الفهرس 
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Abstract
SUMMARY
T
his prospective study assessed children (ages between 2 and 18 years) admitted to the Pediatric intensive care unit (PICU) at Ain Shams University Children Hospital. Children were excluded if they presented with a condition likely to have an effect on neurocognitive function such as meningoencephalitis, a pre-existing neurological condition, developmental disorder or psychiatric disorder. The study enrolled 50 cases and 75 age and gender matched controls. Children’s neurocognitive functions were assessed 3 months after PICU discharge by the Stanford Binet scoring system(Becker,2003).
• The study aimed to evaluate the neurocognitive function in children following admission to PICU in comparison to healthy controls.
• As regard causes of admission, 38% were of medical causes and 62% surgical. The vast majority of operations were major procedures (85%). Post operative complications were seen in 16% of surgical patients.
• Among the cases, more than half of the patients needed sedatives where as 38% needed assisted ventilation during their stay in the ICU.
• About 8% of the cases needed blood transfusion & 12% needed inotropic support.
• The neurological examination performed at 3 months from discharge from PICU was normal in 96% of patients.
• Among our cases, neurocognitive assessment at 3 months post PICU discharge revealed no difference in values for cases and controls.
• Regarding IQ values, there was no significant differences between males and females.
• IQ values were also not significantly impacted by the need for blood transfusions.
• Regarding need of sedatives, IQ values showed no significant difference between the two groups.
• 6% of the surgical cases were border line and mildly impaired IQ, otherwise all other cases (medical and surgical) were either of dull average or average intelligence.
• Cases who underwent major surgical procedures had low scores in mean verbal, performance and total IQ.
• There was no statistically significant difference, within the surgical patients group, between those who developed and those who did not develop post operative complications.
• The mean verbal, performance and total IQ scores were consistently lower in the group who needed inotropic support during their ICU stay, albeit the difference was not statistically significant.
• The mean verbal, performance and total IQ values were consistently lower in the group who needed assisted ventilation compared to those who don’t, but again the difference was not statistically significant