Recovery of intellectual ability following traumatic brain injury in childhood: Impact of injury severity and age at injury
Recovery of intellectual ability following traumatic brain injury in childhood: Impact of injury severity and age at injury
复制标题
DOI：
10.1159/000028956
复制
发表时间：
2000-06-01
影响因子：
0.7
通讯作者：
Rosenfeld, J
中科院分区：
文献类型：
--
作者：
Anderson, V;Catroppa, C;Rosenfeld, J
创伤性脑损伤(TBI)可能对儿童的持续发展产生深远的影响。各种风险因素已被发现可以预测结果，但相当大的变异性仍未得到解释。这项研究采用前瞻性的纵向设计来检验康复、损伤严重程度、受伤年龄和受伤前能力之间的关系。124名儿童按(1)受伤年龄进行分类：“年轻”(3-7岁)、“大”(8-12岁)和(2)损伤严重程度(轻、中、重)。分别于伤后12个月(T2)和伤后12个月(T2)用标准化智力量表(IQ)对儿童进行敏感度评估。结果表明，损伤严重程度越高，智商越差。对于轻/中度脑损伤的儿童，受伤年龄不能预测预后，对于重度脑损伤，受伤时年龄较小的儿童智商恢复较小，而较晚的损伤恢复情况与成人相似。研究结果表明，在儿童早期遭受严重脑外伤的儿童可能特别有可能在受伤后出现残余问题。版权所有(C)2000 S.Karger AG。巴塞尔。
Traumatic brain injury (TBI) may have a profound impact on a child's ongoing development. Various risk factors have been found to predict outcome, but considerable variability remains unexplained. This study used a prospective, longitudinal design to examine the relationship between recovery, injury severity, age at injury and pre-injury ability. 124 children were divided according to (1) age at injury:'young' (3-7 years) 'old' (8-12) and (2) injury severity (mild, moderate, severe). Children were evaluated acutely (T1) and at 12 months post-injury (T2), using standardized intellectual measures (IQ). Results showed a relationship between greater injury severity and poorer IQ. Age at injury was not predictive of outcome for children with mild/moderate TBI, For severe TBI, younger age at injury led to minimal recovery in IQ, while recovery from later injury was similar to that for adults. Findings suggest that children sustaining severe TBI in early childhood may be particularly at risk for residual problems post-injury. Copyright (C) 2000 S. Karger AG. Basel.