Maayke Hunfeld
207 Neuropsychological outcome Outcome 3-6 months after OHCA Of the eligible 49 children, 36 (73%) visited the outpatient clinic. Twenty-six (53%) children underwent neuropsychological assessment. Reasons for no follow-up visits and testing are described in fig. 1. One child with severe neurological sequelae died 6 months post-OHCA due to pneumonia. One child could not be tested neuropsychologically due to severe neurological deficits post-OHCA. Functional outcomes Of the 49 children, 20/24 school-aged children (83%) returned to school. One patient attending secondary education changed to a lower education level due to cognitive problems related to OHCA. One child was diagnosed with epilepsy. Neurological exam revealed hemiparesis in 5 and tetraparesis in 2 children (14%) (Gross Motor Function Classification System (GMFCS) varying from I-V (27) ). Median PCPC score was 2 [IQR 1-3]; 36 children (74%) had a good outcome (Table 1). Neuropsychological outcomes In the 26 children who underwent neuropsychological assessment, verbal, performance, and total IQ scores did not differ significantly from norm data (Table 2). Significantly lower scores, compared with norm data, were found for sustained attention and processing speed; respectively 88% and 47% of the children scored >1 SD below the norm (in the general population 16% is expected), see Table 2. Median Z-scores for most neuropsychological domains were lower than zero, fig. 2. 7
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