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Published on: June 1, 2015
[Cognitive assessment in children who presented gastroschisis: a case-control study]
Teresita Villasenor-Cabrera1, Ilude Pacheco-Sanchez1, Genoveva Rizo-Curiel1
1Universidad de Guadalajara, Guadalajara, Mexico.
Insights
Children with gastroschisis showed no cognitive or motor deficits. However, socio-emotional and adaptive behaviors were better in controls, indicating potential challenges in these areas for gastroschisis cases.
Area of Science:
- Pediatric Surgery
- Developmental Pediatrics
- Neonatology
Background:
- Gastroschisis is a congenital abdominal wall defect requiring surgical correction and specialized neonatal care.
- Infants with gastroschisis often undergo prolonged hospitalization, dietary restrictions, and maternal separation.
- Assessing neurodevelopmental outcomes is crucial for understanding the long-term impact of gastroschisis.
Purpose of the Study:
- To evaluate the cognitive, language, motor, socio-emotional, and adaptive behaviors in children born with gastroschisis.
- To compare the neurodevelopmental outcomes of children with gastroschisis to a healthy control group.
- To identify potential long-term effects of gastroschisis on child development.
Main Methods:
- A case-control study involving 7 infants with gastroschisis and 7 healthy controls.
- Neurodevelopmental assessment using the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley III).
- Data collected from civil hospitals in Guadalajara between January and April 2013.
Main Results:
- No significant developmental delays were observed in cognitive, language, or motor domains for children with gastroschisis.
- Children in the control group demonstrated superior scores in socio-emotional and adaptive behavior assessments.
- These findings suggest that while core neurodevelopment may be preserved, social and adaptive skills might be areas of concern.
Conclusions:
- Gastroschisis, in isolation and without severe perinatal complications, may not impede later neurodevelopment.
- The observed differences in socio-emotional and adaptive behaviors may be linked to perinatal circumstances and hospital care.
- A cautious approach is warranted when generalizing these findings; more complex cases require further investigation. Prenatal counseling regarding expected outcomes is essential for parents.
Introduction:
Gastroschisis is a malformation of the abdominal wall that is corrected by surgery and requires special hospital care, such as immobilisation, dietary restriction and separation from the mother for a variable period of time, among others. To analyse the possible cognitive repercussions, the Bayley III test was administered to 14 children.
Subjects And Methods:
The study was conducted with seven cases (born with gastroschisis) and seven controls, in civil hospitals in Guadalajara, over the period January-April 2013.
Results:
No evidence of retardation was found in the cases in the cognition, language and motor conduct assessments, whereas in those associated with socio-emotional and adaptive behaviour the scores favoured the control group. This shows that the latter have better adaptation and interaction strategies with respect to the cases group.
Conclusions:
Gastroschisis will not affect later neurodevelopment, at least in this group which presented only this abnormality and deficits that can be explained by their perinatal circumstances. Nevertheless, this prognosis cannot be generalised to other cases with a more severe clinical picture, a longer stay in hospital and associated comorbidity. In any case, it is important to inform the parents as of the prenatal stage about the expected consequences of this pathology.
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