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Motor performance after neonatal extracorporeal membrane oxygenation: a longitudinal evaluation.
[congenital diaphragmatic hernia]
To
assess
longitudinally
children
's
motor
performance
5
to
12
years
after
neonatal
extracorporeal
membrane
oxygenation
(
ECMO
)
and
to
evaluate
associations
between
clinical
characteristics
and
motor
performance
.
Two
hundred
fifty-
four
neonatal
ECMO
survivors
in
the
Netherlands
were
tested
with
the
Movement
Assessment
Battery
for
Children
at
5
,
8
,
and
/
or
12
years
.
Percentile
scores
were
transformed
to
z
scores
for
longitudinal
evaluation
(
norm
population
mean
=
0
and
SD
=
1
)
.
Primary
diagnoses
:
meconium
aspiration
syndrome
(
n
=
137
)
,
congenital
diaphragmatic
hernia
(
n
=
49
)
,
persistent
pulmonary
hypertension
of
the
newborn
(
n
=
36
)
,
other
diagnoses
(
n
=
32
)
.
Four
hundred
fifty-
six
tests
were
analyzed
.
At
5
,
8
,
and
12
years
motor
performance
was
normal
in
73
.
7
,
74
.
8
,
and
40
.
5
%
,
respectively
(
vs
85
%
expected
based
on
reference
values
;
P
<
.
001
at
all
ages
)
.
In
longitudinal
analyses
mean
(
95
%
confidence
interval
[
CI
]
)
z
scores
were
-
0
.
42
(
-
0
.
55
to
-
0
.
28
)
,
-
0
.
25
(
-
0
.
40
to
-
0
.
10
)
and
-
1
.
00
(
-
1
.
26
to
-
0
.
75
)
at
5
,
8
,
and
12
years
,
respectively
.
Mean
score
at
8
years
was
significantly
higher
than
at
5
years
(
difference
0
.
16
,
95
%
CI
0
.
02
to
0
.
30
)
,
and
mean
score
at
12
years
was
significantly
lower
than
at
both
other
ages
(
differences
-
0
.
59
and
-
0
.
75
;
95
%
CI
-
0
.
33
to
-
0
.
84
and
-
0
.
49
to
-
1
.
00
,
respectively
)
.
Children
with
congenital
diaphragmatic
hernia
encountered
problems
at
all
ages
.
The
presence
of
chronic
lung
disease
was
negatively
related
with
outcome
.
Motor
problems
in
neonatal
ECMO
survivors
persist
throughout
childhood
and
become
more
obvious
with
time
.
Diseases
Validation
Diseases presenting
"motor performance"
symptom
canavan disease
classical phenylketonuria
congenital diaphragmatic hernia
gm1 gangliosidosis
pyomyositis
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