非创伤性昏迷后的认知和适应性结局以及损伤时年龄的影响。
Cognitive and adaptive outcomes and age at insult effects after non-traumatic coma.
作者信息
Forsyth R J, Wong C P, Kelly T P, Borrill H, Stilgoe D, Kendall S, Eyre J A
机构信息
Paediatric Neuroscience Group, Department of Child Health, University of Newcastle-upon-Tyne, Newcastle-upon-Tyne NE1 4LP, UK.
出版信息
Arch Dis Child. 2001 Mar;84(3):200-4. doi: 10.1136/adc.84.3.200.
Cognitive and adaptive behavioural outcome were studied in the identified survivors of a population based study of non-traumatic coma (NTC) in childhood. Children were assessed early (six weeks) and late (12 months) after NTC. At least 7% of those children in whom no suspicions of prior neurodevelopmental morbidity existed showed moderate or severe disability following NTC. Children over 2 years of age at insult showed some improvement between early and late assessments; however, children below 2 years showed no improvement. Differing age at insult effects were observed between aetiological groups. A relation between early age at first insult and poor outcome was particularly evident among children experiencing NTC caused by epilepsy.
在一项基于人群的儿童非创伤性昏迷（NTC）研究中，对已确定的幸存者的认知和适应性行为结果进行了研究。在NTC发生后早期（六周）和晚期（12个月）对儿童进行评估。在那些之前没有神经发育疾病嫌疑的儿童中，至少7%在NTC后出现中度或重度残疾。受伤时年龄超过2岁的儿童在早期和晚期评估之间有一些改善；然而，2岁以下的儿童没有改善。在病因学组之间观察到受伤时年龄的不同影响。首次受伤时年龄较小与不良结果之间的关系在因癫痫导致NTC的儿童中尤为明显。
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