Di Scala C, Osberg J S, Gans B M, Chin L J, Grant C C
Department of Rehabilitation Medicine, Tufts/New England Medical Center, Boston, MA 02111.
Arch Phys Med Rehabil. 1991 Aug;72(9):662-6.
The purpose of this paper was to describe pediatric head trauma and the factors that affect the extent, characteristics, and postacute service needs of functional limitations resulting from head trauma. Data are presented on 4,870 children who survived head injuries and who were enrolled in the National Pediatric Trauma Registry during 1985 to 1988. The sample excluded 349 children who died and 151 children who had impairments before injury. More than 50% of the surviving children sustained extracranial injury in addition to head injury, and this occurrence was related to age and mechanism of injury. Although 78% of the children were discharged from acute care without obvious impairments, 787 had one to three impairments, and 286 had four or more impairments. Discharge to rehabilitation or extended care facilities depended on the number and type of resulting impairments.
本文的目的是描述小儿头部创伤以及影响头部创伤所致功能受限的程度、特征和急性后期服务需求的因素。文中呈现了1985年至1988年期间纳入国家儿科创伤登记处的4870名头部受伤存活儿童的数据。该样本排除了349名死亡儿童和151名受伤前有损伤的儿童。超过50%的存活儿童除头部受伤外还遭受了颅外损伤，这种情况与年龄和损伤机制有关。尽管78%的儿童从急性护理中出院时没有明显损伤，但787名儿童有一至三种损伤，286名儿童有四种或更多损伤。是否出院到康复或长期护理机构取决于所产生损伤的数量和类型。
