Children suffering cardiac arrest (CA) are not uncommon in certain pediatric populations. Due to the increasing survival rates of child CA patients, there is a growing interest in, and concern for, their long-term intellectual, academic, emotional, and adaptive functioning. This article describes the possible neurologic sequelae of CA in children and presents standardized assessment results on 25 children, 2 to 15 years of age, who survived a CA while in the hospital. A majority of these children exhibited low-average to deficient levels of performance on neuropsychologic, achievement, and adaptive behavior measures. Duration of cardiac arrest and a medical risk score were significantly correlated with decreased functioning in child CA patients. Children who suffer a cardiac arrest are at high risk for academic struggles, and many may need special education services.
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References
1.
Achenbach, T.M., & Edelbrock, C. (1983). Manual for the Child Behavior Checklist. Burlington, VT: Author.
2.
Ames, A., & Guarian, B.S. (1963). Effects of glucose deprivation on function of isolated mammalian retina. Journal of Neurophysiology, 52, 615–621.
3.
Beery, K.E. (1967). Developmental test of visual-motor integration. Chicago: Follett.
4.
Debard, M.L. (1981). Cardiopulmonary resuscitation: Analysis of six years' experience and review of the literature. Annals of Emergency Medicine, 10, 408–416.
5.
Denckla, M.B., & Rudel, R.G. (1974). Timed Motor Exam. Developmental Medicine and Child Neurology, 16, 221–224.
6.
Denckla, M.B., & Rudel, R.G. (1976). Rapid automatized naming (R.A.N.): Dyslexia differentiated from other learning disabilities. Neuropsychologia, 14, 471–479.
7.
Dunn, L., & Dunn, C. (1981). Peabody picture vocabulary test-Revised. Circle Pines, MN: American Guidance Service.
8.
Ehrlich, R., Emmett, S.M., & Rodriquez-Torres, R.R. (1974). Pediatric cardiac resuscitation team: A six year study. Journal of Pediatrics, 84, 152–155.
9.
Friede, R.L. (1975). Developmental neuropathology. New York: Springer-Verlag.
10.
Friesen, R. (1982). Appraisal of pediatric cardiopulmonary resuscitation. CMA, 126, 1055–1058.
11.
Friesen, R. (1982). A-Torres, R.R. (1974). Pediatric cardiac resuscitation team: A six year study. Journal of Pediatrics, 84, 152–155.
12.
Friede, R.L. (1975). Developmental neuropathology. New York: Springer-Verlag.
13.
Frost, E.A.M. (1981). Brain preservation. Anesthesia and Analgesia, 60, 821–832.
14.
Hill, A., & Volpe, J.J. (1981). Seizures, hypoxic-ischemic brain injury, and intraventricular hemorrhage in the new-born. Annals of Neurology, 10, 109–121.
15.
Hossman, K.A. (1983). Neuronal survival and revival during and after cerebral ischemia. American Journal of Emergency Medicine, 1, 191–197.
16.
Hossman, K.A., & Kleihues, P. (1971). Reversibility of ischemic brain damage. Archives of Neurology, 29, 375–384.
17.
Kaufman, A.S., & Kaufman, N.A. (1983). Kaufman assessment battery for children: Interpretive manual. Circle Pines, MN: American Guidance Service.
18.
Lasky, R.E., Tyson, J.E., Rosenfeld, C.R., Priest, M., Krasinski, D., Heartwell, S., & Gant, N.F. (1983). Differences on Bayley's infant behavior record for a sample of high-risk infants and their controls. Child Development, 54, 1211–1216.
19.
Ludwig, S., Kettrick, R.G., & Parker, M. (1984). Pediatric cardiopulmonary resuscitation: A review of 130 cases. Clinical Pediatrics, 23, 71–75.
20.
McCarthy, D. (1972). Manual for the McCarthy Scales of Children's Abilities. San Antonio, TX: Psychological Corp.
21.
Minter, M.G., & Torphy, D.E. (1983). Resuscitation of children with cardiorespiratory arrest. Paper presented at the annual meeting of the Ambulatory Pediatric Association, Washington, DC.
22.
Mullie, A., Lust, P., Penninckx, L., Van-hove, L., Vandevelde, K., & Vanhoonacker, G. (1980). Cerebral resuscitation: A review. Acta Anaesthesiologica Belgica, 2, 147–156.
23.
Myers, R.E. (1975). Four patterns of perinatal brain damage and their conditions of occurrence in primates. Advances in Neurology, 10, 223–234.
24.
Nichols, D.G. (1984). Factors influencing outcome of pediatric cardiopulmonary arrest in children. Critical Care Medicine, 12, 287.
25.
O'Dougherty, M., Wright, F.S., Garmezy, N., Loewenson, R.B., & Torres, F. (1983). Later competence and adaptation in infants who survive severe heart defects. Child Development, 54, 1129–1142.
26.
O'Dougherty, M., Wright, F.S., Loewenson, R., & Torres, F. (1985). Cerebral dysfunction after chronic hypoxia in children. Neurology, 35, 42–46.
27.
Pampiglione, G., Chaloner, J., Harden, A., & O'Brien, J. (1978). Transitory ischemia/anoxia in young children and the prediction of quality of survival. Annals of the New York Academy of Sciences, 23, 281–292.
28.
Purdue Research Foundation (1948). The Purdue pegboard test. Chicago: Science Research Associates.
29.
Rorke, L.B. (1982). Pathology of perinatal brain injury. New York: Raven Press.
30.
Safar, P. (1989). Cardiopulmonary-cerebral resuscitation. In A. Shoemaker, V. Ayres, F. Grenvik, O. Holbrook, & J. Thompson (Eds.), Textbook of critical care (2nd ed., pp. 27–58). New York: W.B. Saunders.
31.
SAS Institute, Inc. (1985). SAS user's guide: Basics (Version 5). Cary, NC: Author.
32.
Sparrow, S.S., Balla, D.A., & Cichetti, D.V. (1984). Vineland adaptive behavior scales. Circle Pines, MN: American Guidance Service.
33.
Tabachnick, B.G., & Fidell, L.S. (1983). Using multivariate statistics. New York: Harper & Row.
34.
Thorndike, R.L., Hagen, P.H., & Sattler, J.M. (1986). Interpretive manual of the Stanford-Binet Intelligence Scale (4th ed.). Boston: Riverside.
35.
Volpe, J.J. (1976). Perinatal hypoxic-ischemic brain injury. Pediatric Clinics of North America, 23, 383–397.
36.
Walter, L.W. (1989). Neuropsychological and adaptive functioning of children surviving cardiac arrest. Unpublished doctoral dissertation, Georgia State University, Atlanta.
37.
Weinberger, L.M., Gibbon, M.H., & Gibbon, J.H. (1940). Temporary arrest of the circulation to the central nervous system: I. Physiologic effects. Archives of Neurology, 43, 615–621.
38.
White, B.C., Wiegenstein, J.G., & Winegar, C.D. (1984). Brain ischemic anoxia. Journal of the American Medical Association, 251, 1586–1590.
Wright, J.A., Ahmann, P.A., Davies, C.R., & Carrigan, T. (1986). Neurologic outcome in pediatric cardiac arrest. Washington, DC: Society of Critical Care Medicine.
