Mental health and psychosocial functioning in adolescents with esophageal atresia

Faugli, Anne; Björnland, Kristin; Emblem, Ragnhild; Nøvik, Torunn Stene; Diseth, Trond H.

doi:10.1016/j.jpedsurg.2008.09.027

Cited by 43 publications

(48 citation statements)

References 48 publications

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“…After screening of title/abstract followed by full text, 23 papers 6,7,[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44] reporting on 895 children met our inclusion and exclusion criteria and were selected for systematic review (Table 1). There was a wide range in follow-up duration and time of assessment from 12 months up to 60 months of age.…”

Section: Resultsmentioning

confidence: 99%

“…Meta-analysis in 498 infants showed a cognitive development score of 0.5 SD below the population reference mean, expressed as MDI score of 92 ± 13 (mean ± SD) 6,7,25,26,28,29,31,[36][37][38]40,41 (Fig 2A), with data from BSID-II and -III at 12 and 24 months of age. Onesample t tests demonstrated that the mean MDI was significantly lower than the healthy population mean of 100 (P < .001; 95%, confidence interval [CI] 91.7-94.2).…”

Section: Meta-analysismentioning

confidence: 92%

“…6,7,25,26,28,29,31,[36][37][38][39][40][41] This metaanalysis in 511 children resulted in a motor development score of 0.6 SD below the population average, indicated by the PDI score of 91 ± 14 (Fig 3A). One-sample t tests demonstrated that the mean PDI was significantly lower than the healthy population mean of 100 (P < .001; 95% CI 89.8-92.1).…”

Section: Meta-analysismentioning

confidence: 94%

“…Three articles 25,29,36 reported solely on infants with esophageal atresia and their short-term neurodevelopmental outcome at 1 year of age. By systematically reviewing these articles, a delay was reported in 11% to 38%.…”

Section: Esophageal Atresiamentioning

confidence: 99%

“…7,26,28,37,40 A higher number of surgical interventions was found to be correlated with a lower cognitive and motor outcome. 6,7,29,30,37 Duration of mechanical ventilation 29,31,35,37,40,42 and the need for supplemental oxygen at discharge 26 were both reported as risk factors for neurodevelopmental delay.…”

Section: Risk Factorsmentioning

confidence: 99%

See 4 more Smart Citations

Neurodevelopmental Outcomes After Neonatal Surgery for Major Noncardiac Anomalies

et al. 2016

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Section: Resultsmentioning

confidence: 99%

Section: Meta-analysismentioning

confidence: 92%

Section: Meta-analysismentioning

confidence: 94%

Section: Esophageal Atresiamentioning

confidence: 99%

Section: Risk Factorsmentioning

confidence: 99%

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Neurodevelopmental Outcomes After Neonatal Surgery for Major Noncardiac Anomalies

et al. 2016

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A systematic review of studies of quality of life in children and adults with selected congenital anomalies

Glinianaia

Embleton

Rankin

2012

Birth Defects Research

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Minimally invasive surgical approach in children treated for oesophageal atresia is associated with attention problems at school age: a prospective cohort study

van Hal,

Vlot,

van Rosmalen

et al. 2024

Eur J Pediatr

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The long-term neurodevelopment of children born with oesophageal atresia (OA) is unclear. Therefore, we assessed the neurocognitive domains and their predictors. Patients born with OA between February 2006 and December 2014, who were routinely seen at eight years as part of a structured prospective longitudinal follow-up program, were included. Main outcome measures were need for school support, performance in various neurocognitive domains and potential predictors of neurocognitive problems. We analysed data of 65 children with a mean (SD) age of 8.1 (0.2) years, of whom 89% with OA type C. Thirty-five (54%) surgical corrections were minimally invasive; the median (interquartile range) duration of exposure to anaesthetics in the first 24 months was 398 (296 – 710) minutes. Forty-four (68%) attended regular education without extra support and intelligence was within normal range (99–108). More than 50% had z-scores ≤ -2 on one or more neurocognitive domains, of which attention was the most frequently affected domain. The speed on the sustained attention task was significantly below normal (z-score -1.48 (2.12), p < .001), as was fluctuation of sustained attention (z-score -3.19 (3.80), p < .001). The minimally invasive approach and a lower socio-economic status (both p = 0.006) proved significant predictors for sustained attention problems in multivariable analyses. Conclusion: Children who undergo minimally invasive surgery for OA correction are at risk for sustained attention problems at school age. Future studies unravelling the effects of perioperative events on neurodevelopment should lead to optimal surgical, anaesthesiological, and intensive care management in the neonatal period. What is Known:• School-aged children born with oesophageal atresia have normal intelligence but problems with sustained attention at eight years. What is New:• Oesophageal atresia patients, who undergo minimally invasive surgery or who have a background of lower socioeconomic status are at serious risk for sustained attention problems at school age.• Moreover, those who have been intubated for a longer period are at risk for stronger fluctuations in sustained attention.

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Mental health and psychosocial functioning in adolescents with esophageal atresia

Cited by 43 publications

References 48 publications

Neurodevelopmental Outcomes After Neonatal Surgery for Major Noncardiac Anomalies

Neurodevelopmental Outcomes After Neonatal Surgery for Major Noncardiac Anomalies

A systematic review of studies of quality of life in children and adults with selected congenital anomalies

Minimally invasive surgical approach in children treated for oesophageal atresia is associated with attention problems at school age: a prospective cohort study

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