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)远期疗效的认识。这项研究的目的是检查ECMO幸存者的长期神经心理结果以及相关的学术和行为问题。以前的研究是通过婴儿期和学龄前研究这一人群的结果，而我们选择探索从7岁到7岁的神经心理结果。我们将解决这一人群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)的发展之间的关系。除了整体智力功能外，将研究的神经心理学结果的具体领域将包括语言、视觉/空间技能和运动规划、记忆和注意力以及学术筛选。将使用家长和教师填写的标准化核对表对心理社会适应和学习功能报告进行评估。这项研究的目标是进一步调查这一儿童群体中出现的具体缺陷，以便最好地解决他们优化功能所需的服务。神经心理缺陷的特定模式可能指向一种可识别的损伤模式。

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.