Wells Rebecca, Minnes Patricia, Phillips Marjory
University of Waterloo, Psychology, Waterloo, Ontario, Canada.
Dev Neurorehabil. 2009 Feb;12(1):12-23. doi: 10.1080/17518420902773109.
To determine the efficacy of models employing the classification of severity of injury, based on either GCS scores or clinical findings using standardized test scores for Occupational Therapy, Physiotherapy and Psychology in predicting outcomes associated with paediatric traumatic brain injury (TBI).
Medical records were reviewed to obtain GCS scores and standardized tests used in the clinically based classification of severity of injury for 30 individuals who sustained a paediatric TBI and were patients of a brain injury treatment programme. Interviews were conducted with parents to obtain current data on social participation, cognitive functioning and environmental factors.
Three variables emerged as significant predictors of outcome: age at injury, clinical ratings of injury severity and environmental factors.
Findings offer preliminary support for the idea that a combination of factors, including age at injury, clinical expertise and the environment, provide the best estimate of long-term outcome.
确定基于格拉斯哥昏迷量表（GCS）评分或使用职业治疗、物理治疗和心理学标准化测试分数的临床发现来进行损伤严重程度分类的模型，在预测小儿创伤性脑损伤（TBI）相关结果方面的有效性。
回顾30名小儿TBI患者（他们是一个脑损伤治疗项目的患者）的病历，以获取GCS评分以及用于基于临床的损伤严重程度分类的标准化测试。与家长进行访谈，以获取有关社会参与、认知功能和环境因素的当前数据。
三个变量成为结果的显著预测因素：受伤时的年龄、损伤严重程度的临床评级和环境因素。
研究结果为以下观点提供了初步支持，即包括受伤时的年龄、临床专业知识和环境在内的多种因素组合，能对长期结果做出最佳估计。
