- MeSH
- alkoholické psychózy MeSH
- alkoholové delirium diagnóza terapie MeSH
- celková anestezie psychologie škodlivé účinky MeSH
- chirurgie operační * MeSH
- duševně nemocní psychologie MeSH
- duševní poruchy diagnóza psychologie MeSH
- fantomová končetina psychologie MeSH
- hospitalizovaní pacienti psychologie MeSH
- lidé MeSH
- perioperační péče MeSH
- pokus o sebevraždu prevence a kontrola psychologie MeSH
- pooperační delirium farmakoterapie chemicky indukované MeSH
- pooperační komplikace etiologie klasifikace psychologie MeSH
- pooperační péče MeSH
- předoperační péče MeSH
- psychický stres klasifikace komplikace psychologie MeSH
- rizikové faktory MeSH
- simulování psychologie MeSH
- somatoformní poruchy psychologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
BACKGROUND: Early and late operations of the cleft lip represent exposure to general anesthesia during the first year of life. The early exposure to the anesthetics may influence long term neurological outcome. Timing of the operation may also influence the quality of life as babies with early repair might be accepted better by their families. AIMS: The aim of the study was to compare outcomes between two groups of patients operated on for the cleft lip in the first year of life. STUDY DESIGN: Observational cohort study. SUBJECTS: Early repair group included patients operated on in the first eight days of life and late repair group those operated on between 3 and 10 months. OUTCOME MEASURES: Intelligence quotient (IQ) and psychosocial development of children who were operated on for cleft lip were compared at the age of 3-7 years. RESULTS: No differences were found between early (n=15) and late (n=17) repair group in terms of IQ. In both IQ was within the normal range: 100.00 (SD 13.867), 98.76 (SD 10.109), respectively. Significantly better results in physical functioning (P=0.042) and self-esteem (P=0.014) concepts in early repair group were found. CONCLUSIONS: We compared outcomes of two groups of patients operated on for cleft lip in the first year of life. The earlier anesthesia did not show a negative impact on intelligence quotient in 3-7 years compared to later anesthesia. The earlier repair of the cleft lip showed a significant positive impact on psychosocial development in 2 out of 13 concepts tested.
- MeSH
- celková anestezie škodlivé účinky psychologie MeSH
- inteligence * MeSH
- inteligenční testy MeSH
- kojenec MeSH
- lidé MeSH
- rozštěp patra chirurgie MeSH
- stomatochirurgické výkony škodlivé účinky psychologie MeSH
- věkové faktory MeSH
- vývoj dítěte * MeSH
- Check Tag
- kojenec MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- MeSH
- celková anestezie psychologie využití MeSH
- dítě MeSH
- ketamin farmakologie MeSH
- krevní a lymfatické nemoci MeSH
- lidé MeSH
- lokální anestezie MeSH
- midazolam farmakologie MeSH
- mladiství MeSH
- vyšetřování kostní dřeně psychologie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- Publikační typ
- srovnávací studie MeSH
