Understanding predictors of functional recovery and outcome 30 months following early childhood head injury
Understanding predictors of functional recovery and outcome 30 months following early childhood head injury
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DOI：
10.1037/0894-4105.20.1.42
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发表时间：
2006-01-01
期刊：
影响因子：
2.4
通讯作者：
Rosenfeld, JV
中科院分区：
文献类型：
--
作者：
Anderson, VA;Catroppa, C;Rosenfeld, JV
关于学龄儿童创伤性脑损伤（TBI）的结果已经知道很多;然而，对儿童早期的恢复了解较少。一些人认为，由于发育中的大脑具有可塑性，这种损伤应该会导致良好的结果。另一些人则声称年轻的大脑是脆弱的，损伤可能导致严重的损伤（H。G. Taylor & J.奥尔登，1997年）。本研究的目的是检查儿童早期TBI后的结果，绘制损伤后30个月的恢复图，并确定结果的预测因素。该研究比较了3组轻度、中度和重度TBI的儿童，受伤时年龄为2.0至6.11岁，健康对照组。各组在伤前适应和行为功能、心理社会特征、年龄和性别方面具有可比性。结果表明，损伤严重程度与所有领域的结果之间存在密切联系。此外，30个月的结果预测损伤的严重程度，家庭因素和损伤前儿童功能水平。总之，儿童更严重的伤害和较低的损伤前的适应能力，其家庭是应对不良，是在日常技能的长期损害的风险最大，甚至数年伤后。
Much is known about outcome following traumatic brain injury (TBI) in school-age children; however, recovery in early childhood is less well understood. Some argue that such injuries should lead to good outcome, because of the plasticity of the developing brain. Other purport that the young brain is vulnerable, with injury likely to result in a substantial impairment (H. G. Taylor & J. Alden, 1997). The aim of this study was to examine outcomes following TBI during early childhood, to plot recovery over the 30 months postinjury, and to identify predictors of outcome. The study compared 3 groups of children sustaining mild, moderate, and severe TBI, ages 2.0 to 6.11 years at injury, with healthy controls. Groups were comparable for preinjury adaptive and behavioral function, psychosocial characteristics, age, and gender. Results suggested a strong association between injury severity and outcomes across all domains. Further, 30-month outcome was predicted by injury severity, family factors, and preinjury levels of child function. In conclusion, children with more severe injuries and lower preinjury adaptive abilities, and whose families are coping poorly, are at greatest risk of long-term impairment in day-to-day skills, even several years postinjury.