TY - JOUR
T1 - Functional outcome at school age of children born with gastroschisis
AU - Lap, Chiara C M M
AU - Bolhuis, Sandra W
AU - Van Braeckel, Koenraad J. A.
AU - Reijneveld, Sijmen A.
AU - Manten, Gwendolyn T. R.
AU - Bos, Arend F.
AU - Hulscher, Jan
N1 - Copyright © 2017 Elsevier B.V. All rights reserved.
PY - 2017/3
Y1 - 2017/3
N2 - Objective: We aimed to determine motor, cognitive and behavioural outcomes of school aged children born with gastroschisis compared to matched controls.Study design: We compared outcomes of 16 children born with gastroschisis treated at the University Medical Center Groningen, the Netherlands, between 1999 and 2006 with 32 controls matched for gender, gestational age, birth weight, and corrected for small for gestational age (SGA) and parental socioeconomic status (SES). Intelligence, auditory-verbal memory, attention, response inhibition, visual perception, motor skills, visuomotor integration, problem behaviour and executive functioning were evaluated.Results: Median verbal intelligence quotient and global executive functioning scores of children born with gastroschisis were poorer than of controls (95 (inter quartile range (IQR) 88-100) vs. 104 (IQR 98-113), P = 0.001, and 29 (IQR 6.8-63.8) vs. 5.0 (IQR 2.8-19.8), P = 0.03, respectively). Children with gastroschisis were more often classified as borderline or abnormal than controls regarding response inhibition (odds ratio (OR) 20.4; 95%-confidence interval (95%-CI); 2.4-171.5), selective visual attention (OR 40.4; 95%-CI 5.9-275.4), sustained auditory attention (OR 88.1; 95%-CI 5.8-1342.8), and fine motor skills (50% vs. 0%). Grade retention was more prevalent in gastroschisis children (OR 6.07; 95%-CI 1.42-25.9). These associations persisted after adjustment for SGA and SES. The auditory-verbal memory, visuomotor integration and behavioural problems did not significantly differ from the controls.Conclusions: Gastroschisis is associated with poorer verbal intelligence, and with an increased risk for poor performance on several aspects of attention, response inhibition and fine motor skills at school age. The follow-up of children born with gastroschisis deserves attention regarding these specific domains, to improve their functional outcomes. (C) 2017 Elsevier Ireland Ltd. All rights reserved.
AB - Objective: We aimed to determine motor, cognitive and behavioural outcomes of school aged children born with gastroschisis compared to matched controls.Study design: We compared outcomes of 16 children born with gastroschisis treated at the University Medical Center Groningen, the Netherlands, between 1999 and 2006 with 32 controls matched for gender, gestational age, birth weight, and corrected for small for gestational age (SGA) and parental socioeconomic status (SES). Intelligence, auditory-verbal memory, attention, response inhibition, visual perception, motor skills, visuomotor integration, problem behaviour and executive functioning were evaluated.Results: Median verbal intelligence quotient and global executive functioning scores of children born with gastroschisis were poorer than of controls (95 (inter quartile range (IQR) 88-100) vs. 104 (IQR 98-113), P = 0.001, and 29 (IQR 6.8-63.8) vs. 5.0 (IQR 2.8-19.8), P = 0.03, respectively). Children with gastroschisis were more often classified as borderline or abnormal than controls regarding response inhibition (odds ratio (OR) 20.4; 95%-confidence interval (95%-CI); 2.4-171.5), selective visual attention (OR 40.4; 95%-CI 5.9-275.4), sustained auditory attention (OR 88.1; 95%-CI 5.8-1342.8), and fine motor skills (50% vs. 0%). Grade retention was more prevalent in gastroschisis children (OR 6.07; 95%-CI 1.42-25.9). These associations persisted after adjustment for SGA and SES. The auditory-verbal memory, visuomotor integration and behavioural problems did not significantly differ from the controls.Conclusions: Gastroschisis is associated with poorer verbal intelligence, and with an increased risk for poor performance on several aspects of attention, response inhibition and fine motor skills at school age. The follow-up of children born with gastroschisis deserves attention regarding these specific domains, to improve their functional outcomes. (C) 2017 Elsevier Ireland Ltd. All rights reserved.
KW - Gastroschisis
KW - Functional outcome
KW - Physical
KW - Motor
KW - Cognitive
KW - Behavioural outcome
KW - School age
KW - Long-term follow-up
KW - FETAL GASTROSCHISIS
KW - INFANTS BORN
KW - GROWTH
KW - MOTOR
KW - DELAY
KW - BIRTH
U2 - 10.1016/j.earlhumdev.2017.01.005
DO - 10.1016/j.earlhumdev.2017.01.005
M3 - Article
C2 - 28189001
SN - 0378-3782
VL - 106-107
SP - 47
EP - 52
JO - Early Human Development
JF - Early Human Development
ER -