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Adult Outcomes After Newborn Respiratory Failure Treated With Extracorporeal Membrane Oxygenation*
- Source :
- Pediatric Critical Care Medicine. 18:73-79
- Publication Year :
- 2017
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2017.
-
Abstract
- OBJECTIVE To describe the outcome of young adults treated for hypoxemic respiratory failure with extracorporeal membrane oxygenation as neonates. DESIGN The study was designed as a multisite, cross sectional survey. SETTING The survey was completed electronically or on paper by subjects and stored in a secure data base. SUBJECTS Subjects were surviving neonatal extracorporeal membrane oxygenation patients from eight institutions who were18 years old or older. INTERVENTIONS None. MEASUREMENTS AND MAIN RESULTS A questionnaire modified from the 2011 Behavioral Risk Factor Surveillance System and the 2011 National Health Interview Survey with additional unique questions was completed by subjects. Results were compared to age-matched national Behavioral Risk Factor Surveillance System and National Health Interview Survey data. One hundred and forty-six subjects participated (8.9% of eligible candidates). The age at questionnaire submission was 23.7 ± 2.89 years. Subjects differed statistically from national cohorts by being more satisfied with life (93% vs 84.2%); more educated (some college or degree; 80.1% vs 57.7%); more insured for healthcare (89.7% vs 72.3%); less frequent users of healthcare in the last 12 months (47.3% vs 58.2%); more limited because of physical, mental, and developmental problems (19.9% vs 10.9%); and having more medical complications. Furthermore, learning problems occurred in 29.5% of the study cohort. The congenital diaphragmatic hernia group was generally less healthy and less well educated, but equally satisfied with life. Perinatal variables contributed little to outcome prediction. CONCLUSIONS Most young adult survivors in this study cohort treated with extracorporeal membrane oxygenation as neonates are satisfied with their lives, working and/or in college, in good health and having families. These successes are occurring despite obstacles involving health issues such as asthma, attention deficit disorder, learning difficulties, and vision and hearing problems; this is especially evident in the congenital diaphragmatic hernia cohort. Selection bias inherent in such a long-term study may limit generalizability, and it is imperative to note that our sample may not be representative of the whole.
- Subjects :
- Adult
Male
Pediatrics
medicine.medical_specialty
Adolescent
Cross-sectional study
Health Status
medicine.medical_treatment
Personal Satisfaction
Critical Care and Intensive Care Medicine
Young Adult
03 medical and health sciences
Extracorporeal Membrane Oxygenation
0302 clinical medicine
Quality of life
030225 pediatrics
medicine
Extracorporeal membrane oxygenation
Health Status Indicators
Humans
National Health Interview Survey
Survivors
030212 general & internal medicine
Young adult
Intensive care medicine
Respiratory Distress Syndrome, Newborn
Behavioral Risk Factor Surveillance System
business.industry
Infant, Newborn
Congenital diaphragmatic hernia
medicine.disease
Health Surveys
Cross-Sectional Studies
Logistic Models
Treatment Outcome
Pediatrics, Perinatology and Child Health
Cohort
Quality of Life
Female
business
Subjects
Details
- ISSN :
- 15297535
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- Pediatric Critical Care Medicine
- Accession number :
- edsair.doi.dedup.....c84f43ba9fac3801426106e70d4c7652