Twelve year outcomes following bacterial meningitis: further evidence for persisting effects

AIM To determine whether intellectual and cognitive impairments observed seven years following early childhood bacterial meningitis persist into adolescence. METHODS Blinded neuropsychological, auditory, and behaviour assessments were conducted in 109 (69%) subjects from an original cohort of 158 ch...

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Veröffentlicht in:	Archives of disease in childhood 2000-08, Vol.83 (2), p.111-116
Hauptverfasser:	Grimwood, Keith, Anderson, Peter, Anderson, Vicki, Tan, Lesley, Nolan, Terry
Format:	Artikel
Sprache:	eng
Schlagworte:	Academic achievement Adolescent Adolescent Behavior Adolescents Age Analysis. Health state Bacterial diseases Bacterial diseases of the nervous system. Bacterial myositis Behavior Disorders Biological and medical sciences Case-Control Studies Child Children Children & youth Classrooms Cognition & reasoning Cognition Disorders - etiology Cognitive ability Cohort Studies Community Child Health, Public Health, and Epidemiology complications Confidence intervals Deafness Developing countries Developmental Disabilities - etiology developmental problems Epidemiology Epilepsy Ethics Families & family life Female Follow-Up Studies General aspects Hearing Disorders - etiology Hearing loss Hearing Tests Hospitals Human bacterial diseases Humans Infectious diseases Intelligence Quotient Intelligence Tests Language Skills LDCs Male Medical sciences Memory Disorders - etiology Meningitis Meningitis, Bacterial - complications Meningitis, Bacterial - psychology Meta Analysis Multivariate analysis Neurological complications Neuropsychological Tests Odds Ratio Outcome Measures Problem solving Prognosis Prospective Studies Psychological Evaluation Public health. Hygiene Public health. Hygiene-occupational medicine Research Committees Risk taking Self esteem Severe Intellectual Disability Sociodemographics Standard scores Statistical Analysis Studies Survivors - psychology Teaching Methods Thinking Skills
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Zusammenfassung:	AIM To determine whether intellectual and cognitive impairments observed seven years following early childhood bacterial meningitis persist into adolescence. METHODS Blinded neuropsychological, auditory, and behaviour assessments were conducted in 109 (69%) subjects from an original cohort of 158 children, seven and 12 years after their meningitis, and in 96 controls. RESULTS Meningitis subjects remained at greater risk than controls for any disability (odds ratio OR 4.7, confidence interval 2.2 to 9.6). Those with acute neurological complications had more sequelae than children with uncomplicated meningitis or controls (47% v 30%v 11.5% respectively; p
ISSN:	0003-9888 1468-2044
DOI:	10.1136/adc.83.2.111