132:307-11)]]></description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Bronchopulmonary Dysplasia - complications</subject><subject>Bronchopulmonary Dysplasia - therapy</subject><subject>Developmental Disabilities - etiology</subject><subject>Emergency and intensive care: neonates and children. Prematurity. Sudden death</subject><subject>Extracorporeal Membrane Oxygenation - adverse effects</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Intensive care medicine</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neuropsychological Tests</subject><subject>Respiratory Distress Syndrome, Newborn - complications</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1v1DAQhi0EKkvhJ1TyASE4BCa2145PqKr4kipxAM6WY09aoyQOtrPtij-P213tlZM1ep8Zv3oIuWjhfQut_PADgLGGCyXf6u6dArGFBp6QTQtaNbLj_CnZnJDn5EXOvwFAC4Azcqa3IKWQG_L30u8wZaQzril63OEYlwnnYkca1-LihNQOBRPF-5Ksi2mJCWs44dQnOyON9_sbnG0JcaZ2ivNNPRXrjJnehXJL-xRndxuXdayhTXvq93kZbQ72JXk22DHjq-N7Tn59_vTz6mtz_f3Lt6vL68bxTpeG955LRBiUb7WzyAA6b51HyZxiPXM9sF700HqrBxTcOo1MMFBauU5w5OfkzeHukuKfFXMxU8gOx7HWj2s2FWSdkNsKbg-gSzHnhINZUphqZ9OCeZBuHqWbB6NGd-ZRuoG6d3H8YO0n9Keto-Wavz7mNjs7DtWbC_mEsVZJJXjFPh4wrDJ2AZPJLuDs0IeErhgfw3-K_APo5KMW</recordid><startdate>19980201</startdate><enddate>19980201</enddate><creator>Kornhauser, Michael S.</creator><creator>Baumgart, Stephen</creator><creator>Desai, Shobhana A.</creator><creator>Stanley, Christian W.</creator><creator>Culhane, Jennifer</creator><creator>Cullen, James A.</creator><creator>Wiswell, Thomas E.</creator><creator>Graziani, Leonard J.</creator><creator>Spitzer, Alan R.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19980201</creationdate><title>Adverse neurodevelopmental outcome after extracorporeal membrane oxygenation among neonates with bronchopulmonary dysplasia</title><author>Kornhauser, Michael S. ; Baumgart, Stephen ; Desai, Shobhana A. ; Stanley, Christian W. ; Culhane, Jennifer ; Cullen, James A. ; Wiswell, Thomas E. ; Graziani, Leonard J. ; Spitzer, Alan R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-3bd36ee0f7d19cae2008dacde62c72b2cb02b4b01da9fe43ac9e2420797c843e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Bronchopulmonary Dysplasia - complications</topic><topic>Bronchopulmonary Dysplasia - therapy</topic><topic>Developmental Disabilities - etiology</topic><topic>Emergency and intensive care: neonates and children. Prematurity. Sudden death</topic><topic>Extracorporeal Membrane Oxygenation - adverse effects</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Intensive care medicine</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neuropsychological Tests</topic><topic>Respiratory Distress Syndrome, Newborn - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kornhauser, Michael S.</creatorcontrib><creatorcontrib>Baumgart, Stephen</creatorcontrib><creatorcontrib>Desai, Shobhana A.</creatorcontrib><creatorcontrib>Stanley, Christian W.</creatorcontrib><creatorcontrib>Culhane, Jennifer</creatorcontrib><creatorcontrib>Cullen, James A.</creatorcontrib><creatorcontrib>Wiswell, Thomas E.</creatorcontrib><creatorcontrib>Graziani, Leonard J.</creatorcontrib><creatorcontrib>Spitzer, Alan R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kornhauser, Michael S.</au><au>Baumgart, Stephen</au><au>Desai, Shobhana A.</au><au>Stanley, Christian W.</au><au>Culhane, Jennifer</au><au>Cullen, James A.</au><au>Wiswell, Thomas E.</au><au>Graziani, Leonard J.</au><au>Spitzer, Alan R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adverse neurodevelopmental outcome after extracorporeal membrane oxygenation among neonates with bronchopulmonary dysplasia</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>1998-02-01</date><risdate>1998</risdate><volume>132</volume><issue>2</issue><spage>307</spage><epage>311</epage><pages>307-311</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract><![CDATA[Objective: The relationship between bronchopulmonary dysplasia (BPD) and neurodevelopmental outcome after extracorporeal membrane oxygenation (ECMO) has not been extensively reported. We compared the outcomes in a large series of infants with and without BPD after ECMO.
Study design: Hospital charts and follow-up records of 145 infants treated with ECMO (1985 through 1990) were reviewed. Complete long-term respiratory and follow-up outcome data were available in 64 infants. BPD occurred in 17 survivors; the remaining 47 did not have BPD.
Results: Babies with BPD were more likely to have had respiratory distress syndrome. Mean (± SD) age at ECMO initiation was later for the BPD group (127 ± 66 vs 53 ± 39 hours,
p < 0.001), and the duration of ECMO treatment was longer (192 ± 68 vs 119 ± 53 hours,
p < 0.001). Bayley Scales of Infant Development scores at <30 months were lower in infants with BPD (
p < 0.001), as were three of four Mullen Scales of Early Learning scores (≥30 months,
p < 0.001 or p = 0.01). At 57 ± 16 months 11 (64%) patients with BPD had mild neurologic disabilities, and 3 (18%) had severe disabilities. At a similar age (53 ± 16 months,
p = NS) 16 (34%) patients without BPD had mild disabilities, whereas 2 (4%) had severe disabilities (
p < 0.01).
Conclusions:The occurrence of BPD after ECMO is associated with adverse neurodevelopmental outcome. Patients with BPD after ECMO merit close long-term follow-up. (J Pediatr 1998;132:307-11)]]></abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>9506646</pmid><doi>10.1016/S0022-3476(98)70450-0</doi><tpages>5</tpages></addata></record> |
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| ispartof | The Journal of pediatrics, 1998-02, Vol.132 (2), p.307-311 |
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| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Bronchopulmonary Dysplasia - complications Bronchopulmonary Dysplasia - therapy Developmental Disabilities - etiology Emergency and intensive care: neonates and children. Prematurity. Sudden death Extracorporeal Membrane Oxygenation - adverse effects Female Follow-Up Studies Humans Infant, Newborn Intensive care medicine Logistic Models Male Medical sciences Neuropsychological Tests Respiratory Distress Syndrome, Newborn - complications |
| title | Adverse neurodevelopmental outcome after extracorporeal membrane oxygenation among neonates with bronchopulmonary dysplasia |
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