Original articleInterdisciplinary structural follow-up of surgical newborns: a prospective evaluation☆
Section snippets
Design
This is an observational, prospective, longitudinal cohort study consisting of repeated measurements at 6, 12, 18, and 24 months.
Setting
The pediatric surgical department of our institution is a large tertiary facility in which all major surgical specialties are represented. The referral area has 4 million inhabitants with 44,000 newborns annually.
In 1999, a follow-up program was started, run by a team of pediatricians, psychologists, a physiotherapist, nurses, a social worker, a clinical geneticist,
Results
The children's medical and sociodemographic characteristics at first discharge are presented in Table 1. We distinguished the following 6 aforementioned categories: AWD (n = 19); CDH (n = 18); SIA such as duodenal atresia, malrotation, and volvulus (n = 34); EA (n = 17); ARM (n = 6); and HD (n = 7). It turned out no statistical analyses could be performed on the combined ARMs and HD group because of small numbers. Moreover, their characteristics were such that we felt they were not
Discussion
This study shows that surgical newborns had impaired growth and developmental delay, mainly with respect to psychomotor development within the first 2 years of life. Factors indicative for severity of disease have a negative influence on mental and psychomotor developmental outcome. Number of CA as well as duration of admission and number of surgical interventions proved to be significant determinants of mental and psychomotor outcome.
Because we aimed at focusing solely on the effect of CA,
Acknowledgment
We thank Ko Hagoort for patiently editing the article.
References (40)
- et al.
The neonate with major malformations: experiences in a university children's hospital in the Netherlands
Semin Pediatr Surg
(2001) - et al.
Long-term physical, psychological, and social functioning of children with esophageal atresia
J Pediatr Surg
(1999) - et al.
Longitudinal multicenter follow-up of high-risk infants: why, who, when, and what to assess
Semin Perinatol
(2003) - et al.
Long-term outcome and quality of life after the Swenson procedure for Hirschsprung's disease
J Pediatr Surg
(2002) - et al.
Quality of life for children with fecal incontinence after surgically corrected anorectal malformation
J Pediatr Surg.
(2000) - et al.
Neurodevelopmental outcome after early repair of a ventricular septal defect with or without aortic arch obstruction
J Thorac Cardiovasc Surg
(2006) - et al.
Predictors of developmental disabilities after open heart surgery in young children with congenital heart defects
J Pediatr
(2002) - et al.
Functional outcome and quality of life in anorectal malformations
J Pediatr Surg
(2006) Vademecum of health statistics of the Netherlands
(2003)- et al.
Children with congenital diaphragmatic hernia are at risk for lower levels of cognitive functioning and increased emotional and behavioral problems
Eur J Pediatr Surg
(2000)
Short term and long term health related quality of life after congenital anorectal malformations and congenital diaphragmatic hernia
Arch Dis Child
Psychosocial functioning of the adult with congenital heart disease: a 20-33 years follow-up
Eur Heart J
Evaluation of care for the preterm infant: review of literature on follow-up of preterm and low birthweight infants. Report from the collaborative Project on Preterm and Small for Gestational Age Infants (POPS) in The Netherlands
Paediatr Perinat Epidemiol
The relationship between psychosocial factors and developmental outcome for very low and extremely low birthweight infants: a review
Aust N Z J Psychiatry
Chronic conditions, functional limitations, and special health care needs of school-aged children born with extremely low-birth-weight in the 1990s
JAMA
Associations of motor co-ordination and attention with motor-perceptual development in 3-year-old preterm and full-term children who needed neonatal intensive care
Child Care Health Dev
Follow-up care of high-risk infants
Pediatrics
The psychosocial adjustment of children with major congenital abdominal anomalies
Survival of severe congenital diaphragmatic hernia has morbid consequences
J Pediatr Surg
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This study was funded by the Erasmus Medical Center and the Department of Pediatric Surgery. Funders had no role in study design; in the collection, analysis, and interpretation of data; in the writing of the report; nor in the decision to submit the paper for publication.