Factors affecting short-term neurodevelopmental outcome in children operated on for major congenital anomalies

Francesca Bevilacqua, Lucilla Ravà, Laura Valfrè, Annabella Braguglia, Antonio Zaccara, Simonetta Gentile, Pietro Bagolan, Lucia Aite

Research output: Contribution to journalArticle

Abstract

Purpose Identify clinical and socio-demographic risk-factors affecting short-term neurodevelopmental outcome (NDO) in children operated on for abdominal and thoracic congenital anomalies (CA). Methods Prospective cohort observational study on newborns operated on for non-cardiac major CA. Evaluations were conducted at 6 and 12 months of age. Univariate linear regression and multivariate regression were conducted to analyze the impact on NDO of clinical and sociodemographic variables. Infants were evaluated with the Bayley Scales of Infant and Toddler Development - 3rd Edition. Results One-hundred-fifty-five children were enrolled. They were affected by the following anomalies: Esophageal Atresia (N = 41), Congenital Diaphragmatic Hernia (N = 42), Midgut Malformations (N = 34), Abdominal Wall Defects (N = 18), Colorectal Malformations (N = 20). There were no statistically significant differences among the five groups of CA as to NDO. Variables which reached statistical significance at multivariate regression (p ≤ 0.001) at 6 and 12 months as to cognitive and motor development were: ventilatory time, associated malformations, medical appliances for feeding, number of surgery and length of hospital stay. Conclusions On the average, children born with CA show a NDO within normal range. The identified risk-factors could prompt health care professionals to conduct a close surveillance on most vulnerable children giving them the best chance to reach their full potential.

Original languageEnglish
Pages (from-to)1125-1129
Number of pages5
JournalJournal of Pediatric Surgery
Volume50
Issue number7
DOIs
Publication statusPublished - 2015

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Keywords

  • Neurodevelopmental outcome
  • Non-cardiac congenital malformations
  • Risk-factors

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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