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. 2018 Jun 26;6:177. doi: 10.3389/fped.2018.00177

Table 1.

Proposal for and relevance of long-term follow-up after (neonatal) ECMO.

Assessments Domains of interest Relevance/intervention
INFANCY
0–2 years Growth Kidney function Hearing assessment Neurologic assessment including imaging Mental development Motor development Hypertension, urinary protein-to-creatinine ratio MRI brain Referral dietician Referral nephrologist (CKD) Early referral audiology Early recognition, rehabilitation Early referral Referral physical therapist
PRESCHOOL AGE
2–5 years Growth (mainly CDH) Kidney function Neurologic assessment Language development Motor development Hypertension, urinary protein-to-creatinine ratio Referral dietician Referral nephrologist (CKD) Rehabilitation Hearing assessment, referral speech-language pathologist Referral physical therapist
SCHOOL AGE
≥6 years Growth (mainly CDH) Kidney function Lung function assessment Motor development Exercise capacity Neuropsychological assessment Behavior assessment Hypertension, urinary protein-to-creatinine ratio Spirometry Intelligence (only once in follow-up) Memory Attention/concentration/information-processing Hyperactivity Somatic problems Referral dietician Referral nephrologist (CKD) Evaluate reversibility of airflow obstruction Referral physical therapist Sports participation and/or exercise training Referral to early school support Referral to cognitive rehabilitation Referral to support/guidance
ADOLESCENCE
>12 years Growth (mainly CDH) Kidney function Motor function Exercise capacity Neuropsychological assessment Behavior assessment Hypertension, urinary protein-to-creatinine ratio Gross motor function (e.g., ball skills) Memory Attention/concentration/information processing Hyperactivity Depressed feelings/social problems Somatic problems Referral dietician Referral nephrologist (CKD) Referral physical therapist/sports participation Sports participation/exercise training Referral to school support Career support/choice of profession Referral to cognitive rehabilitation Referral to support/guidance

ECMO, extracorporeal membrane oxygenation; CKD, chronic kidney disease; CDH, congenital diaphragmatic hernia.