后天性脑损伤儿童和青少年受伤2年后的神经学转归

Neurological outcome in children and youth with acquired brain injury 2-year post-injury.

作者信息

Lambregts Suzanne A M, Van Markus-Doornbosch Frederike, Catsman-Berrevoets Coriene E, Berger Monique A M, De Kloet Arend J, Hilberink Sander R, Roebroeck Marij E

机构信息

a Department of Rehabilitation Medicine , Erasmus MC University Medical Centre, Rotterdam , The Netherlands.

b Department of Pediatric Rehabilitation , Revant Rehabilitation Centres , Breda , The Netherlands.

出版信息

Dev Neurorehabil. 2018 Oct;21(7):465-474. doi: 10.1080/17518423.2018.1460770. Epub 2018 Apr 13.

DOI:10.1080/17518423.2018.1460770

PMID:29652209

Abstract

OBJECTIVE

To determine neurological outcome in children and youth with acquired brain injury (ABI) and explore associated factors.

DESIGN

Cross-sectional study, two-years post-injury.

PATIENTS

Hospital-based sample (n=112) aged 6-22 years.

METHODS

Neurological outcome and participation were assessed with a multidimensional neurological examination and the Child and Adolescent Scale of Participation. Logistic regression analyses were used to explore the relationships.

RESULTS

Both sensorimotor and cognitive deficits were found in 30-31%, language deficits and behavioural deficits in 10-17%. Non-traumatic injury had a negative impact on neurological outcome, specifically regarding sensorimotor and language deficits. Lower education level showed a significantly poorer neurological outcome. High levels of age-expected participation were reported, with a significant relation between deficits and participation restrictions, especially at school.

CONCLUSION

One out of three have a poor neurological outcome, related to type of injury and lower level of education. The amount of deficits is associated with participation restrictions.

摘要