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小儿心脏骤停后的认知和心理结果

Cognitive and Psychological Outcomes Following Pediatric Cardiac Arrest.

作者信息

Huebschmann Nathan A, Cook Nathan E, Murphy Sarah, Iverson Grant L

机构信息

Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United States.

Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA, United States.

出版信息

Front Pediatr. 2022 Feb 9;10:780251. doi: 10.3389/fped.2022.780251. eCollection 2022.

Abstract

Cardiac arrest is a rare event in children and adolescents. Those who survive may experience a range of outcomes, from good functional recovery to severe and permanent disability. Many children experience long-term cognitive impairment, including deficits in attention, language, memory, and executive functioning. Deficits in adaptive behavior, such as motor functioning, communication, and daily living skills, have also been reported. These children have a wide range of neurological outcomes, with some experiencing specific deficits such as aphasia, apraxia, and sensorimotor deficits. Some children may experience emotional and psychological difficulties, although many do not, and more research is needed in this area. The burden of pediatric cardiac arrest on the child's family and caregivers can be substantial. This narrative review summarizes current research regarding the cognitive and psychological outcomes following pediatric cardiac arrest, identifies areas for future research, and discusses the needs of these children for rehabilitation services and academic accommodations.

摘要

心脏骤停在儿童和青少年中是一种罕见事件。存活下来的人可能会经历一系列后果,从良好的功能恢复到严重的永久性残疾。许多儿童会出现长期认知障碍,包括注意力、语言、记忆和执行功能方面的缺陷。也有报告称,在适应性行为方面存在缺陷,如运动功能、沟通和日常生活技能。这些儿童有广泛的神经学后果,一些儿童会出现特定缺陷,如失语症、失用症和感觉运动缺陷。一些儿童可能会经历情感和心理困难,不过许多儿童没有,这一领域还需要更多研究。小儿心脏骤停给儿童家庭和照顾者带来的负担可能很大。这篇叙述性综述总结了关于小儿心脏骤停后认知和心理后果的当前研究,确定了未来研究的领域,并讨论了这些儿童对康复服务和学业调整的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd30/8865388/8a696646d8f6/fped-10-780251-g0001.jpg

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