Children surviving liver transplantation are reported to have a greater probability of intellectual deficits compared with healthy children. The authors recruited and assessed 144 children ≥2 years after liver transplantation who were enrolled in Studies of Pediatric Liver Transplantation. Using intelligence, achievement and behavior tests, they found that more childhood liver transplantation recipients than expected were at increased risk for lasting cognitive and academic deficits by 7 to 9 years of age. Nutritional status and operative complications could be predictors of intellectual outcome.
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