Taylor H G, Yeates K O, Wade S L, Drotar D, Klein S K, Stancin T
Department of Pediatrics, Case Western Reserve University, and Rainbow Babies & Children's Hospital, Cleveland, Ohio 44106-6038, USA.
Neuropsychology. 1999 Jan;13(1):76-89. doi: 10.1037//0894-4105.13.1.76.
This study examined recovery over the first year following traumatic brain injury (TBI) in children 6-12 years of age. Forty-two children with severe TBI and 52 with moderate TBI were compared to 58 children with orthopedic injuries. The children and their families were evaluated at a baseline assessment and at 6- and 12-month follow-ups. Findings documented cognitive, achievement, and behavioral sequelae of TBI, with only limited evidence for recovery over the first year postinjury. Outcomes were predicted by preinjury factors, TBI severity, and measures of the postinjury family environment. Some of the sequelae of severe TBI were more marked in the context of higher compared with lower levels of family burden or dysfunction. The findings confirm the need to consider environmental contributions to outcomes of TBI in children.
本研究调查了6至12岁儿童创伤性脑损伤（TBI）后第一年的恢复情况。将42名重度TBI儿童和52名中度TBI儿童与58名骨科损伤儿童进行了比较。在基线评估以及6个月和12个月随访时对儿童及其家庭进行了评估。研究结果记录了TBI的认知、学业成绩和行为后遗症，受伤后第一年仅有有限的恢复证据。结果由伤前因素、TBI严重程度和伤后家庭环境指标预测。与家庭负担或功能障碍程度较低相比，在家庭负担或功能障碍程度较高的情况下，重度TBI的一些后遗症更为明显。这些研究结果证实有必要考虑环境因素对儿童TBI预后的影响。
