FOLLOW-UP OF INFANTS & CHILDREN TREATED WITH EXTRACORPOREAL MEMBRANE OXYGENATION

本研究旨在提高对静脉动脉（VA）和静脉静脉（VV）体外膜肺氧合（ECMO）长期效应的理解。 本研究的目的是探讨ECMO存活者的长期神经心理结果以及相关的学业和行为问题。 鉴于以前的研究已经解决了这个人群的结果，通过婴儿期和学前教育，我们选择了探索7岁的神经心理学结果。我们将讨论在这一人群中表现出的早期神经心理缺陷与特定学习障碍和行为问题（如注意力缺陷障碍）发展的关系。 除了整体智力功能外，还将研究神经心理学结果的特定领域，包括语言，视觉/空间技能和运动规划，记忆力和注意力以及学术筛选。 心理社会适应和学术功能的报告将使用由家长和教师完成的标准化检查表进行评估。 本研究的目的是进一步调查这组儿童的具体缺陷，以最好地解决他们需要优化功能的服务。 神经心理缺陷的特定模式可能指向可识别的损伤模式。

This study is designed to improve the understanding of the long-term effects of both venoarterial (VA) and venovenous (VV) extracorporeal membrane oxygenation (ECMO). The aim of this study is to examine the long-term neuro-psychological outcome and related academic and behavior problems of ECMO survivors. Whereas previous studies have addressed the outcome of this population through infancy and pre-school, we have chosen to explore the neuropsychological outcome through age 7. We will address the relationship of early neuropsychologic deficits demonstrated in this population to the development of specific learning disabilities and behavioral problems such as attention deficit disorder. In addition to overall intellectual functioning, specific areas of neuropsychologic outcome to be studied will include language, visual/spatial skills and motor planning, memory and attention and academic screening. Psychosocial adjustment and reports of academic functioning will be evaluated using standardized checklists completed by parents and teachers. The goal of this study is to further investigate the specific deficits seen in this group of children in order to best address the services they will require to optimize functioning. A specific pattern of neuropsychologic deficit may point to an identifiable mode of injury.