Mental and intellectual development of neonatal surgical children in a long-term follow-up

J Pediatr Surg. 1993 Feb;28(2):123-9. doi: 10.1016/s0022-3468(05)80256-8.


The mental and intellectual development of 75 children aged 6 to 10 years who had undergone operations during their neonatal period was estimated using the WISC-R intelligence test and the Bender-Gestalt test (BGT). WISC-R test results correlated with patients' total surgical stress scores, number of operations, and total duration of hospitalization. A tendency for verbal IQ deficiency was observed in many patients. BGT results correlated with the number of operations and total period of hospitalization. Patients with anorectal anomalies were apparently affected more than those with other diseases. An accumulation of therapeutic stresses relating to operations and hospitalizations during childhood extending through the neonatal period may affect subsequent mental and intellectual development.

MeSH terms

  • Age Factors
  • Blood Loss, Surgical / statistics & numerical data
  • Child
  • Congenital Abnormalities / surgery*
  • Developmental Disabilities / diagnosis
  • Developmental Disabilities / epidemiology*
  • Developmental Disabilities / etiology
  • Female
  • Follow-Up Studies
  • Hospitals, University
  • Humans
  • Infant, Newborn
  • Intelligence Tests
  • Japan / epidemiology
  • Length of Stay / statistics & numerical data
  • Male
  • Postoperative Complications / diagnosis
  • Postoperative Complications / epidemiology*
  • Postoperative Complications / etiology
  • Psychological Tests
  • Reoperation / statistics & numerical data
  • Severity of Illness Index
  • Stress, Physiological / complications*
  • Stress, Physiological / epidemiology
  • Stress, Physiological / etiology