Surgery in Early Life and Child Development at School-entry: A Population-based Study

NCT ID: NCT02595801

Last Updated: 2015-11-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

188628 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-08-31

Study Completion Date

2015-11-30

Brief Summary

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The central hypothesis is that surgery and anesthesia exposure in children with immature structural and functional brain development has long-term adverse effects on child development at school-entry compared with children not exposed to anesthesia.

The secondary hypothesis is that frequency of surgery and anesthesia exposure in children with immature structural and functional brain development has a dose-dependent association with worsened child development outcomes at school-entry.

The overall objective is to investigate the association between surgery/anesthesia exposure(s) in children in Ontario and major child development outcomes (physical health and well being, social competence, emotional maturity, and language and cognitive development) at school entry as measured by the Early Development Instrument.

Detailed Description

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Conditions

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Surgery in Early Childhood

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Exposed

Exposure to surgery prior to completion of Early Development Instrument

Surgery in early childhood

Intervention Type OTHER

Surgical interventions in early childhood (prior to completion of Early Development Instrument)

Reference

No exposure to surgery prior to completion of Early Development Instrument

No interventions assigned to this group

Interventions

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Surgery in early childhood

Surgical interventions in early childhood (prior to completion of Early Development Instrument)

Intervention Type OTHER

Other Intervention Names

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Surgery/Anesthesia in early childhood

Eligibility Criteria

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Inclusion Criteria

* Completion of the Early Development Instrument in Ontario

Exclusion Criteria

* Children with physical or developmental disabilities identified in the Early Development Instrument
* Not born in Canada
* Having undergone fetal interventions, radiation or brachytherapy, local pharmacotherapy, systemic cancer chemotherapeutic procedures, therapeutic interventions of the cardiovascular system
* Patients of a cardiology or cardiovascular service
Maximum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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McMaster University

OTHER

Sponsor Role collaborator

Institute for Clinical Evaluative Sciences

OTHER

Sponsor Role collaborator

The Hospital for Sick Children

OTHER

Sponsor Role lead

Responsible Party

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James O'Leary

Staff Anesthesiologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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The Hospital for Sick Children

Toronto, Ontario, Canada

Site Status

Countries

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Canada

Other Identifiers

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1000046454

Identifier Type: -

Identifier Source: org_study_id