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预测小儿创伤性脑损伤后的病前神经心理功能。

Predicting premorbid neuropsychological functioning following pediatric traumatic brain injury.

作者信息

Yeates K O, Taylor H G

机构信息

Department of Pediatrics, Ohio State University, Columbus, USA.

出版信息

J Clin Exp Neuropsychol. 1997 Dec;19(6):825-37. doi: 10.1080/01688639708403763.

DOI:10.1080/01688639708403763
PMID:9524877
Abstract

This study examined the prediction of premorbid neuropsychological functioning using data from an ongoing prospective study of traumatic brain injuries (TBI) in children ages 6 to 12 years. Prediction equations were derived based on 80 children with orthopedic injuries (OI), who served as a comparison group for the children with TBI. Collectively, parent ratings of premorbid school performance, maternal ethnicity, family socioeconomic status, and children's word recognition skill predicted from 13% to 45% of the variance in three measures of neuropsychological functioning. The regression equations were used to compute predicted scores among 109 children with TBI. Actual scores fell significantly below predicted scores among children with TBI, and the magnitude of the deficits was correlated with injury severity. Premorbid neuropsychological functioning can be predicted in children with TBI, but with less precision than would be desirable for clinical purposes.

摘要

本研究利用一项正在进行的针对6至12岁儿童创伤性脑损伤(TBI)的前瞻性研究数据,对病前神经心理功能进行了预测。基于80名患有骨科损伤(OI)的儿童得出了预测方程,这些儿童作为TBI儿童的对照组。总体而言,病前学校表现的家长评分、母亲种族、家庭社会经济地位以及儿童的单词识别技能,在神经心理功能的三项测量指标中预测了13%至45%的方差。回归方程用于计算109名TBI儿童的预测分数。TBI儿童的实际分数显著低于预测分数,且缺陷程度与损伤严重程度相关。TBI儿童的病前神经心理功能可以被预测,但精确程度低于临床目的所需。

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