Persistence of Disability 24 to 36 Months after Pediatric Traumatic Brain Injury: A Cohort Study

被引:63
|
作者
Rivara, Frederick P. [1 ,2 ,9 ]
Vavilala, Monica S. [1 ,3 ,9 ]
Durbin, Dennis [10 ,11 ]
Temkin, Nancy [4 ,5 ]
Wang, Jin [1 ,9 ]
O'Connor, Stephen S. [6 ,9 ]
Koepsell, Thomas D. [2 ,7 ,9 ]
Dorsch, Andrea [12 ]
Jaffe, Kenneth M. [1 ,8 ,9 ]
机构
[1] Univ Washington, Dept Pediat, Seattle, WA 98104 USA
[2] Univ Washington, Dept Epidemiol, Seattle, WA 98104 USA
[3] Univ Washington, Dept Anesthesiol & Pain Med, Seattle, WA 98104 USA
[4] Univ Washington, Dept Neurol Surg, Seattle, WA 98104 USA
[5] Univ Washington, Dept Biostat, Seattle, WA 98104 USA
[6] Univ Washington, Dept Psychiat, Seattle, WA 98104 USA
[7] Univ Washington, Dept Hlth Serv, Seattle, WA 98104 USA
[8] Univ Washington, Dept Rehabil Med, Seattle, WA 98104 USA
[9] Univ Washington, Harborview Injury Prevent & Res Ctr, Seattle, WA 98104 USA
[10] Childrens Hosp Philadelphia, Dept Emergency Med, Philadelphia, PA 19104 USA
[11] Univ Penn, Philadelphia, PA 19104 USA
[12] Mary Bridge Childrens Hosp, Pediat Dev Serv, Tacoma, WA USA
关键词
children and adolescents; disability; functional outcome; traumatic brain injury; QUALITY-OF-LIFE; CHILDREN; RECOVERY; RELIABILITY; SYMPTOMS; CARE;
D O I
10.1089/neu.2012.2434
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
This study examined the outcome of 0- to 17-year-old children 36 months after traumatic brain injury (TBI), and ascertained if there was any improvement in function between 24 and 36 months. Controls were children treated in the emergency department for an arm injury. Functional outcome 36 months after injury was measured by the Pediatric Quality of Life Inventory (PedsQL), the self-care and communication subscales of the Adaptive Behavior Assessment Scale-2nd edition (ABAS-II), and the Child and Adolescent Scale of Participation (CASP). At 36 months after TBI, those with moderate or severe TBI continued to have PedsQL scores that were 16.1 and 17.9 points, respectively, lower than at baseline, compared to the change seen among arm injury controls. Compared to the baseline assessment, children with moderate or severe TBI had significantly poorer functioning on the ABAS-II and poorer participation in activities (CASP). There was no significant improvement in any group on any outcomes between 24 and 36 months. Post-injury interventions that decrease the impact of these deficits on function and quality of life, as well as preventive interventions that reduce the likelihood of TBI, should be developed and tested.
引用
收藏
页码:2499 / 2504
页数:6
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