OBJECTIVE: To investigate the relationship between injury severity variables, particularly time to follow commands (TFC) and long-term functional outcomes in paediatric traumatic brain injury (TBI). METHODS AND PROCEDURE: Participants included 40 children with moderate-to-severe TBI discharged from inpatient rehabilitation. Measures of severity were initial Glasgow Coma Scale score, TFC, duration of Post Traumatic Amnesia (PTA) and total duration of impaired consciousness (TFC + PTA). Functional outcome was measured by age-corrected Functional Independence Measure for Children (WeeFIM®) scores at 1-year after discharge. RESULTS: Correlations indicated that injury severity variables (TFC, PTA and TFC + PTA) were all associated with functional outcome. Regression analyses revealed that TFC and TFC + PTA similarly accounted for 49% or 47% of the variance, respectively, in total WeeFIM® score. Thirty-seven of 40 children had good outcome; of the three children with TFC >26 days, two had poor outcome. CONCLUSION: PTA and TFC + PTA do not provide a benefit over TFC alone for prediction of long-term outcome and TFC is identified earlier in the recovery course. TFC remains an important predictor of functional outcome 1-year after discharge from inpatient rehabilitation after paediatric TBI.
OBJECTIVE: To investigate the relationship between injury severity variables, particularly time to follow commands (TFC) and long-term functional outcomes in paediatric traumatic brain injury (TBI). METHODS AND PROCEDURE: Participants included 40 children with moderate-to-severe TBI discharged from inpatient rehabilitation. Measures of severity were initial Glasgow Coma Scale score, TFC, duration of Post Traumatic Amnesia (PTA) and total duration of impaired consciousness (TFC + PTA). Functional outcome was measured by age-corrected Functional Independence Measure for Children (WeeFIM®) scores at 1-year after discharge. RESULTS: Correlations indicated that injury severity variables (TFC, PTA and TFC + PTA) were all associated with functional outcome. Regression analyses revealed that TFC and TFC + PTA similarly accounted for 49% or 47% of the variance, respectively, in total WeeFIM® score. Thirty-seven of 40 children had good outcome; of the three children with TFC >26 days, two had poor outcome. CONCLUSION: PTA and TFC + PTA do not provide a benefit over TFC alone for prediction of long-term outcome and TFC is identified earlier in the recovery course. TFC remains an important predictor of functional outcome 1-year after discharge from inpatient rehabilitation after paediatric TBI.
Authors: Sue R Beers; Stephen R Wisniewski; Pamela Garcia-Filion; Ye Tian; Thomas Hahner; Rachel P Berger; Michael J Bell; P David Adelson Journal: J Neurotrauma Date: 2012-04-10 Impact factor: 5.269
Authors: C M McDonald; K M Jaffe; G C Fay; N L Polissar; K M Martin; S Liao; J B Rivara Journal: Arch Phys Med Rehabil Date: 1994-03 Impact factor: 3.966
Authors: M H Serghiou; M W Rose; F S Pidcock; P C Esselman; L H Engrav; K J Kowalske; D C Lezotte Journal: Dev Neurorehabil Date: 2008 Jan-Mar Impact factor: 2.308
Authors: Nathalia Jimenez; Marisa Osorio; Jessica L Ramos; Susan Apkon; Beth E Ebel; Frederick P Rivara Journal: Arch Phys Med Rehabil Date: 2015-03-04 Impact factor: 3.966
Authors: Adrian M Svingos; Stacy J Suskauer; Beth S Slomine; Hsuan Wei Chen; Michael E Ellis-Stockley; Rob J Forsyth Journal: Arch Phys Med Rehabil Date: 2021-10-30 Impact factor: 4.060
Authors: Roslyn N Boyd; Emmah Baque; Adina Piovesana; Stephanie Ross; Jenny Ziviani; Leanne Sakzewski; Lee Barber; Owen Lloyd; Lynne McKinlay; Koa Whittingham; Anthony C Smith; Stephen Rose; Simona Fiori; Ross Cunnington; Robert Ware; Melinda Lewis; Tracy A Comans; Paul A Scuffham Journal: BMC Neurol Date: 2015-08-19 Impact factor: 2.474