Long-term outcome of children treated with neonatal extracorporeal membrane oxygenation: Increasing problems with increasing age

Hanneke IJsselstijn, AFJ van Heijst

Research output: Contribution to journalArticleAcademicpeer-review

65 Citations (Scopus)

Abstract

As more and more critically ill neonates survive, it becomes important to evaluate long-term morbidity. This review aims to provide an up-to-date overview of medical and neurodevelopmental outcomes in children who as neonates received treatment with extracorporeal membrane oxygenation (ECMO). Most patients except those with congenital diaphragmatic hernia-have normal lung function and normal growth at older age. Maximal exercise capacity is below normal and seems to deteriorate over time in the CDH population. Gross motor function problems have been reported until school age. Although mental development is usually favorable within the first years and cognition is normal at school age, many children experience problems with working speed, spatial ability tasks, and memory. In conclusion, children who survived neonatal treatment with ECM often encounter neurodevelopmental problems at school age. Long-term follow-up is needed to recognize problems early and to offer appropriate intervention. (C) 2014 Elsevier Inc. All rights reserved.
Original languageUndefined/Unknown
Pages (from-to)114-121
Number of pages8
JournalSeminars in Perinatology
Volume38
Issue number2
DOIs
Publication statusPublished - 2014

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