Pediatric anesthesia & critical care

Neurodevelopment at 10 months and 2–3 years old after early and prolonged anaesthesia in infancy: General Anaesthesia & Brain Activity study (General Anaesthesia & Brain Activity (GABA)) secondary analysis

BJA OpenPublished Secondary analysis of the GABA prospective longitudinal observational study

Authors' conclusion

Children with early prolonged general anaesthesia showed BSID scores comparable to age-matched controls.

Study context

Population
Infants exposed to GA planned for >2 h in the first 2 months of life, and unexposed children
Participants
31 vs 59
Comparison
Early prolonged GA vs no GA exposure
  • General anaesthesian = 31
  • Unexposedn = 59reference
Primary endpoint
Bayley Scales of Infant and Toddler Development-III (BSID) assessments
Follow-up
10 months, 2-3 yr
Methodological detailssingle-centre
  • Single-centre

Primary result

As reported in the abstract

BSID cognition composite score

SMD

0.27

P adj=0.566

10 months; similar

SMD

0.25

P adj=0.651

2-3 yr; similar

Further findings

BSID motor composite score · 10 months

Motor scores similar between cohorts, within typical reference ranges (SMD)
0.13
P adj
1
  • Adjusted P

BSID language composite score · 10 months

Language scores similar between cohorts, within typical reference ranges (SMD)
0.19
P adj
0.806
  • Adjusted P

Association of BSID cognition scores with cumulative hours of GA (linear regression)

No association at 10 months (R; P=0.635)
0.06
No association at 2-3 yr (R; P=0.293)
−0.13

Original publication

Neurodevelopment at 10 months and 2–3 years old after early and prolonged anaesthesia in infancy: General Anaesthesia & Brain Activity study (GABA) secondary analysis. BJA Open. Published 10 March 2025. doi:10.1016/j.bjao.2025.100383

Composed by AI from the published abstract and checked against it. How Briefs are made →

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