The Initiation of Rehabilitation Therapies and Observed Outcomes in Pediatric Traumatic Brain Injury.
The Initiation of Rehabilitation Therapies and Observed Outcomes in Pediatric Traumatic Brain Injury.
复制标题
DOI：
10.1097/rnj.0000000000000116
复制
发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Doser K
中科院分区：
文献类型：
--
作者：
Reuter-Rice K;Eads JK;Berndt S;Doser K
小儿创伤性脑损伤（TBI）与巨大的身体，情感，社会和经济负担有关。本研究探讨了时间和频率的康复服务所提供的住院跨学科团队在儿童入院的创伤性脑损伤。了解康复服务的时间和频率可以指导TBI的恢复。这是一项为期3年的前瞻性观察性研究，研究对象为在城市1级创伤医院因TBI入院的既往健康儿童（n = 35）。包括轻度、中度和重度TBI的儿童。跨学科康复团队的护理和神经认知功能的结果进行了分析的启动和频率。结果测量包括出院时和首次随访时的格拉斯哥结果量表-扩展儿科学和言语病理学神经认知功能评估。康复服务的开始和频率在所有严重程度的TBI中发现。服务的时间和频率也与不同的严重程度相一致。中度TBI儿童在首次随访时，在格拉斯哥结局量表扩展儿科和言语病理学神经认知功能评估中表现出最大的改善，而轻度和重度TBI儿童在首次随访时的结局变化不大，并根据其医院病程提供不同的服务。尽管缺乏全面的康复指南，但跨学科康复小组为所有脑损伤严重程度组提供了服务。测量的各种神经认知和功能结果变化发现，中度TBI儿童的结果变化最大。进一步的研究是必要的，以评估服务的时间和频率及其与神经认知功能结果的关系。
Pediatric traumatic brain injury (TBI) is associated with immense physical, emotional, social, and economic burden. This study examined timing and frequency of rehabilitation services provided by the inpatient interdisciplinary team in children admitted for a TBI. Understanding the timing and frequency of rehabilitation services could guide TBI recovery. This is a 3-year prospective observational study of previously healthy children (n = 35) admitted for a TBI to an urban Level 1 trauma hospital. Children with mild, moderate, and severe TBI were included. Initiation and frequency of the interdisciplinary rehabilitation team’s care and neurocognitive-functional outcomes were analyzed. Outcome measures included the Glasgow Outcome Scale-Extended Pediatrics and the Speech Pathology Neurocognitive-Functional Evaluation at hospital discharge and first follow-up visit. The initiation and the frequency of rehabilitation services were found in all severities of TBI. Timing and frequency of services also aligned with varied severities. Children with moderate TBI showed the most improvement in Glasgow Outcome Scale-Extended Pediatrics and the Speech Pathology Neurocognitive-Functional Evaluation on their first follow-up visit, whereas children with mild and severe TBI demonstrated little change in outcome at their first follow-up visit and had varied services based on their hospital course. Services by interdisciplinary rehabilitation teams were provided across all brain injury severity groups, despite the lack of comprehensive rehabilitation guidelines. Varied neurocognitive and functional outcome changes measured found children with moderate TBI had the greatest change in outcomes. Further research is warranted to assess the timing and frequency of services and their relationship to neurocognitive-functional outcomes.
登录
查看更多内容
影响因子：
8.8
作者：
Vavilala MS;Kernic MA;Wang J;Kannan N;Mink RB;Wainwright MS;Groner JI;Bell MJ;Giza CC;Zatzick DF;Ellenbogen RG;Boyle LN;Mitchell PH;Rivara FP;Pediatric Guideline Adherence and Outcomes Study
通讯作者：
Pediatric Guideline Adherence and Outcomes Study
影响因子：
1.4
作者：
Cicero, Mark X.;Cross, Keith P.
通讯作者：
Cross, Keith P.
影响因子：
8
作者：
Schneier, Andrew J.;Shields, Brenda J.;Smith, Gary A.
通讯作者：
Smith, Gary A.
影响因子：
1.9
作者：
Thurman, David J.
通讯作者：
Thurman, David J.
影响因子：
8
作者：
Peterson, Cora;Xu, Likang;Steinbeigle, Ryan
通讯作者：
Steinbeigle, Ryan