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Neurologic Outcome at School Entry for Newborns Treated With Extracorporeal Membrane Oxygenation for Noncardiac Indications

Montreal Children’s Hospital, McGill University Health Center, Montreal, Quebec, Canada

S.P. Riley, MD, CM, FRCP

Department of Pediatrics McGill University

Therese Perreault, MD, FRCP

Department of Pediatrics, McGill University

Michael I. Shevell, MD, CM, FRCP

Departments of Neurology/Neurosurgery and Pediatrics, McGill University, Montreal, Quebec Canada, michael.shevell{at}muhc.mcgill.ca

The neurologic outcomes at school age in children who underwent neonatal extracorporeal membrane oxygenation for noncardiac indications in a single institution surviving till the age of 5 years was determined by standardized neurologic assessment. Of 42 newborns undergoing extracorporeal membrane oxygenation, 24 underwent neurologic assessment by a single neurologist at 5 years of age. In all, 12 (50%) had a normal neurologic outcome. Lower gestational age and birth weight was found to be associated with an abnormal outcome as was septic shock as an indication for extracorporeal membrane oxygenation initiation. The number of peri-extracorporeal membrane oxygenation complications experienced by a child was associated with later epilepsy. Although invasive and implemented in critically ill infants, half of newborns undergoing extracorporeal membrane oxygenation will have a normal neurologic outcome at school age. Preexisting factors, rather than factors related to the extracorporeal membrane oxygenation itself, appear to be greater determinants of later neurologic outcomes.

Key Words: extracorporeal membrane oxygenation • septic shock • surfactant

This version was published on July 1, 2009

Journal of Child Neurology, Vol. 24, No. 7, 801-806 (2009)
DOI: 10.1177/0883073808330765


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