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The lowest mean total score was school functioning for both children (59.79 vs 81.31, p less then 0.01) and parents (59.01 vs 78.27, p less then 0.01). Parents had excellent reliability (α = 0.93, 0.95 0.9 compared to children with reliability improving with increasing age in children. Improvements in the management of pediatric patients following ECLS are required to improve their health-related quality of life. Further research is warranted to explore the physical and psychological effects of cardiac ECLS on pediatric survivo