Min Hui Cheah, Pauline Siew Mei Lai, Hui Min Khor, Jeyakantha Ratnasingam, C Sankara Kumar Chandrasekaran, Simmrat Singh, Mohd Idzwan Bin Zakaria, Terence Ong
Fragility fracture care gap at a tertiary teaching hospital in Malaysia
Archives of osteoporosis
observational studies pediatric anesthesia neurotoxicity unable distinguish longterm effects general anesthesia ga factors associated need surgery recent study elementary school children received single ga first year life demonstrated association otherwise healthy children duration anesthesia diminished test scores also revealed subgroup children poor academic achievement vpaa scoring fifth percentile standardized testing analysis postoperative cognitive function similar cohort children anesthetized alternative ga may help begin separate effects anesthesia confounders used novel methodology construct combined medical educational database search effects similar cohort children receiving spinal anesthesia sa procedures compared former patients control population students matched grade gender year testing socioeconomic status vermont department education records analyzed 265 students single exposure sa infancy circumcision pyloromyotomy inguinal hernia repair exposure sa surgery significant effect odds children vpaa mathematics p 018 odds ratio 150 confidence interval ci 083268 reading p 055 odds ratio 119 ci 06721 relationship duration exposure sa surgery performance mathematics p 073 reading p 057 standardized testing small statistically significant decrease reading math scores exposed group mathematics p 003 reading p 002 found link duration surgery infant sa scores academic achievement testing elementary school also found relationship infant sa surgery vpaa elementary school testing although cis wide