Pediatric anesthesia & critical care

Neurodevelopmental Outcomes after Multiple General Anesthetic Exposures before 5 Years of Age: A Cohort Study

AnesthesiologyPublished Cohort study

Main findingResult — go to the resultmean −5.8 points 95% CI −10.2 to −1.4

Authors' conclusion

Multiple general anesthetic exposures before 5 yr of age were associated with reduced performance in general intelligence score and some domains of neurodevelopmental assessments.

Study context

Population
Children from the GAS trial database (infants who had elective inguinal herniorrhaphy)complete assessment available
Participants
90 vs 141
Exposure
Multiple GA exposures vs one or no GA exposure before 5 yr of age
  • Multiple GAn = 90
  • No or one GAn = 141reference
Outcome
Full-scale IQ on the Wechsler Preschool and Primary Scale of Intelligence (third edition)
Follow-up
5 yr of age
Methodological detailssecondary analysis of the GAS trial database, observational, Significant residual confounding cannot be excluded due to observational nature
  • Secondary analysis of the GAS trial database
  • Observational
  • Significant residual confounding cannot be excluded due to observational nature

Main finding

As reported in the abstract

mean

−5.8 points

95% CI −10.2 to −1.4

P = 0.011

Observational data: associations, not effects.

Secondary outcomes

Lower verbal and performance IQ scores and more emotional, behavioral and executive function difficulties in multiply exposed children

Original publication

Neurodevelopmental Outcomes after Multiple General Anesthetic Exposures before 5 Years of Age: A Cohort Study. Anesthesiology. Published 11 November 2024. doi:10.1097/aln.0000000000005293

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