Paediatric anaesthesia & critical care

Childhood Exposure to General Anesthesia For Surgery: Identification of a Subtle Post-Operative Cognitive Phenotype.

AnesthesiologyPublished ambidirectional cohort study

Main finding · Executive function performance (main effect of general anesthesia exposure, linear mixed-effects model)Result — go to the resultΧ²(1) .01

Authors' conclusion

Early childhood exposure to general anesthesia was not associated with reduced overall executive function. However, a potential post-operative cognitive phenotype is suggested by a reduced likelihood to belong to an efficient executive control profile with greater visuo-spatial global-local precedence.

Study context

Population
Children aged 9–11 years, with or without prior general anesthesia exposure for surgerychildren who completed the cognitive battery
Participants
77 children
Exposure
Children with vs without prior general anesthesia exposure for surgery
Outcome
Executive function performance (main effect of general anesthesia exposure, linear mixed-effects model)

Main finding

As reported in the abstract

Χ²(1)

.01

P = 0.92

Observational data: associations, not effects.

Secondary outcomes

OutcomeOR (95% CI)P value
Odds of belonging to the Efficient profile groupLower odds with general anesthesia exposure0.71 (0.705–0.710)P < 0.001
OutcomeEstimate (95% CI)P value
Visuo-spatial attention: Global-Local precedence measuresHigher in GA-exposed participants0.53 (0.04–1.01)P = 0.036

Executive function profiles (exploratory latent profile analysis)

Two executive function profiles identified: Efficient and Vulnerable Executive Control
  • Exploratory

Original publication

Childhood Exposure to General Anesthesia For Surgery: Identification of a Subtle Post-Operative Cognitive Phenotype. Anesthesiology. Published 21 October 2026. doi:10.1097/aln.0000000000006429

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