Lo Warren, Gordon Anne L, Hajek Christine, Gomes Alison, Greenham Mardee, Anderson Vicki, Yeates Keith O, Mackay Mark T
Division of Neurology, Department of Pediatrics, The Ohio State University and Nationwide Children's Hospital, Columbus, Ohio, USA
Paediatric Occupational Therapy Department, Paediatric Neuroscience, Evelina Children's Hospital, Guy's & St Thomas' Hospital NHS Foundation Trust, London, United Kingdom.
J Child Neurol. 2014 Nov;29(11):1524-30. doi: 10.1177/0883073813503186. Epub 2013 Oct 25.
The ability to anticipate deficits would help with implementation of interventions for children affected by stroke. The pediatric stroke outcome measure (measure) measures neurological impairment after stroke, but there has been little research examining the relationship between the measure and functional outcomes. We hypothesized the Measure correlates with cognitive and behavioral outcomes. Thirty-six children with stroke were assessed with the Measure, and tested for cognitive ability, problem behavior, adaptive behavior, and social participation. We examined the correlation between the total Measure and outcomes and determined how subscale scores associated with outcomes. Higher total Measure scores correlated with poorer outcomes in cognitive ability, problem behaviors, adaptive behaviors, and social participation. Specific subscale scores correlated with poorer outcomes in multiple domains. The total Measure can be used to anticipate poor outcomes in multiple domains after stroke and can help the clinician in the treatment of children as they recover.
预测缺陷的能力将有助于对中风患儿实施干预措施。儿童中风结局测量量表（该测量量表）用于测量中风后的神经功能损害，但很少有研究探讨该测量量表与功能结局之间的关系。我们假设该测量量表与认知和行为结局相关。对36名中风患儿进行了该测量量表评估，并测试了他们的认知能力、问题行为、适应性行为和社会参与度。我们研究了该测量量表总分与结局之间的相关性，并确定了各子量表得分与结局的关联方式。该测量量表总分越高，与认知能力、问题行为、适应性行为和社会参与度方面较差的结局相关。特定子量表得分与多个领域较差的结局相关。该测量量表总分可用于预测中风后多个领域的不良结局，并可帮助临床医生在患儿康复过程中进行治疗。
