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2016 ; 175
(7
): 977-86
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Cardiac arrest in infants, children, and adolescents: long-term emotional and
behavioral functioning
#MMPMID27177532
van Zellem L
; Utens EM
; Madderom M
; Legerstee JS
; Aarsen F
; Tibboel D
; Buysse C
Eur J Pediatr
2016[Jul]; 175
(7
): 977-86
PMID27177532
show ga
Very little is known about the psychological consequences of a cardiac arrest
(CA) during childhood. Our aim was to assess long-term emotional and behavioral
functioning, and its predictors, in survivors of CA in childhood. This long-term
follow-up study involved all consecutive infants, children, and adolescents
surviving CA in a tertiary-care university children's hospital between January
2002 and December 2011. Emotional and behavioral functioning was assessed with
the Child Behavior Checklist (CBCL), Teacher's Report Form (TRF), and Youth
Self-Report (YSR). Of the eligible 107 CA survivors, 52 patients, parents, and/or
teachers filled out online questionnaires. Compared with normative data, parents
and teachers reported significantly more attention and somatic problems (age
range 6-18 years). Parents also reported more attention problems for age range
1.5-5 years. Twenty-eight percent of the children (n?=?14) scored in the
psychopathological range (i.e., for age range 1.5-18 years; p?0.001) according
to parent reports. Male gender, older age, and basic life support were
significantly related to worse scores on the scales internalizing problems,
externalizing problems, and total problems and subscale attention problems.
CONCLUSION: Long-term deficits in attention and somatic complaints were reported.
Attention problems after childhood CA can interfere with school performance.
Long-term follow-up with neuropsychological assessment should be organized. WHAT
IS KNOWN: ? Critical illness has a significant influence on the presence of
long-term emotional and behavioral problems. ? Long-term emotional and behavioral
problems have been described for various groups of critically ill children such
as congenital heart disease, meningococcal septic shock, and neonatal asphyxia.
What is new: ? This is the first study that addresses long-term emotional and
behavioral problems in a relatively large consecutive series of children and
adolescents surviving cardiac arrest. ? Long-term deficits in attention and
somatic complaints were reported.