Developmental outcome in newborn infants treated for acute respiratory failure with extracorporeal membrane oxygenation: present experience.
OBJECTIVE
To describe the later health status of newborn infants who received extracorporeal membrane oxygenation (ECMO) for acute respiratory failure in the era after the UK ECMO trial.


METHODS
Prospective follow up study of newborn infants who received ECMO at a single centre between January 1997 and January 2001.


METHODS
Departments of ECMO and Paediatric Intensive Care, University Hospitals of Leicester.


METHODS
All babies who received ECMO within 14 days of birth.


METHODS
Neurodevelopment screening using the schedule for growing skills-II (SGS-II) assessment tool.


METHODS
Survival at 12 months of age by disease and functional development at follow up.


RESULTS
A total of 145 neonates received ECMO for treatment of respiratory failure. Of these, 108 (75%) were alive at 1 year of age. There were no deaths in children treated for respiratory failure secondary to meconium aspiration syndrome (73/145). Ninety three (86% of survivors) infants attended a follow up visit at 11-19 months postnatal age. Eighty two were classed as normal, seven as having "impairment", and four as having "severe disability".


CONCLUSIONS
Most newborn infants with acute respiratory failure treated with ECMO will have a normal neurodevelopment screening assessment at 11-19 months of postnatal age. There is no evidence to suggest that changes in neonatal practice since the UK ECMO trial have led to changes in outcome of infants undergoing ECMO therapy.
Khambekar
K
K
Department of Neonataology, University Hospitals Leicester, Leicester, UK.
Nichani
S
S
Luyt
D K
DK
Peek
G
G
Firmin
R K
RK
Field
D J
DJ
Pandya
H C
HC
D000208:Acute Disease; D002657:Child Development; D002658:Developmental Disabilities / Q000209:etiology; D015199:Extracorporeal Membrane Oxygenation; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D009048:Motor Skills; D011379:Prognosis; D012131:Respiratory Insufficiency / Q000523:psychology / Q000628:therapy*; D015996:Survival Rate