Time to follow commands remains the most useful injury severity variable for predicting WeeFIM® scores 1 year after paediatric TBI.
Time to follow commands remains the most useful injury severity variable for predicting WeeFIM® scores 1 year after paediatric TBI.
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DOI：
10.3109/02699052.2013.794964
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发表时间：
2013
期刊：
影响因子：
1.9
通讯作者：
Suskauer SJ
中科院分区：
文献类型：
--
作者：
Austin CA;Slomine BS;Dematt EJ;Salorio CF;Suskauer SJ
目的：探讨儿童创伤性脑损伤（TBI）中损伤严重程度变量，特别是指令执行时间（TFC）与长期功能预后之间的关系。参与者包括40名从住院康复出院的中重度TBI儿童。严重程度的测量是初始格拉斯哥昏迷量表评分、TFC、创伤后失忆症（PTA）持续时间和意识受损总持续时间（TFC + PTA）。出院后1年，通过年龄校正的儿童功能独立测量（WeeFIM®）评分来测量功能结局。相关性表明，损伤严重程度变量（TFC、PTA和TFC + PTA）均与功能预后相关。回归分析显示，TFC和TFC + PTA在WeeFIM®总分中分别占49%或47%的方差。40例患儿中37例预后良好；在TFC 426天的3名儿童中，2名预后不良。在预测长期预后方面，PTA和TFC + PTA并不比单独使用TFC更有利，TFC在恢复过程中更早被发现。TFC仍然是儿科TBI术后住院康复出院后1年功能预后的重要预测因子。
To investigate the relationship between injury severity variables, particularly time to follow commands (TFC) and long-term functional outcomes in paediatric traumatic brain injury (TBI). Participants included 40 children with moderate-to-severe TBI discharged from inpatient rehabilitation. Measures of severity were initial Glasgow Coma Scale score, TFC, duration of Post Traumatic Amnesia (PTA) and total duration of impaired consciousness (TFC + PTA). Functional outcome was measured by age-corrected Functional Independence Measure for Children (WeeFIM®) scores at 1-year after discharge. Correlations indicated that injury severity variables (TFC, PTA and TFC + PTA) were all associated with functional outcome. Regression analyses revealed that TFC and TFC + PTA similarly accounted for 49% or 47% of the variance, respectively, in total WeeFIM® score. Thirty-seven of 40 children had good outcome; of the three children with TFC 426 days, two had poor outcome. PTA and TFC + PTA do not provide a benefit over TFC alone for prediction of long-term outcome and TFC is identified earlier in the recovery course. TFC remains an important predictor of functional outcome 1-year after discharge from inpatient rehabilitation after paediatric TBI.
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影响因子：
4.8
作者：
EWINGCOBBS, L;LEVIN, HS;EISENBERG, HM
通讯作者：
EISENBERG, HM
影响因子：
--
作者：
RUSSELL, WR;SMITH, A
通讯作者：
SMITH, A
影响因子：
4.1
作者：
NARAYAN, RK;GREENBERG, RP;BECKER, DP
通讯作者：
BECKER, DP
影响因子：
1.9
作者：
LEVIN, HS;ODONNELL, VM;GROSSMAN, RG
通讯作者：
GROSSMAN, RG
影响因子：
4.2
作者：
Brown, AW;Malec, JF;Cifu, DX
通讯作者：
Cifu, DX